Incidental durotomy in lumbar spine surgery: incidence and management
Incidental durotomy in lumbar spine surgery: incidence and management
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DOI：
10.1007/s00586-004-0821-2
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发表时间：
2005-04-01
影响因子：
2.8
通讯作者：
Sell, PJ
中科院分区：
文献类型：
--
作者：
Tafazal, SI;Sell, PJ
人们越来越意识到有必要告知患者手术过程中发生的常见并发症。在腰椎手术期间，硬膜囊意外撕裂和随后的脑脊液漏可能是最常发生的并发症。关于脊柱手术中硬脑膜撕裂的发生率，文献中尚未达成共识。我们进行这项研究是为了评估英国脊柱外科医生在进行常用脊柱手术时硬膜撕裂的发生率。收集了英国 14 个机构的 1,549 例病例的前瞻性数据。结果为我们提供了硬脑膜撕裂发生率的基线。初次椎间盘切除术的发生率为 3.5%，椎管狭窄手术的发生率为 8.5%，修正椎间盘切除术的发生率为 13.2%。脊柱外科医生的硬脑膜撕裂的实际发生率和估计发生率存在很大差异。结果证实，脊柱外科医生的前瞻性数据收集是评估脊柱手术并发症发生率的最有效、最准确的方法。
There is increasing awareness of the need to inform patients of common complications that occur during surgical procedures. During lumbar spine surgery, incidental tear of the dural sac and subsequent cerebrospinal fluid leak is possibly the most frequently occurring complication. There is no consensus in the literature about the rate of dural tears in spine surgery. We have undertaken this study to evaluate the incidence of dural tears among spine surgeons in the United Kingdom for commonly performed spinal procedures. Prospective data was gathered for 1,549 cases across 14 institutions in the United Kingdom. The results give us a baseline rate for the incidence of dural tears. The rate was 3.5% for primary discectomy, 8.5% for spinal stenosis surgery and 13.2% for revision discectomy. There was a wide variation in the actual and estimated rates of dural tears among the spine surgeons. The results confirm that prospective data collection by spine surgeons is the most efficient and accurate way to assess complication rates for spinal surgery.