G Maupome, W R McConnell, B L Perry, R Marino, E R Wright
Psychological and behavioral acculturation in a social network of Mexican Americans in the United States and use of dental services
Community dentistry and oral epidemiology
present incidence recurrent lumbar disc herniation rldh identify radiological patientrelated risk factors lead recurrence lumbar disc herniation ldh treatment microdiscectomy january 2013 december 2021 1214 patients undergone microdiscectomy ldh included retrospective study patients divided two groups recurrent group nonrecurrent group demographic clinical radiologic characteristics recorded association variables rldh assessed univariate multivariable logistic regression analyses mean ages similar recurrent 5148 1363 nonrecurrent5038 1453 groups p0232 males represented 596 recurrent group 498 nonrecurrent group p0002 multivariable logistic regression revealed male p0009 diabetes mellitus p0038 smoking p0001 grade 45 disc degeneration p0001 protruded p0002 extruded ldh p0001 paracentral p0008 foraminal ldh p0008 independently associated recurrence reduce rldh frequency need revision surgery modifiable risk factors minimized initial surgery also patients unmodifiable risk factors patients clearly informed risk recurrence possible alternative treatment methods considered