Complication Rate in Minimally Invasive Revision Lumbar Discectomy: A Case Series and Technical Note. (Record no. 2143)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02427nam a22002897a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 170428s20172017 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 2380-0186 |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 28266957 |
| 245 ## - TITLE STATEMENT | |
| Title | Complication Rate in Minimally Invasive Revision Lumbar Discectomy: A Case Series and Technical Note. |
| 251 ## - Source | |
| Source | Clinical Spine Surgery : A Spine Publication. , 2017 Mar 06 |
| 252 ## - Abbreviated Source | |
| Abbreviated source | Clin Spine Surg. , 2017 Mar 06 |
| 253 ## - Journal Name | |
| Journal name | Clinical spine surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2017 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2017 |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2017-05-06 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | Revision lumbar discectomy, given the disruption of anatomic planes, can be a more technically complicated operation. Historically, it may have higher complication rates than first-time microdiscectomy. Recently, minimally invasive tubular discectomy (MITD) has been reported as an equivalent treatment to traditional approaches and may have better utility for revision surgery. A retrospective review of MITDs performed by the senior surgeon (F.A.S.) on 42 patients with single-level, recurrent disk herniation was analyzed. Surgical technique, preoperative and postoperative visual analogue score, modified Macnab criteria, and complication rate were compared with similar patient series in the literature. One case is reviewed and the technique is described in detail. There were no significant differences across age (49.5+/-14.1), sex, or obesity status. Visual analogue scores improved significantly from 7.24+/-1.75 to 2.45+/-2.12 (P<0.001). Successful clinical outcome (excellent or good Macnab score) was reported in 83.3% of patients. There were no postoperative complications, including dural tears or wound infections: fewer than any reported series of this size to date. MITD can be safely performed for revision discectomies with low morbidity. A paramedian approach helps to decrease the exposure to preexisting scar tissue and may offer a significant advantage over the traditional midline approach to treat recurrent disk herniation. |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Neurosurgery |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Felbaum, Daniel R |
| 790 ## - Authors | |
| All authors | Distaso C, Felbaum DR, Sandhu FA, Stewart JJ |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.1097/BSD.0000000000000513">https://dx.doi.org/10.1097/BSD.0000000000000513</a> |
| Public note | https://dx.doi.org/10.1097/BSD.0000000000000513 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedStar Authors Catalog | MedStar Authors Catalog | 05/06/2017 | 28266957 | 28266957 | 05/06/2017 | 05/06/2017 | Journal Article |