Home > Riviste > Journal of Neurosurgical Sciences > Fascicoli precedenti > Journal of Neurosurgical Sciences 2020 December;64(6) > Journal of Neurosurgical Sciences 2020 December;64(6):499-501

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo
Share

 

ORIGINAL ARTICLE   

Journal of Neurosurgical Sciences 2020 December;64(6):499-501

DOI: 10.23736/S0390-5616.18.04381-3

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

The degree of invasiveness has no influence on the rate of incidental durotomies in surgery for lumbar spinal canal stenosis: data from the German spine registry

Juan M. VINAS-RIOS 1 , Fatima A. MEDINA-GOVEA 2, Viktor VON BEEG-MORENO 3, Frerk MEYER 4, DWG Registry-group

1 Department of Spine Surgery, Sana Klinikum Offenbach, Offenbach, Germany; 2 Unit of Clinical Epidemiology, University of San Luis Potosí, San Luis Potosí, Mexico; 3 Faculty of Medicine, Johann W. Goethe University, Frankfurt am Main, Germany; 4 Evangelic University Hospital of Oldenburg, Oldenburg, Germany



BACKGROUND: Risk factors for incidental durotomies are good documented by some authors who consider the degree of invasiveness as a direct risk factor on this serious complication. We compared the rate of incidental durotomies and its dependence from the degree of invasiveness.
METHODS: The German Spine Registry could document 6016 surgeries for lumbar spinal canal stenosis, N.=2539 microsurgical decompression, and N.=2371 open decompression with stabilization.
RESULTS: Both groups were identical concerning age and sex of patients, mean age: 77.1±1.60; females: 58%; males: 32%. There were 410 incidental durotomies, group 1: 209 (8.23%); group 2: 201 (8.47%). This difference is statistically not relevant (P=0,75). A surgical therapy is documented in 345 (84%) cases, suture with/without fibrin glue: group 1=162 and group 2=183. Fifty-nine patients had a persistent fistula that needed treatment with a lumbar drain, group 1: N.=30; and group 2: N.=29.
CONCLUSIONS: The groups decompression vs. decompression plus fusion are statistically comparable. Although the stabilization with instrumentation is a more invasive procedure with longer operation times, trauma tissue and blood loss - in comparison with microsurgical decompression - showed no difference in the rate of incidental durotomies.


KEY WORDS: Spinal canal; Tears; Blood loss, surgical

inizio pagina