scholarly journals Criteria for failure and worsening after surgery for lumbar disc herniation: a multicenter observational study based on data from the Norwegian Registry for Spine Surgery

2017 ◽  
Vol 26 (10) ◽  
pp. 2650-2659 ◽  
Author(s):  
David A. T. Werner ◽  
Margreth Grotle ◽  
Sasha Gulati ◽  
Ivar M. Austevoll ◽  
Greger Lønne ◽  
...  
Keyword(s):  
Observational Study ◽  
Lumbar Disc Herniation ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Multicenter Observational Study

scholarly journals An observational study on the outcome after surgery for lumbar disc herniation in adolescents compared with adults based on the Swedish Spine Register

2015 ◽  
Vol 15 (6) ◽  
pp. 1241-1247 ◽  
Author(s):  
Tobias Lagerbäck ◽  
Peter Elkan ◽  
Hans Möller ◽  
Anna Grauers ◽  
Elias Diarbakerli ◽  
...  
Keyword(s):  
Observational Study ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Spine Register

scholarly journals Surgery for extraforaminal lumbar disc herniation: a single center comparative observational study

2020 ◽  
Author(s):  
Samuel B. Polak ◽  
Mattis A. Madsbu ◽  
Vetle Vangen-Lønne ◽  
Øyvind Salvesen ◽  
Øystein Nygaard ◽  
...  
Keyword(s):  
Observational Study ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Single Center

scholarly journals Minimally Invasive versus Open Spine Surgery: What Does the Best Evidence Tell Us?

2017 ◽  
Vol 08 (02) ◽  
pp. 194-198 ◽  
Author(s):  
Shearwood McClelland ◽  
Jeffrey A. Goldstein
Keyword(s):  
Pain Relief ◽  
Minimally Invasive ◽  
Lumbar Disc Herniation ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Systematic Reviews ◽  
Lumbar Fusion ◽  
Lumbar Disc ◽  
Cervical Disc ◽  
Readmission Rates

ABSTRACT Background: Spine surgery has been transformed significantly by the growth of minimally invasive surgery (MIS) procedures. Easily marketable to patients as less invasive with smaller incisions, MIS is often perceived as superior to traditional open spine surgery. The highest quality evidence comparing MIS with open spine surgery was examined. Methods: A systematic review of randomized controlled trials (RCTs) involving MIS versus open spine surgery was performed using the Entrez gateway of the PubMed database for articles published in English up to December 28, 2015. RCTs and systematic reviews of RCTs of MIS versus open spine surgery were evaluated for three particular entities: Cervical disc herniation, lumbar disc herniation, and posterior lumbar fusion. Results: A total of 17 RCTs were identified, along with six systematic reviews. For cervical disc herniation, MIS provided no difference in overall function, arm pain relief, or long-term neck pain. In lumbar disc herniation, MIS was inferior in providing leg/low back pain relief, rehospitalization rates, quality of life improvement, and exposed the surgeon to >10 times more radiation in return for shorter hospital stay and less surgical site infection. In posterior lumbar fusion, MIS transforaminal lumbar interbody fusion (TLIF) had significantly reduced 2-year societal cost, fewer medical complications, reduced time to return to work, and improved short-term Oswestry Disability Index scores at the cost of higher revision rates, higher readmission rates, and more than twice the amount of intraoperative fluoroscopy. Conclusion: The highest levels of evidence do not support MIS over open surgery for cervical or lumbar disc herniation. However, MIS TLIF demonstrates advantages along with higher revision/readmission rates. Regardless of patient indication, MIS exposes the surgeon to significantly more radiation; it is unclear how this impacts patients. These results should optimize informed decision-making regarding MIS versus open spine surgery, particularly in the current advertising climate greatly favoring MIS.

scholarly journals Recording of Surgical Processes: A Study Comparing Senior and Junior Neurosurgeons During Lumbar Disc Herniation Surgery

2010 ◽  
Vol 67 (suppl_2) ◽  
pp. ons325-ons332 ◽  
Author(s):  
Laurent Riffaud ◽  
Thomas Neumuth ◽  
Xavier Morandi ◽  
Christos Trantakis ◽  
Jürgen Meixensberger ◽  
...  
Keyword(s):  
Operating Room ◽  
Lumbar Disc Herniation ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Operating Time ◽  
Objective Measurement ◽  
Surgical Experience ◽  
Surgical Practice

Abstract BACKGROUND: Evaluating surgical practice in the operating room is difficult, and its assessment is largely subjective. OBJECTIVE: Recording of standardized spine surgery processes was conducted to ascertain whether any significant differences in surgical practice could be observed between senior and junior neurosurgeons. METHODS: Twenty-four procedures of lumbar discectomies were consecutively recorded by a senior neurosurgeon. In 12 cases, surgery was entirely performed by a senior neurosurgeon with the aid of a resident, and in the 12 remaining cases, surgery was performed by a resident with the aid of a senior neurosurgeon. The data recorded were general parameters (operating time for the whole procedure and for each step), and general and specific parameters of the surgeon's activities (number of manual gestures, number and duration of actions performed, use of the instruments, and use of interventions on anatomic structures). The Mann-Whitney U test was used for comparison between the 2 groups of neurosurgeons. RESULTS: The operating time was statistically lower for the group of senior surgeons. The seniors statistically demonstrated greater economy in time and in gestures during the closure step, for sewing and for the use of scissors, needle holders, and forceps. The senior surgeons statistically worked for a shorter time on the skin and used fewer manual gestures on the thoracolumbalis fascia. The number of changes in microscope position was also statistically lower for this group. CONCLUSION: There is a relationship between surgical practice, as determined by a method of objective measurement using observation software, and surgical experience: gesture economy evolves with seniority.

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