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Dural lesions in lumbar disc herniation surgery: incidence, risk factors, and outcome.

STRÖMQVIST, FREDRIK LU ; Jönsson, Bo LU and Strömqvist, Björn LU (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)
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author
organization
publishing date
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
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
2010-01-14 10:09:36
date last changed
2018-05-29 12:19:44
@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          = {http://dx.doi.org/10.1007/s00586-009-1236-x},
  volume       = {19},
  year         = {2010},
}