Classification and management of early complications in open lumbar microdiscectomy

European Spine Journal

Jürgen Kraemer¹  Jörg Herdmann¹  Rüdiger Krauspe¹  Robert Kraemer¹  Alexander Wild¹  Holger Haak¹ 

[1] Department of Orthopedics, Heinrich-Heine University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany, , , ,

关键词: Microdiscectomy Complications of spine surgery Dural tears;   

DOI  :  10.1007/s00586-002-0466-y

学科分类：骨科学

来源: Springer

【 摘 要 】

Complications and side effects in any kind of surgery, especially in spine surgery, should be evaluated to prevent those problems in the future. Since retrospective studies are of minor value and randomized controlled studies for complications are impossible to perform because of ethical and legal reasons, so-called "expert opinion" has to take their place in evidence-based medicine. On the basis of an analysis of the results of three spine centers together with the opinions of experienced spine surgeons, the authors have drawn up a classification of complications in open lumbar disc surgery and recommendations on how to manage common complications such as excessive bleeding, dural opening, nerve root lesions and recurrent disc herniation. The management of intraoperative complications should have the same training in microdiscectomy instructional courses as the operation itself.

【 授权许可】

Unknown