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Unintended durotomy during degenerative lumbar spine surgery : incidence and management
Joint Authors
Abd al-Wahid, Tariq
Abd al-Wahid, Ali T.
Salah, Ammar
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 56, Issue 4 (31 Dec. 2014), pp.347-351, 5 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2014-12-31
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background : Unintended durotomy is an infrequent but well-recognized Complication during degenerative lumbar spine surgery.
The current literatures report a wide variation in incidence of durotomy during degenerative lumbar spine surgery.
Objective : To assess the incidence, treatment, clinical consequence, complications of unintended durotomy during degenerative lumbar spine surgery, and the results of 2-24 months clinical follow-up.
Patients and Methods : A prospective study was conducted on 264 patients who underwent degenerative lumbar spine surgery performed in Al-Sheikh Zayed Hospital and private nursing home hospital- medical city in Baghdad from January 2011 to June 2012.
Patients managed by spine fixation were excluded from this study.
Results : The incidence of unintended durotomy during spine surgery was 8.33 % (22 of 264 cases).
The incidence varies according to the type of surgery being performed (6.66 % in primary discectomy, 12.5 % in decompressive laminectomy and 21.73 % in revision surgery).
Unintended durotomy was more common in revision surgery compared with primary surgery (21.73 % vs 7.05 % ; p < .001), and it was significantly more common among elderly patients (17.39 % in patients > 60 years old ; p = .006).
Most of the durotomies were managed by primary repair.
A mean follow-up of 6 months showed good long-term clinical results.
Conclusions : All unintended durotomies must be repaired primarily.
Durotomies that were immediately recognized and treated did not lead to any significant sequelae at a mean follow-up of 6 months.
American Psychological Association (APA)
Abd al-Wahid, Tariq& Abd al-Wahid, Ali T.& Salah, Ammar. 2014. Unintended durotomy during degenerative lumbar spine surgery : incidence and management. Journal of the Faculty of Medicine Baghdad،Vol. 56, no. 4, pp.347-351.
https://search.emarefa.net/detail/BIM-533277
Modern Language Association (MLA)
Abd al-Wahid, Tariq…[et al.]. Unintended durotomy during degenerative lumbar spine surgery : incidence and management. Journal of the Faculty of Medicine Baghdad Vol. 59, no. 4 (2014), pp.347-351.
https://search.emarefa.net/detail/BIM-533277
American Medical Association (AMA)
Abd al-Wahid, Tariq& Abd al-Wahid, Ali T.& Salah, Ammar. Unintended durotomy during degenerative lumbar spine surgery : incidence and management. Journal of the Faculty of Medicine Baghdad. 2014. Vol. 56, no. 4, pp.347-351.
https://search.emarefa.net/detail/BIM-533277
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 350-351
Record ID
BIM-533277