The effect of radiological degenerative progression on the timing of recurrence in recurrent lumbar disc herniation: A retrospective analysis

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Higher radiological degeneration velocity is significantly associated with early recurrence of lumbar disc herniation following discectomy. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

İlhan Aydın; Berkay KEF; Melih Üçer; Erhan Emel

doi:10.29058/mjwbs.1898692

August 31, 2026Medical Journal of Western Black SeaOpen Access

The effect of radiological degenerative progression on the timing of recurrence in recurrent lumbar disc herniation: A retrospective analysis

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Key Points

To evaluate whether longitudinal degeneration velocity or static spinal canal compromise is associated with early versus late recurrence in recurrent lumbar disc herniation.
Retrospectively analyzed 50 patients who underwent revision surgery for same-level recurrent lumbar disc herniation between 2011 and 2015, categorizing recurrence as early (≤12 months) or late (>12 months).
Assessed pre-primary and pre-revision magnetic resonance imaging for Pfirrmann grade, facet degeneration, Modic changes, lumbar lordosis, spinal canal area, herniation area, and calculated degeneration velocity (grades/year).
Analyzed recurrence timing using Kaplan–Meier survival analysis and Cox proportional hazards regression models.
Mean time to recurrence was 9.41 ± 5.2 months, with 82% of recurrent cases presenting within the first 12 months after primary discectomy.
Degeneration velocity was significantly elevated in patients experiencing early recurrence compared to those with late recurrence.

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Implication

Retrospective study reveals higher degeneration velocity links to early relapse in patients with recurrent lumbar disc herniation, indicating rapid spinal wear accelerates reherniation timing.

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Aydın et al. (2026) studied this question.

synapsesocial.com/papers/6a97e2d9c562ede874ec72ad https://doi.org/10.29058/mjwbs.1898692

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The effect of radiological degenerative progression on the timing of recurrence in recurrent lumbar disc herniation: A retrospective analysis

Key Points

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Implication

Discussion

Cite This Study

The effect of radiological degenerative progression on the timing of recurrence in recurrent lumbar disc herniation: A retrospective analysis

Key Points

No abstract yet

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Implication

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Cite This Study

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