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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


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  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is published monthly.

Editor-in-Chief

 

Comparison outcomes of repeat mini-open microdiscectomy versus fusion for recurrent lumbar disc herniations regarding preoperative radiological  features-single institute experience (p.3054-60)

Comparison outcomes of repeat mini-open microdiscectomy versus fusion for recurrent lumbar disc herniations regarding preoperative radiological features-single institute experience (p.3054-60)

Ayse Esin Polat1, Odhan Yuksel2, Baris Polat3, Ramadan Ozmanevra4, Halil Ibrahim Secer5
1Clinic of Orthopaedics and Traumatology, Dr. Akcicek State Hospital, Kyrenia, Cyprus
2Department of Neurosurgery and Spine Surgery, Baskent University Alanya Research and Training Hospital, Antalya, Turkey
3Clinic of Orthopaedics and Traumatology, Dr. Burhan Nalbantoglu State Hospital, Nicosia, Cyprus
4Department of Orthopaedics and Traumatology, Faculty of Medicine, University of Kyrenia, Kyrenia, Cyprus
5Department of Neurosurgery and Spine Surgery, Faculty of Medicine, University of Kyrenia, Kyrenia, Cyprus
Copyright@Author(s) - Available online at www.annalsmedres.org
Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Abstract

Aim: The aim of this study was to compare the clinical results of two different surgical approaches for patients with recurrent lumbar disc herniation. Furthermore, we retrospectively analysed both groups and compared preoperative radiological features, which may be useful to select most appropriate surgical technique.
Materials and Methods: 36 patients underwent mini-open microdiscectomy and 14 patients underwent microdiscectomy with fusion surgery for recurrent lumbar disc herniation in our institution between 2007-2017. Patient’s demographic characteristics and clinical results, as well as preoperative radiological features (such as disc height, disc degeneration, facet joint angle on sagittal and axial plane, existence of foraminal stenosis or previous facetectomy, facet joint degeneration, adjacent segment degeneration, sagittal instability, coronal instability) were retrospectively analyzed and compared between two groups.
Results: There were no statistically significant differences between the groups in terms of postoperative visual analog scale and Oswestry Disability Index scores. The mean age, mean duration of hospital stay and operation time were significantly lower in microdiscectomy group (p=0.003, p0.001, p0.001, respectively). There was no recurrence during a mean follow-up of 54.3 months. Disc degeneration grade, degree of foraminal stenosis and facet joint degeneration, sagittal instability grade, facetectomy rate, adjacent segment degeneration and number of microdiscectomies are statistically higher in stabilization group than simple microdiscectomy group (p0.001, p0.001, p0.001, p0.001, p0.001, p=0.047, p=0.010, respectively). Furthermore, sagittal and axial facet joint angles are significantly higher in the microdiscectomy group than the fusion group (p0.001, p0.001, respectively).
Conclusion: Preoperative radiological evaluation of patients with recurrent disc herniation can help physicians in order to select the most appropriate surgical approach and therefore minimize surgical risks.

Keywords: Disc herniation; discectomy; fusion; lumbar; mini-open; recurrent

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doi:10.5455/annalsmedres.2020.09.956

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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