Treatment Strategies in Late Recurrent Giant Lumbar Disc Hernia: Two Case Reports
|Veli Citisli*, Muhammet Ä°brahimoglu and Serkan Civlan|
|Department of Neurosurgery, Pamukkale University School of Medicine, Denizli, Turkey|
|Corresponding Author :||Veli Citisli, MD
Assistant Professor, Pamukkale University Medical Faculty
Department of Neurosurgery, 20070 Kinikli - Denizli, Turkey
Tel: +90 258 444 07 28-5485
Fax: +90 258 296 17 65
E-mail: [email protected]
|Received: January 25, 2016 Accepted: February 10, 2016 Published: February 12, 2016|
|Citation: Citisli V, Ibrahimoglu M, Civlan S (2016) Treatment Strategies in Late Recurrent Giant Lumbar Disc Hernia: Two Case Reports. J Spine 5:286. doi:10.4172/2165-7939.1000286|
|Copyright: © 2016 Citisli V, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
For recurrent disc hernia, the aim is to eliminate factors, which lead to pain, achieve decompression with injuring underlying neural tissue, and to stabilize the site, if instability is observed, and finally, to early mobilize the patient.
For cases with recurrent disc hernia, patients can tolerate the condition, since enlargement of disc hernia is slow. Total laminectomy and bilateral discectomy will ensure neurological deficit-free postoperative course, if recurrent disc hernia is located at central zone and the size is giant. Moreover, one should carefully avoid tear of dura, when fibrotic tissue is debrided and giant disc hernia is excised.