6 doctors weighed in:
Hello, is there any long term complication for lumbar(l5 s1) discectomy and laminectomy for prolapsed intervertebral disc. Thank you?
6 doctors weighed in

Dr. Ario Kiarash
Orthopedic Surgery
4 doctors agree
In brief: Pain, instability
Discectomies work well in immediate pain control, but after some time (5-10 years) they may lead to instability and need for segmental fusion.

In brief: Pain, instability
Discectomies work well in immediate pain control, but after some time (5-10 years) they may lead to instability and need for segmental fusion.
Dr. Ario Kiarash
Dr. Ario Kiarash
Thank
1 comment
Dr. Karl Buechsenschuetz
The long-term outcome from discectomy surgery is generally more favorable than non-operative treatment. There is about a 5-15% risk of collapse of the disc space, which can lead to the need for fusion. However, the risk of collapse is generally identical between patients treated with an operation versus those treated without an operation.
Dr. Larry Armstrong
Neurosurgery
1 doctor agrees
In brief: Second surgery
It is always possible to need an additional diskectomy if the disk re-herniated.
It is also possible that you may require a fusion in the future is that segment becomes unstable. Don't think of your diskectomy as a cure. Remember that unhealthy disks herniate- healthy ones don't unless there's an injury. Diskectomy is very effective and i hope yours lasts a long time.

In brief: Second surgery
It is always possible to need an additional diskectomy if the disk re-herniated.
It is also possible that you may require a fusion in the future is that segment becomes unstable. Don't think of your diskectomy as a cure. Remember that unhealthy disks herniate- healthy ones don't unless there's an injury. Diskectomy is very effective and i hope yours lasts a long time.
Dr. Larry Armstrong
Dr. Larry Armstrong
Thank
Dr. Thomas Dowling
Orthopedic Surgery - Spine
In brief: Assuming the surgery
Went well with no complications and your predominant complaint was more leg pain than back pain, the rate of any long term issues is a 1-2% risk of symptomatic scar tissue, a 5% risk of a recurrent disc herniation and a 10% risk of back pain.
This is assuming you are a non smoker a smoking has a negative impact on outcome as does obesity.

In brief: Assuming the surgery
Went well with no complications and your predominant complaint was more leg pain than back pain, the rate of any long term issues is a 1-2% risk of symptomatic scar tissue, a 5% risk of a recurrent disc herniation and a 10% risk of back pain.
This is assuming you are a non smoker a smoking has a negative impact on outcome as does obesity.
Dr. Thomas Dowling
Dr. Thomas Dowling
Thank
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