LONG-TERM RESULTS OF LUMBAR SPINE SURGERY COMPLICATED BY UNINTENDED INCIDENTAL DUROTOMY
LONG-TERM RESULTS OF LUMBAR SPINE SURGERY COMPLICATED BY UNINTENDED INCIDENTAL DUROTOMY
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DOI：
10.1097/00007632-198904000-00021
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发表时间：
1989-04-01
期刊：
影响因子：
3
通讯作者：
BOOTH, RE
中科院分区：
文献类型：
--
作者：
JONES, AAM;STAMBOUGH, JL;BOOTH, RE
非预期的硬脊膜切开术并非脊柱手术的罕见并发症（据报道发生率为0.3-13%）。尽管提倡及时修复，但关于初次修复硬脊膜切开术对长期患者结局的任何影响的报道很少。对450例接受腰椎手术的患者进行回顾性分析，发现17例（4%）意外硬脊膜切开，在术中识别并初次修复。在长期随访（平均25.1个月）时对这些患者进行评价;并将其结果与年龄、诊断、手术和随访时间相匹配的对照组进行比较。在比较两组的结局时，未发现具有统计学意义的差异。偶然的硬脊膜切开术，在术中识别和修复时，不会增加围手术期发病率或影响最终结果。
Unintended incidental durotomy is not an infrequent complication of spinal surgery (incidence, 0.3-13% reported). Although prompt repair is advocated, little has been written regarding any consequences of primarily repaired durotomles on long-term patient outcome. A retrospective review of 450 patients undergoing lumbar spine surgery revealed 17 cases (4%) of incidental durotomy, recognized intraoperatively and repaired primarily. These patients were evaluated at long-term follow-up (mean, 25.1 months); and their results were compared with controls matched for age, diagnosis, procedure, and length of follow-up. No differences of statistical significance could be identified in comparing the outcomes of the two groups. Incidental durotomy, when recognized and repaired intraoperatively, does not increase perioperative morbidity or compromise final result.