The long-term clinical sequelae of incidental durotomy in lumbar disc surgery
A retrospective, long-term follow-up study. To find out whether incidental durotomy in lumbar disc surgery is associated with long-term sequelae. Incidental durotomy is a frequent complication during spinal surgery. Little is known about the clinical long-term outcome. The study population comprised...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2005-10, Vol.30 (20), p.2298-2302 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | SAXLER, Guido KRÄMER, Jürgen BARDEN, Bertram KURT, Asik PFÖRTNER, Jörg BERNSMANN, Kai |
| description | A retrospective, long-term follow-up study.
To find out whether incidental durotomy in lumbar disc surgery is associated with long-term sequelae.
Incidental durotomy is a frequent complication during spinal surgery. Little is known about the clinical long-term outcome.
The study population comprised 1,280 patients who underwent standard discectomy of a lumbar disc herniation. A total of 41 patients with incidental durotomies (Group A) were compared with a control group (n = 41) (Group B) matched for age, sex, spinal level, and duration of follow-up. After a mean follow-up period of 10.2 years (Group A) or 10.3 years (Group B), the patients reported complaints, headache, and low back or leg pain. The patients' activity was assessed by means of a questionnaire concerning hindrance in daily activities, the Tegner score for general activities in daily life, and the Hannover Functional Ability Questionnaire for Measuring Back Pain-Related Functional Limitations (FFbH-R). The frequency of reoperation and the intake of analgesics were included. Furthermore, the patients' inability to work, change of profession, and retirement were registered.
Patients with incidental durotomy had a poorer outcome after surgery. The Tegner score was significantly decreased for the group with dural tears. Furthermore, significant more patients with incidental durotomy complained about headaches after surgery. A strong tendency for worse outcome in Group A was shown in regard to reported complaints and daily activity. The patients with incidental durotomy had a tendency to more reoperations, a longer duration of inability to work, more back-pain, and functional limitations related to back-pain (FFbH-R).
Our study revealed that incidental durotomy in lumbar disc surgery was associated with long-term clinical sequelae. We therefore conclude that dural tears bring about poor clinical outcome at the long-term follow-up. |
| doi_str_mv | 10.1097/01.brs.0000182131.44670.f7 |
| format | Article |
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To find out whether incidental durotomy in lumbar disc surgery is associated with long-term sequelae.
Incidental durotomy is a frequent complication during spinal surgery. Little is known about the clinical long-term outcome.
The study population comprised 1,280 patients who underwent standard discectomy of a lumbar disc herniation. A total of 41 patients with incidental durotomies (Group A) were compared with a control group (n = 41) (Group B) matched for age, sex, spinal level, and duration of follow-up. After a mean follow-up period of 10.2 years (Group A) or 10.3 years (Group B), the patients reported complaints, headache, and low back or leg pain. The patients' activity was assessed by means of a questionnaire concerning hindrance in daily activities, the Tegner score for general activities in daily life, and the Hannover Functional Ability Questionnaire for Measuring Back Pain-Related Functional Limitations (FFbH-R). The frequency of reoperation and the intake of analgesics were included. Furthermore, the patients' inability to work, change of profession, and retirement were registered.
Patients with incidental durotomy had a poorer outcome after surgery. The Tegner score was significantly decreased for the group with dural tears. Furthermore, significant more patients with incidental durotomy complained about headaches after surgery. A strong tendency for worse outcome in Group A was shown in regard to reported complaints and daily activity. The patients with incidental durotomy had a tendency to more reoperations, a longer duration of inability to work, more back-pain, and functional limitations related to back-pain (FFbH-R).
Our study revealed that incidental durotomy in lumbar disc surgery was associated with long-term clinical sequelae. We therefore conclude that dural tears bring about poor clinical outcome at the long-term follow-up.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/01.brs.0000182131.44670.f7</identifier><identifier>PMID: 16227893</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Absenteeism ; Activities of Daily Living ; Adult ; Aged ; Back Pain - etiology ; Back Pain - physiopathology ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. Spinal cord ; Diseases of the osteoarticular system ; Diseases of the spine ; Diskectomy - adverse effects ; Dura Mater - injuries ; Female ; Follow-Up Studies ; Headache - etiology ; Humans ; Intervertebral Disc - surgery ; Intervertebral Disc Displacement - physiopathology ; Intervertebral Disc Displacement - surgery ; Lacerations - complications ; Lacerations - etiology ; Lumbar Vertebrae - surgery ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Orthopedic surgery ; Reoperation ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2005-10, Vol.30 (20), p.2298-2302</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-780cf714189b627a1e47c943594bf8de65caa74323afa71996352e421f8c435b3</citedby><cites>FETCH-LOGICAL-c347t-780cf714189b627a1e47c943594bf8de65caa74323afa71996352e421f8c435b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17209497$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16227893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SAXLER, Guido</creatorcontrib><creatorcontrib>KRÄMER, Jürgen</creatorcontrib><creatorcontrib>BARDEN, Bertram</creatorcontrib><creatorcontrib>KURT, Asik</creatorcontrib><creatorcontrib>PFÖRTNER, Jörg</creatorcontrib><creatorcontrib>BERNSMANN, Kai</creatorcontrib><title>The long-term clinical sequelae of incidental durotomy in lumbar disc surgery</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A retrospective, long-term follow-up study.
To find out whether incidental durotomy in lumbar disc surgery is associated with long-term sequelae.
Incidental durotomy is a frequent complication during spinal surgery. Little is known about the clinical long-term outcome.
The study population comprised 1,280 patients who underwent standard discectomy of a lumbar disc herniation. A total of 41 patients with incidental durotomies (Group A) were compared with a control group (n = 41) (Group B) matched for age, sex, spinal level, and duration of follow-up. After a mean follow-up period of 10.2 years (Group A) or 10.3 years (Group B), the patients reported complaints, headache, and low back or leg pain. The patients' activity was assessed by means of a questionnaire concerning hindrance in daily activities, the Tegner score for general activities in daily life, and the Hannover Functional Ability Questionnaire for Measuring Back Pain-Related Functional Limitations (FFbH-R). The frequency of reoperation and the intake of analgesics were included. Furthermore, the patients' inability to work, change of profession, and retirement were registered.
Patients with incidental durotomy had a poorer outcome after surgery. The Tegner score was significantly decreased for the group with dural tears. Furthermore, significant more patients with incidental durotomy complained about headaches after surgery. A strong tendency for worse outcome in Group A was shown in regard to reported complaints and daily activity. The patients with incidental durotomy had a tendency to more reoperations, a longer duration of inability to work, more back-pain, and functional limitations related to back-pain (FFbH-R).
Our study revealed that incidental durotomy in lumbar disc surgery was associated with long-term clinical sequelae. We therefore conclude that dural tears bring about poor clinical outcome at the long-term follow-up.</description><subject>Absenteeism</subject><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Back Pain - etiology</subject><subject>Back Pain - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Diskectomy - adverse effects</subject><subject>Dura Mater - injuries</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Headache - etiology</subject><subject>Humans</subject><subject>Intervertebral Disc - surgery</subject><subject>Intervertebral Disc Displacement - physiopathology</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Lacerations - complications</subject><subject>Lacerations - etiology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Orthopedic surgery</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LxDAQhoMo7rr6F6QIemvNJGnSeJPFL1jxsp5DmiZrJW3XpD3svze6CzuXgeGZmZcHoRvABWAp7jEUdYgFTgUVAQoFY1zgwokTNIeSVDlAKU_RHFNOcsIon6GLGL8TzynIczQDToioJJ2j9_WXzfzQb_LRhi4zvu1bo30W7c9kvbbZ4LK2N21j-zGNmykM49Dt0izzU1frkDVtNFmcwsaG3SU6c9pHe3XoC_T5_LRevuarj5e35eMqN5SJMRcVNk4Ag0rWnAgNlgkjGS0lq13VWF4arQWjhGqnBUjJaUksI-Aqk6iaLtDd_u42DClnHFWXUljvdW-HKSpeccnKkibwYQ-aMMQYrFPb0HY67BRg9SdTYVBJpjrKVP8ylRNp-frwZao72xxXD_YScHsAdEzSXNDJVDxygmDJpKC_63h-AA</recordid><startdate>20051015</startdate><enddate>20051015</enddate><creator>SAXLER, Guido</creator><creator>KRÄMER, Jürgen</creator><creator>BARDEN, Bertram</creator><creator>KURT, Asik</creator><creator>PFÖRTNER, Jörg</creator><creator>BERNSMANN, Kai</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051015</creationdate><title>The long-term clinical sequelae of incidental durotomy in lumbar disc surgery</title><author>SAXLER, Guido ; KRÄMER, Jürgen ; BARDEN, Bertram ; KURT, Asik ; PFÖRTNER, Jörg ; BERNSMANN, Kai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-780cf714189b627a1e47c943594bf8de65caa74323afa71996352e421f8c435b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Absenteeism</topic><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Back Pain - etiology</topic><topic>Back Pain - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the spine</topic><topic>Diskectomy - adverse effects</topic><topic>Dura Mater - injuries</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Headache - etiology</topic><topic>Humans</topic><topic>Intervertebral Disc - surgery</topic><topic>Intervertebral Disc Displacement - physiopathology</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Lacerations - complications</topic><topic>Lacerations - etiology</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Orthopedic surgery</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SAXLER, Guido</creatorcontrib><creatorcontrib>KRÄMER, Jürgen</creatorcontrib><creatorcontrib>BARDEN, Bertram</creatorcontrib><creatorcontrib>KURT, Asik</creatorcontrib><creatorcontrib>PFÖRTNER, Jörg</creatorcontrib><creatorcontrib>BERNSMANN, Kai</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SAXLER, Guido</au><au>KRÄMER, Jürgen</au><au>BARDEN, Bertram</au><au>KURT, Asik</au><au>PFÖRTNER, Jörg</au><au>BERNSMANN, Kai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The long-term clinical sequelae of incidental durotomy in lumbar disc surgery</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2005-10-15</date><risdate>2005</risdate><volume>30</volume><issue>20</issue><spage>2298</spage><epage>2302</epage><pages>2298-2302</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A retrospective, long-term follow-up study.
To find out whether incidental durotomy in lumbar disc surgery is associated with long-term sequelae.
Incidental durotomy is a frequent complication during spinal surgery. Little is known about the clinical long-term outcome.
The study population comprised 1,280 patients who underwent standard discectomy of a lumbar disc herniation. A total of 41 patients with incidental durotomies (Group A) were compared with a control group (n = 41) (Group B) matched for age, sex, spinal level, and duration of follow-up. After a mean follow-up period of 10.2 years (Group A) or 10.3 years (Group B), the patients reported complaints, headache, and low back or leg pain. The patients' activity was assessed by means of a questionnaire concerning hindrance in daily activities, the Tegner score for general activities in daily life, and the Hannover Functional Ability Questionnaire for Measuring Back Pain-Related Functional Limitations (FFbH-R). The frequency of reoperation and the intake of analgesics were included. Furthermore, the patients' inability to work, change of profession, and retirement were registered.
Patients with incidental durotomy had a poorer outcome after surgery. The Tegner score was significantly decreased for the group with dural tears. Furthermore, significant more patients with incidental durotomy complained about headaches after surgery. A strong tendency for worse outcome in Group A was shown in regard to reported complaints and daily activity. The patients with incidental durotomy had a tendency to more reoperations, a longer duration of inability to work, more back-pain, and functional limitations related to back-pain (FFbH-R).
Our study revealed that incidental durotomy in lumbar disc surgery was associated with long-term clinical sequelae. We therefore conclude that dural tears bring about poor clinical outcome at the long-term follow-up.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>16227893</pmid><doi>10.1097/01.brs.0000182131.44670.f7</doi><tpages>5</tpages></addata></record> |
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| subjects | Absenteeism Activities of Daily Living Adult Aged Back Pain - etiology Back Pain - physiopathology Biological and medical sciences Cerebrospinal fluid. Meninges. Spinal cord Diseases of the osteoarticular system Diseases of the spine Diskectomy - adverse effects Dura Mater - injuries Female Follow-Up Studies Headache - etiology Humans Intervertebral Disc - surgery Intervertebral Disc Displacement - physiopathology Intervertebral Disc Displacement - surgery Lacerations - complications Lacerations - etiology Lumbar Vertebrae - surgery Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology Orthopedic surgery Reoperation Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | The long-term clinical sequelae of incidental durotomy in lumbar disc surgery |
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