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Abstract Objective To investigate the risk factors for recurrence after intervertebral foramen surgery in patients with lumbar disc herniation (LDH).Methods The clinical data of 130 patients with LDH who underwent transforaminal surgery received from hospital from January 2016 to February 2017 were retrospectively analyzed.According to whether there was recurrence within 1 year after surgery，they were divided into recurrent group (13 cases) and non-recurred group (117 cases).The identify factors associated with recurrence after intervertebral foramen surgery in patients with LDHwere determined by single factor and multivariate logistic linear regression analysis.Results There were no differences in the rates of gender，body mass index (BMI)，hypertension，diabetes，hyperlipidemia，LDH type，prominent position，surgical procedure，operation time between the recurrent group and the non-recurred group (P＞0.05)，while the rates of age ≥60 years，duration ≥4 years，mild or moderate degeneration of lumbar disc，L4～5 of surgical segment，postoperative intervertebral activity ≥10°，intraoperative annulus fibrosus damage，incompletednucleus pulposus removalof the recurrent group were significantly higher than those of onrecurred group (P＜0.05)，which were the independent risk factors for recurrence after vertebral perforating surgery in patients with LDH (OR=6.352，5.201，3.317，7.894，3.006，1.389，2.476，P＝0.000，0.000，0.001，0.000，0.005，0.036，0.000).Conclusion There are many risk factors for recurrence after intervertebral foramen surgery in patients with LDH，suggesting that patients with high risk factors should be highly regarded in clinical practice，and targeted preventive measures should be given to reduce the recurrence rate.
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