The evidence-based approach for surgical complications in the treatment of lumbar disc herniation

Robert Harper, Eric Otto Klineberg

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: The purpose of this article is to review the evidence-based approach for surgical complications following disc herniation. Methods: A search of the primary English literature was conducted for research examining the outcomes and complications of surgical discectomy. Special regard was given to high-quality prospective randomized studies. Results: The most commonly reported complications of surgical treatment of disc herniation are included in this review. Medical complications, and surgical complications including infection, durotomy, neurological injury, symptomatic re-herniation, and revision surgery are defined and systematically reviewed in detail for incidence, evaluation, and management. Conclusion: This article provides the clinician and surgeon with a review of the evidence-based evaluation and management of surgical complications following disc herniation, offering best practice guidelines for informed discussions with patients in shared decision-making.

Original languageEnglish (US)
JournalInternational Orthopaedics
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Practice Guidelines
Literature
Diskectomy
Reoperation
Decision Making
Outcome Assessment (Health Care)
Prospective Studies
Incidence
Wounds and Injuries
Therapeutics
Infection
Surgeons

Keywords

  • Complications
  • Disc herniation
  • Durotomy
  • Lumbar microdiscectomy
  • Re-herniation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

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abstract = "Purpose: The purpose of this article is to review the evidence-based approach for surgical complications following disc herniation. Methods: A search of the primary English literature was conducted for research examining the outcomes and complications of surgical discectomy. Special regard was given to high-quality prospective randomized studies. Results: The most commonly reported complications of surgical treatment of disc herniation are included in this review. Medical complications, and surgical complications including infection, durotomy, neurological injury, symptomatic re-herniation, and revision surgery are defined and systematically reviewed in detail for incidence, evaluation, and management. Conclusion: This article provides the clinician and surgeon with a review of the evidence-based evaluation and management of surgical complications following disc herniation, offering best practice guidelines for informed discussions with patients in shared decision-making.",
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