Cost Analysis of Incidental Durotomy in Spine Surgery

Nandyala, Sreeharsha V.; Elboghdady, Islam; Marquez-Lara, Alejandro; Noureldin, Mohamed; Sankaranarayanan, Sriram; Singh, Kern

doi:10.1097/brs.0000000000000425

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Discussion3

Lumbar Spine Surgery At An Ambulatory Surgery Center1

Analyzing Complications1

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2014

2024

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Cited by 47 publications

(25 citation statements)

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“…However, Nandyala et al 36 and McMahon et al 37 both reported a signifi cant increase in neurological deficits after ID. We found no signifi cant differences in reoperation rates due to ID ( P = 0.187, data not shown).…”

Section: Discussionmentioning

confidence: 97%

Incidental Durotomy During Spinal Surgery

Aichmair

Kueper

et al. 2014

Spine

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Section: Discussionmentioning

confidence: 97%

Incidental Durotomy During Spinal Surgery

Aichmair

Kueper

et al. 2014

Spine

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“…Based on a Nationwide Inpatient Sample database, Nandyala et al reported longer hospitalization and a greater incidence of preoperative complications including hematoma and neurological injury [27] in patients with an incidental durotomy, which may increase hospital resource utilization and costs. Similarly, our study revealed a significantly longer hospitalization period in the Dura?…”

Section: Discussionmentioning

confidence: 99%

The effect of incidental dural lesions on outcome after decompression surgery for lumbar spinal stenosis: results of a multi-center study with 800 patients

et al. 2016

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The results of this study reveal that an incidental durotomy was associated with a significant increase in the patient's length of stay, and risk for re-intervention for the treatment of persisting CSF leakage. In contrast to previous reports which have investigated the effects of incidental durotomies on the clinical outcome after lumbar decompression surgery, our data further suggest a possible inferior outcome in terms of low back pain improvement in the Dura+ cohort, which became clinically apparent at the 12-month follow-up period. Future studies should investigate whether a more pronounced decompression required for adequate exposure and repair of a dural laceration may, ultimately, result in increased segmental instability and in clinically undesirable low back pain.

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“…[27][28][29][30] To date, the effect of increased BMI as an independent risk factor for incidental durotomy has not been established. [27][28][29][30] To date, the effect of increased BMI as an independent risk factor for incidental durotomy has not been established.…”

Section: Discussionmentioning

confidence: 99%