Menu
Menu
19 Harley St, London, W1G 9QJ, UK

Threat components for incidental durotomy throughout posterior open backbone surgical procedure for degenerative ailments in adults: A multicenter observational research.

Related Articles

Threat components for incidental durotomy throughout posterior open backbone surgical procedure for degenerative ailments in adults: A multicenter observational research.

PLoS One. 2017;12(11):e0188038

Authors: Ishikura H, Ogihara S, Oka H, Maruyama T, Inanami H, Miyoshi Okay, Matsudaira Okay, Chikuda H, Azuma S, Kawamura N, Yamakawa Okay, Hara N, Oshima Y, Morii J, Saita Okay, Tanaka S, Yamazaki T

Summary
Incidental durotomy (ID) is a typical intraoperative complication of backbone surgical procedure. It could possibly result in persistent cerebrospinal fluid leakage, which can trigger critical issues, together with extreme headache, pseudomeningocele formation, nerve root entrapment, and intracranial hemorrhage. Consequently, it contributes to greater healthcare prices and poor affected person outcomes. The aim of this research was to make clear the unbiased threat components that may trigger ID throughout posterior open backbone surgical procedure for degenerative ailments in adults. We performed a potential multicenter research of grownup sufferers who underwent posterior open backbone surgical procedure for degenerative ailments at 10 collaborating hospitals from July 2010 to June 2013. A complete of four,652 consecutive sufferers had been enrolled. We evaluated potential threat components, together with age, intercourse, physique mass index, American Society of Anesthesiologists bodily standing classification, the presence of diabetes mellitus, using hemodialysis, smoking standing, steroid consumption, location of the surgical procedure, sort of operative process, and previous surgical historical past within the operated space. A multivariate logistic regression evaluation was carried out to establish the danger components related to ID. The incidence of ID was eight.2% (380/four,652). Corrective vertebral osteotomy and revision surgical procedure had been recognized as unbiased threat components for ID, whereas cervical surgical procedure and discectomy had been recognized as components that independently protected in opposition to ID throughout posterior open backbone surgical procedure for degenerative ailments in adults. Due to this fact, we recognized 2 unbiased threat components for and a pair of protecting components in opposition to ID. These outcomes might contribute to creating surgeons conscious of the danger components for ID and can be utilized to counsel sufferers on the dangers and issues related to open backbone surgical procedure.

PMID: 29190646 [PubMed – indexed for MEDLINE]

Related Articles Risk factors for incidental durotomy during posterior open spine surgery for degenerative diseases in adults: A multicenter observational study. PLoS One. 2017;12(11):e0188038 Authors: Ishikura H,...

What our patients say ...

Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Anaesthetist

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

Laser Spine Surgery Articles

SHADES of grey – The challenge of ‘grumbling’ cauda equina symptoms in older adults with lumbar spinal stenosis.
Abstract Diagnosing cauda equina syndrome is challenging in older adults with lumbar spinal stenosis. Understanding these challenges is vital for
Read more.
The influence of preoperative mental health on clinical outcomes after laminectomy in patients with lumbar spinal stenosis.
Abstract OBJECTIVE: The influence of preoperative mental health on health-related quality of life (HRQOL) in patients with lumbar spinal stenosis
Read more.
MicroRNA transcriptome analysis on hypertrophy of ligamentum flavum in patients with lumbar spinal stenosis.
Abstract Introduction: Molecular pathways involved in ligamentum flavum (LF) hypertrophy are still unclarified. The purpose of this study was to
Read more.
Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note.
Abstract Introduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height
Read more.
Integrated anatomy of the neuromuscular, visceral, vascular, and urinary tissues determined by MRI for a surgical approach to lateral lumbar
Abstract Introduction: To comprehensively investigate the anatomy of the neuromuscular, visceral, vascular, and urinary tissues and their general influence on
Read more.
Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement: A Systematic
Related Articles Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement:
Read more.

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810