Revision Lumbar Spine Surgeries: An Early Career Neurosurgery Experience.
| Autor: | Khan B; Neurosurgery, Medical Teaching Institution-Lady Reading Hospital (MTI-LRH), Peshawar, PAK., Mansoor Shah S; Neurosurgery, Medical Teaching Institution-Lady Reading Hospital (MTI-LRH), Peshawar, PAK., Khan A; Neurosurgery, Queen Elizabeth Hospital, UHB Trust, Birmingham, GBR., Ali H; Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, GBR., Ullah A; Neurosurgery, Medical Teaching Institution-Lady Reading Hospital (MTI-LRH), Peshawar, PAK., Ullah I; Neurological Surgery, Medical Teaching Institution-Lady Reading Hospital (MTI-LRH), Peshawar, PAK., Haqqani U; Neurosurgery, Qazi Hussain Ahmed Medical Complex, Nowshera, PAK., Uliqbal R; Neurosurgery, Medical Teaching Institution-Lady Reading Hospital (MTI-LRH), Peshawar, PAK. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Apr 01; Vol. 16 (4), pp. e57371. Date of Electronic Publication: 2024 Apr 01 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.57371 |
| Abstrakt: | Background: The aims and ambitions of a surgeon in the early years of his professional career are to make a good reputation by providing excellent patient outcomes and avoiding complex and difficult surgeries. Revision lumbar spine surgeries (RLSSs) pose a significant challenge in terms of surgical management, as the moribund anatomy increases the risk of complications, adding to an unlikely outcome. Objective: We conducted this study to determine the clinical indications and outcomes of RLSSs performed by an early career neurosurgeon. Materials and Methods: This cross-sectional study was conducted after approval from the hospital's ethical committee, and data was collected in late December of 2022 and early January 2023, from retrospective records for a single early career neurosurgeon. A form was filled with each patient's data, such as age, gender, time since surgery, indication for surgery, operative findings, types of surgery performed, etc. All variables were noted for the patient and were further categorized, based on the clinical records, into many sub-categories. Results: Almost 400 lumbar spine surgeries were performed by the surgeon, and about 45 (11.25%) were revision surgeries, and the full record was available for 42 surgeries. These patients' ages ranged from 22 to 70 years, and the mean age was about 46.74 ± 13.29 SD. The common symptoms leading to revision surgeries were numbness and pain in 17 (40.5%) patients each; common per-operative findings were recurrent disc in eight patients (19%), infection in nine patients (21.4%), and fibrosis/adhesions in 16 (38.1%); most common surgeries performed were diskectomy in 11 (26.2%) and diskectomy plus release of adhesions in 12 (28.6%); complications occurred in 14 (33%), and good to excellent outcomes was recorded in 29 (69%) cases. Conclusion: RLSSs are difficult compared to first-time lumbar spine surgeries, and the moribund anatomy predisposes to complications, and better shall be dealt with great care and, at the minimum, shall be embarked upon as a team. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Khan et al.) |
| Databáze: | MEDLINE |
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