Recurrence rate after surgery for lumbar 5 sacral 1 herniation

The recurrence rate after lumbar 5 sacral 1 herniation surgery needs to be based on the patient’s condition as well as the surgical method. Generally speaking, the recurrence rate after minimally invasive surgery is less than 20%, and the open surgery generally does not have recurrence.
1. Minimally invasive surgeries: common ones include intervertebral foraminoscopic nucleus pulposus removal, radiofrequency ablation, etc., in which the protruding intervertebral discs are removed without disposing of the intervertebral discs in the intervertebral space. Therefore, if the patients continue to do physical labor or stooping to bear heavy loads after the surgeries, it may lead to recurrence, and due to the different conditions of the individuals, the recurrence rate of the surgeries in most of the hospitals is less than 20% as indicated in the study.
2. Open surgery: generally refers to the removal of the herniated lumbar disc and the intervertebral disc in the intervertebral space together with intervertebral fusion and internal fixation, which generally will not recur.
Therefore, lumbar 5 sacral 1 herniation surgery needs to be decided according to the surgical method and other circumstances, and it is recommended that patients pay attention to the protection of lumbar vertebrae after the operation, regular review and timely treatment.