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Surgical techniques and perioperative surgical outcomes after discectomy for calcified lumbar disc herniation: a review and meta-analysis – Lumbar Spinal Stenosis

The article focuses on the surgical challenges and outcomes of surgery for calcified lumbar disc herniation (CLDH). The review analyzed 9 studies published between 2016 and 2022, most of which were retrospective. The study found that CLDH cases had a longer operative time compared to cases of non-calcified lumbar disc herniation (NCLDH). However, satisfactory clinical outcomes were observed in the majority of patients. The authors emphasize that the focus of surgery should be on decompressing the neural structures rather than removing the disc. The article highlights the need for careful planning and provides insights into the surgical techniques and perioperative findings associated with CLDH

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: Surgical difficulties in CLDH cases leads to increase in operative time compared to NCLDH. Good clinical outcomes can be obtained with careful planning; the focus of surgery should be on decompression of the neural structures rather than disc removal.

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Eur Spine J. 2023 Sep 2. doi: 10.1007/s00586-023-07914-y. Online ahead of print.ABSTRACTINTRODUCTION: Calcified lumbar disc herniation (CLDH) poses surgical challenges due to longstanding disease and adherence of herniated disc to the surrounding neural structures. The data regarding outcomes after surgery for CLDH are limited. This review was conducted to analyse the surgical techniques, perioperative findings,

Eur Spine J. 2023 Sep 2. doi: 10.1007/s00586-023-07914-y. Online ahead of print.

ABSTRACT

INTRODUCTION: Calcified lumbar disc herniation (CLDH) poses surgical challenges due to longstanding disease and adherence of herniated disc to the surrounding neural structures. The data regarding outcomes after surgery for CLDH are limited. This review was conducted to analyse the surgical techniques, perioperative findings and the postoperative clinical outcomes after surgery for CLDH.

METHODS: PRISMA guidelines were followed whilst conducting this systematic review and meta-analysis. The literature review was conducted on 3 databases (PubMed, EMBASE, and CINAHL). After thorough screening of all search results, 9 studies were shortlisted from which data were extracted and statistical analysis was done. Pooled analysis was done to ascertain the perioperative and postoperative outcomes after surgery for CLDH. Additional comparative analysis was done compared to CLDH with non-calcified lumbar disc herniation (NCLDH) cases.

RESULTS: We included 9 studies published between 2016 and 2022 in our review, 8 of these were retrospective. A total of 356 cases of CLDH were evaluated in these studies with a male preponderance (56.4%). Mean operative time was significantly lower in NCLDH cases compared to CLDH cases. The mean estimated blood loss showed a negative correlation with the percentage of males. Satisfactory clinical outcomes were observed in majority of patients. The risk of bias of the included studies was moderate to high.

CONCLUSION: Surgical difficulties in CLDH cases leads to increase in operative time compared to NCLDH. Good clinical outcomes can be obtained with careful planning; the focus of surgery should be on decompression of the neural structures rather than disc removal.

PMID:37659048 | DOI:10.1007/s00586-023-07914-y

The London Spine Unit : best rated day surgery unit in UK

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Surgical techniques and perioperative surgical outcomes after discectomy for calcified lumbar disc herniation: a review and meta-analysis

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Eur Spine J. 2023 Sep 2. doi: 10.1007/s00586-023-07914-y. Online ahead of print.ABSTRACTINTRODUCTION: Calcified lumbar disc herniation (CLDH) poses surgical challenges due to longstanding disease and adherence of herniated disc to the surrounding neural structures. The data regarding outcomes after surgery for CLDH are limited. This review was conducted to analyse the surgical techniques, perioperative findings
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