scholarly journals Incidental Dural Tear in Lumbar Spine Surgery: A Prospective Study

2021 ◽  
Vol 4 (3) ◽  
Keyword(s):  
Lumbar Spine ◽  
Hospital Stay ◽  
Spine Surgery ◽  
Length Of Hospital Stay ◽  
Lumbar Spine Surgery ◽  
Lumbosacral Spine ◽  
Dural Tear ◽  
Vas Score ◽  
Significant Difference ◽  
Dural Tears

Introduction: Incidental dual tear is a complication of spinal surgery characterized by an accidental nick of the spinal dural sheath during operative procedures. The worldwide incidence of dural tear according to previous literature varies widely (1- 17%) and in general depends on the type and complexity of the procedure. The present was carried to evaluate the incidence of dural tear in lumbar spine surgery, and to study clinical outcomes in terms of VAS score ODI score and length of hospital stay. Methods: This was a prospective, observational and case control study conducted on 40 patients who underwent elective Lumbosacral spine surgery. The incidence of dural tear was evaluated and the patients were divided into with dural tear and without dural tear. The clinical outcome such as visual analogue scale (VAS) score, Oswestry Disability Index (ODI) score and length of hospital stay were evaluated. Results: The incidence of Dural tear in our study population was found to be 7.5%. The ODI score was significantly higher in dural tear as compared to without dual tear at various postoperative periods. Further, there was no significant difference in the VAS scores with and without dural tear patients. The length of hospital stay was significantly higher in patients with dural tear as compared to without dural tear (11.63±6.19 vs 3.06±1.02 days; p=0.004). Conclusion: Incidental Dural tears if detected and managed accordingly, adverse clinical and postoperative outcomes can be reduced effectively and also increases the quality of life in patients.

scholarly journals 176 Efficiency of Spinal Anesthesia in Comparison to General Anesthesia in Lumbar Spine Surgery: A Retrospective Analysis of 544 Patients

Neurosurgery ◽  
2017 ◽  
Vol 64 (CN_suppl_1) ◽  
pp. 245-246
Author(s):  
John Thomas Pierce ◽  
Prateek Agarwal ◽  
Paul J Marcotte ◽  
William Charles Welch
Keyword(s):  
Lumbar Spine ◽  
Blood Loss ◽  
Hospital Stay ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Spine Surgery ◽  
Operative Time ◽  
Length Of Hospital Stay ◽  
Lumbar Spine Surgery ◽  
Anesthesia Time

Abstract INTRODUCTION Lumbar spine surgery can be successfully performed using various anesthetic techniques. Previous studies have shown varying results in selected outcomes when directly comparing spinal anesthesia (SA) to general anesthesia (GA) in lumbar surgery. We sought to elucidate the more expedient anesthetic technique. METHODS Following IRB approval, a retrospective review of patients undergoing elective lumbar decompression surgery using GA or SA was performed. Demographic data known to influence perioperative morbidity was collected as well as safety and efficiency parameters. After controlling for patient and procedure characteristics, simple linear and multivariate regression analyses were performed to identify differences in operative blood loss, operative time, time from entering the OR until incision, time from bandage placement to exiting the OR, total anesthesia time, time in the post-anesthesia care unit (PACU), and length of hospital stay. RESULTS >544 consecutive lumbar laminectomy and discectomy surgeries were identified with 183 undergoing GA and 361 undergoing SA. The following times were all shorter for patients receiving SA than GA: operative time (97.4 vs. 151.8 min., P < 0.001), total anesthesia time (145.6 vs. 217.5 min., P < 0.001), time from entering the OR until incision (38.3 vs. 46.8 min., respectively, P < 0.001), time from bandage placement until exiting the OR (10.2 vs. 17.2 min., P < 0.001), and length of hospital stay (1.5 vs. 3.1 days, P < 0.001). The mean PACU length of stay was longer in the SA group than the GA group (178.0 vs. 116.5 min., P < 0.001). Estimated blood loss was less in the SA group than the GA group (62.1 vs. 176.3 mL, P < 0.001). CONCLUSION Spinal anesthesia may be the more expedient method of anesthesia in lumbar spinal surgery for all perioperative time points except for time in the PACU.

scholarly journals Structural equation model analysis of the length-of-hospital stay after lumbar spine surgery

2015 ◽  
Vol 15 (4) ◽  
pp. 612-621 ◽  
Author(s):  
Saddam F. Kanaan ◽  
Lemuel R. Waitman ◽  
Hung-Wen Yeh ◽  
Paul M. Arnold ◽  
Douglas C. Burton ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Hospital Stay ◽  
Structural Equation Model ◽  
Spine Surgery ◽  
Structural Equation ◽  
Length Of Hospital Stay ◽  
Model Analysis ◽  
Equation Model ◽  
Lumbar Spine Surgery

Postoperative Management Protocol for Incidental Dural Tears During Degenerative Lumbar Spine Surgery

Spine ◽  
2006 ◽  
Vol 31 (22) ◽  
pp. 2609-2613 ◽  
Author(s):  
Mustafa H. Khan ◽  
Jeffery Rihn ◽  
Garen Steele ◽  
Rick Davis ◽  
William F. Donaldson ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Postoperative Management ◽  
Lumbar Spine Surgery ◽  
Degenerative Lumbar Spine ◽  
Management Protocol ◽  
Dural Tears

scholarly journals A Case of Intracranial Hemorrhage Following a Incidental Dural Tear during Lumbar Spine Surgery

2008 ◽  
Vol 57 (4) ◽  
pp. 563-566 ◽  
Author(s):  
Tetsuya Tanaka ◽  
Taichi Saito ◽  
Isao Saikawa ◽  
Tsutomu Irie ◽  
Junya Ogata ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Intracranial Hemorrhage ◽  
Spine Surgery ◽  
Lumbar Spine Surgery ◽  
Dural Tear

Full endoscopic treatment of dural tears in lumbar spine surgery

2017 ◽  
Vol 26 (10) ◽  
pp. 2496-2503 ◽  
Author(s):  
Joachim M. Oertel ◽  
Benedikt W. Burkhardt
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Endoscopic Treatment ◽  
Lumbar Spine Surgery ◽  
Dural Tears

scholarly journals Enhanced recovery care versus traditional non- ERAS  care following osteotomies in developmental dysplasia of the hip in children : a retrospective case-cohort study

2020 ◽  
Author(s):  
Jin Li ◽  
Saroj Rai ◽  
Renhao Ze ◽  
Xin Tang ◽  
Ruikang Liu ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Enhanced Recovery ◽  
Perioperative Complications ◽  
Length Of Hospital Stay ◽  
Developmental Dysplasia ◽  
Control Group ◽  
Postoperative Fever ◽  
Vas Score ◽  
Significant Difference ◽  
Dysplasia Of The Hip

Abstract Background: Enhanced recovery after surgery (ERAS) has been shown to shorten the length of hospital stay and reduce the incidence of perioperative complications in many surgical fields. However, there has been a paucity of research examining the application of ERAS in major pediatric orthopedic surgeries. This study aims to compare the perioperative complications and length of hospital stay after osteotomies in children with developmental dysplasia of the hip (DDH) between ERAS and traditional non-ERAS group. Methods: The ERAS group consisted of 86 patients included in the ERAS program from January 2016 to December 2017. The Control group consisted of 82 DDH patients who received osteotomies from January 2014 to December 2015. Length of hospital stay, physiological function, postoperative visual analogue scale (VAS) score, and postoperative complications were compared between the two groups. Results: The mean duration of hospital stay was significantly reduced from 10.0±3.1 in the traditional care group to 6.0±0.8 days in the ERAS(P<0.001). The VAS score in 3-day was significantly lower in ERAS group (2.9±0.8) than traditional non-ERAS group (4.0±0.8) (P<0.001). However, there was no significant difference in the frequency of breakout pain (VAS >4) between two groups (29.5±6.3 vs.30.6±6.5, P=0.276). The frequency of postoperative fever was lower in the ERAS group. The frequency of urinary tract infection in both groups were not noticeable because the catheter was removed promptly after the surgery. Conclusion: The ERAS protocol is both safe and feasible for pediatric DDH patients undergoing osteotomies, and it can shorten the length of hospital stay without increasing the risk of perioperative complications.

scholarly journals Enhanced recovery care versus traditional care following osteotomies in developmental dysplasia of the hip in children: a retrospective case-cohort study

2020 ◽  
Author(s):  
Jin Li ◽  
Saroj Rai ◽  
Renhao Ze ◽  
Xin Tang ◽  
Ruikang Liu ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Enhanced Recovery ◽  
Perioperative Complications ◽  
Length Of Hospital Stay ◽  
Developmental Dysplasia ◽  
Care Group ◽  
Vas Score ◽  
Significant Difference ◽  
Traditional Care ◽  
Dysplasia Of The Hip

Abstract Background: Enhanced recovery after surgery (ERAS) has been shown to shorten the length of hospital stay and reduce the incidence of perioperative complications in many surgical fields. However, there has been a paucity of research examining the application of ERAS in major pediatric orthopedic surgeries. This study aims to compare the perioperative complications and length of hospital stay after osteotomies in children of developmental dysplasia of the hip (DDH) between ERAS and traditional care group.Methods: The ERAS group consisted of 86 patients included in the ERAS program from January 2016 to December 2017. The Control group consisted of 82 DDH patients who received osteotomies from January 2014 to December 2015. Length of hospital stay, physiological function, postoperative visual analogue scale (VAS) score, and postoperative complications were compared between the two groups.Results: The mean duration of hospital stay was significantly reduced from 10.0±3.1 in the traditional care group to 6.0±0.8 days in the ERAS(P<0.001). Pain response was better in the ERAS group than traditional care group in terms of mean 3-day VAS score (2.9±0.8 vs. 4.0±0.8, P<0.001) and maximum VAS score (4.1±0.8 vs. 4.9±0.8, P<0.001). However, there was no significant difference in the frequency of break-out pain (VAS >4) between two groups (29.5±6.3 vs.30.6±6.5, P=0.276 ). The frequency of fever is lower in the ERAS group, possibly due to better temperature monitoring and management in the operating room. The frequency of urinary infection in both groups were not noticeable because the catheter was removed promptly after the surgery. Conclusion: The ERAS protocol is both safe and feasible for pediatric DDH patients undergoing osteotomies, and it can shorten the length of hospital stay without increasing the risk of perioperative complications.

scholarly journals Predictive Factors for Dural Tear in Lumbar Spine Surgery

2015 ◽  
Vol 13 (1) ◽  
pp. 35-40
Author(s):  
Abdelaal Abdelbaky ◽  
Walid Younes ◽  
Mohammed Adawi
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Predictive Factors ◽  
Lumbar Spine Surgery ◽  
Dural Tear
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