In terms of pain relief, the discectomy procedure has a generally positive outcome, but this fades over time. Patients report a high level of satisfaction and a rate of return to work of more than 80%, despite reoperation rates of around 15% being common. Revision discectomies, on the other hand, have been shown to be just as effective at relieving pain and numbness. Carragee studied the type of herniation and its impact on patient outcomes. Annular competence, as well as herniated tissue fragmentation, were found to be important for the overall outcomes. Discectomy, from a biomechanical standpoint, alters strains within the disc and is likely to predispose the annulus to progressive damage.
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