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Review
. 2025 Mar 13:51:159-162.
doi: 10.1016/j.jot.2025.01.014. eCollection 2025 Mar.

A perspective on reoperations after surgical treatments of degenerative lumbar diseases

Guoan Li  1 , Won Man Park  2 , Thomas Cha  3
Affiliations
Review

A perspective on reoperations after surgical treatments of degenerative lumbar diseases

Guoan Li et al. J Orthop Translat. .

Abstract

Clinical data including reoperation rates are comparable for lumbar patients after decompression-alone or decompression-with-fusion surgeries. However, there could exist different mechanisms causing complications after the two surgeries. We discussed research and technology development perspectives for improvement of the surgeries using published clinical outcome data.

Keywords: DDD; Low back pain; Lumbar decompression; Lumbar degenerative disease; Lumbar fusion; Lumbar spine; Spine biomechanics.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Image 1
Graphical abstract
Fig. 1
Fig. 1
Schematic figures showing A) spinal segments with a diseased disc (ALL-anterior longitudinal ligament; PLL-posterior longitudinal ligament); and B) treatment of the diseased disc with fusion surgery by restoration of normal disc height. Restoration of normal disc height causes stretching of anterior/posterior longitudinal ligaments (showing by read arrows) and increases pressures on endplate–disc interfaces (showing by green arrows) of both index and adjacent segments. C) The idea of soft tissue release to reduce the tightness caused by expanding the index space using the fusion surgery and reduce internal pressures.
See this image and copyright information in PMC

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