Incidental durotomy in lumbar spine surgery - is there still a role for flat bed rest?

نویسندگان

  • Oliver P Gautschi
  • Martin N Stienen
  • Nicolas R Smoll
  • Marco V Corniola
  • Karl Schaller
چکیده

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Outcomes after incidental durotomy during first-time lumbar discectomy.

OBJECT Incidental durotomy is an infrequent but well-recognized complication during lumbar disc surgery. The effect of a durotomy on long-term outcomes is, however, controversial. The authors sought to examine whether the occurrence of durotomy during surgery impacts long-term clinical outcome. METHODS Spine Patient Outcomes Research Trial (SPORT) participants who had a confirmed diagnosis of...

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The Economic Implications of an Incidental Durotomy.

STUDY DESIGN Case-control. OBJECTIVE The aim of this study was to determine the economic impact of an incidental durotomy in spine surgery. SUMMARY OF BACKGROUND DATA An incidental durotomy during spine surgery does not affect long-term outcomes, but as reimbursement moves toward bundled payments, it may substantially affect the profitability of spine surgery. METHODS A retrospective revi...

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The long-term clinical sequelae of incidental durotomy in lumbar disc surgery.

STUDY DESIGN A retrospective, long-term follow-up study. OBJECTIVES To find out whether incidental durotomy in lumbar disc surgery is associated with long-term sequelae. SUMMARY OF BACKGROUND DATA Incidental durotomy is a frequent complication during spinal surgery. Little is known about the clinical long-term outcome. METHODS The study population comprised 1,280 patients who underwent st...

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SPORT: Does incidental durotomy affect longterm outcomes in cases of spinal stenosis?

BACKGROUND Incidental durotomy is a familiar encounter during surgery for lumbar spinal stenosis. The impact of durotomy on long-term outcomes remains a matter of debate. OBJECTIVE To determine the impact of durotomy on the long-term outcomes of patients in the Spine Patient Outcomes Research Trial (SPORT). METHODS The SPORT cohort participants with a confirmed diagnosis of spinal stenosis,...

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Durotomy repair in minimally invasive transforaminal lumbar interbody fusion by nonpenetrating clips

BACKGROUND Closure of the dura defect may be easy to perform in open lumbar surgery but could be difficult in minimally invasive transforaminal lumbar interbody fusions (MIS-TLIF) since MIS-TLIF was done through a small tube, which limited the use of standard dural repair instruments. We used nonpenetrating titanium clips that were originally designed for the vascular anastomoses to repair the ...

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عنوان ژورنال:
  • The spine journal : official journal of the North American Spine Society

دوره 14 10  شماره 

صفحات  -

تاریخ انتشار 2014