Frequency and structure of complications of early and late postoperative periods in patients with a herniated disc operated by the method of microdiscectomy
Keywords:microdiscectomy, complications in the early and late postoperative period, recurrence
AbstractBackground. Removal of intervertebral hernias is the most common elective spinal surgery. Despite the high performance of operations for herniated discs, there is still a large number of unsatisfactory postoperative results. Material and methods. The analysis was performed of the data of clinical observations of surgical treatment of 54 patients with herniated discs who were hospitalized at the spinal surgery clinic with the spinal (neurosurgical) center at the State Institution “Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine” in the period from 2019 to 2020. Results. Among our observations, liquorrhea from damaged membranes of the dural sac was noted in one case (1.9 %). In the structure of complications of lumbar microdiscectomy in the early postoperative period, a significant pain syndrome after surgery is observed in 11.1 % of cases; neurological disorders with paresis of the feet that were before the operation persist in 5.6 % of patients; an increase in motor disorders caused by microdiscectomy in the early postoperative period was not observed; secondary healing of the postoperative wound was noted in 6 (11.1 %) patients; there was no spondylodiscitis. Conclusions. The causes for repeat surgical intervention in patients after primary microdiscectomy in the long-term period are recurrent disc herniation — 4 (7.4 %) cases and instability of the operated segment — 1 (1.9 %).
Аганесов, А.Г., Мусалатов Х.А. Десятилетний опыт микрохирургической дискэктомии. Вестник травматологии и ортопедии. 2002. № 3. С. 21-25.
Холодов С.А. Микрохирургическое лечение многоуровневых дискогенных поражений поясничного отдела позвоночника. Вопросы нейрохирургии. 2002. № 3. С. 6-10.
Радченко В.А., Продан А.И., Рябов О.В. Осложнения микродискэктомии при поясничном остеохондрозе. Ортопедия, травматология и протезирование. 2003. № 2. С. 12-15.
Camino Willhuber G., Kido G., Mereles M., Bassani J., Petracchi M., Elizondo C., Gruenberg M., Sola C. Factors associated with lumbar disc hernia recurrence after microdiscectomy. Rev. Esp. Cir. Ortop. Traumatol. 2017 Nov-Dec. 61(6). 397-403.
Hlubek R.J., Mundis G.M. Jr. Treatment for Recurrent Lumbar Disc Herniation. Curr. Rev. Musculoskelet Med. 2017 Dec. 10(4). 517-520.
Kraemer R., Wild A., Haak H. Classification and management of early complications in open lumbar microdiscectomy. J. Eur. Spine. 2003. Vol. 12. № 3. 239-246.
Pechlivanis I., Kuebler M., Harders A., Schmieder K. Perioperative complication rate of lumbar disc microsurgery depending on the surgeon’s level of training. Cent. Eur. Neurosurg. 2009 Aug. 70(3). 137-142.
Sean M. Barber, Jonathan Nakhla, Sanjay Konakondla, Jared S. Fridley, Adetokunbo A. Oyelese, Ziya L. Gokaslan and Albert E. Telfeian. Outcomes of endoscopic discectomy compared with open microdiscectomy and tubular microdiscectomy for lumbar disc herniations: a meta-analysis. Journal of Neurosurgery: Spine. 2019. Vol. 31. Is. 6. 775-921.
Shepard N., Cho W. Recurrent Lumbar Disc Herniation: A Review. Global Spine J. 2019 Apr. 9(2). 202-209.
Suri P., Pearson A.M., Zhao W., Lurie J.D., Scherer E.A., Morgan T.S., Weinstein J.N. Pain Recurrence After Discectomy for Symptomatic Lumbar Disc Herniation. Spine (Phila Pa 1976). 2017, May 15. 42(10). 755-763.
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