Dural lesions in lumbar disc herniation surgery: incidence, risk factors, and outcome.
(2010) In European Spine Journal 19(3). p.439-442- Abstract
- In lumbar disc herniation surgery, dural lesions seem to be the most common complication today. Studies on incidence of and outcome after a dural lesion are mainly based on retrospective studies. In a prospective study within the framework of the Swedish Spine Register, 4,173 patients operated on for lumbar disc herniation were evaluated using pre- and 1-year postoperative protocols and complication registration. Mean patient age was 41 (18-81) years and 53% of the patients were male. 93% of the operations were performed on the two lowermost lumbar levels. The incidence of dural lesions in the material was 2.7%. In patients with previous disc surgery, the incidence was doubled, 5%, a significant increase (P = 0.02). Patients with dural... (More)
- In lumbar disc herniation surgery, dural lesions seem to be the most common complication today. Studies on incidence of and outcome after a dural lesion are mainly based on retrospective studies. In a prospective study within the framework of the Swedish Spine Register, 4,173 patients operated on for lumbar disc herniation were evaluated using pre- and 1-year postoperative protocols and complication registration. Mean patient age was 41 (18-81) years and 53% of the patients were male. 93% of the operations were performed on the two lowermost lumbar levels. The incidence of dural lesions in the material was 2.7%. In patients with previous disc surgery, the incidence was doubled, 5%, a significant increase (P = 0.02). Patients with dural lesions preoperatively had more back pain and inferior scores in general health and role emotional domains of the SF-36. These factors, however, were because they had been operated on previously, not related to the dural lesion as such. The relative improvement after surgery was similar whether a dural lesion had occurred or not. It is concluded that a dural lesion is a technical complication which must be solved at the time of surgery but which does not bear any negative implications on the long-term outcome for the patient. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1523576
- author
- STRÖMQVIST, FREDRIK LU ; Jönsson, Bo LU and Strömqvist, Björn LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European Spine Journal
- volume
- 19
- issue
- 3
- pages
- 439 - 442
- publisher
- Springer
- external identifiers
-
- wos:000275424100013
- pmid:20013002
- scopus:77951105006
- pmid:20013002
- ISSN
- 0940-6719
- DOI
- 10.1007/s00586-009-1236-x
- language
- English
- LU publication?
- yes
- id
- 07e42381-1cf3-4f34-b5b0-a938203f9fcc (old id 1523576)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20013002?dopt=Abstract
- date added to LUP
- 2016-04-01 09:54:36
- date last changed
- 2022-04-27 08:46:38
@article{07e42381-1cf3-4f34-b5b0-a938203f9fcc,
abstract = {{In lumbar disc herniation surgery, dural lesions seem to be the most common complication today. Studies on incidence of and outcome after a dural lesion are mainly based on retrospective studies. In a prospective study within the framework of the Swedish Spine Register, 4,173 patients operated on for lumbar disc herniation were evaluated using pre- and 1-year postoperative protocols and complication registration. Mean patient age was 41 (18-81) years and 53% of the patients were male. 93% of the operations were performed on the two lowermost lumbar levels. The incidence of dural lesions in the material was 2.7%. In patients with previous disc surgery, the incidence was doubled, 5%, a significant increase (P = 0.02). Patients with dural lesions preoperatively had more back pain and inferior scores in general health and role emotional domains of the SF-36. These factors, however, were because they had been operated on previously, not related to the dural lesion as such. The relative improvement after surgery was similar whether a dural lesion had occurred or not. It is concluded that a dural lesion is a technical complication which must be solved at the time of surgery but which does not bear any negative implications on the long-term outcome for the patient.}},
author = {{STRÖMQVIST, FREDRIK and Jönsson, Bo and Strömqvist, Björn}},
issn = {{0940-6719}},
language = {{eng}},
number = {{3}},
pages = {{439--442}},
publisher = {{Springer}},
series = {{European Spine Journal}},
title = {{Dural lesions in lumbar disc herniation surgery: incidence, risk factors, and outcome.}},
url = {{https://lup.lub.lu.se/search/files/1381508/1538667.pdf}},
doi = {{10.1007/s00586-009-1236-x}},
volume = {{19}},
year = {{2010}},
}