Publications by authors named "Medetbek D Abakirov"

Introduction: Recurrent lumbar disc herniation (rLDH) remains a challenge in spinal surgery. This systematic review analyzes the use of transforaminal endoscopic discectomy (TFED) for the treatment of rLDH.

Methods: A comprehensive search of 4 electronic databases, including PubMed, Google Scholar, Science Direct, and Cochrane, was conducted.

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Article Synopsis
  • The study compares outcomes of three surgical techniques for recurrent lumbar disc herniation (rLDH): repeat microdiscectomy (MD), discectomy with fusion (MD + TLIF), and endoscopic discectomy (TFED).
  • A classification system for rLDH is outlined based on patient characteristics such as facet resection and segmental instability, with TFED showing the lowest recurrence rates and best overall outcomes.
  • The findings suggest that in young patients without segmental instability, TFED is the preferred option due to its effectiveness and safety profile.
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