ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2005
The role of closed-suction drainage in preventing epidural fibrosis and its correlation with a new grading system of epidural fibrosis on the basis of MRI.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Risk-benefit analysis of wound drain usage in spine surgery: a systematic review and meta-analysis with evidence summary.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Pooled it
- Wound drains in posterior spinal surgery: a meta-analysis.Journal of orthopaedic surgery and research · 2016Pooled it
- Closed suction surgical wound drainage after orthopaedic surgery.The Cochrane database of systematic reviews · 2007Pooled it
- Closed drainage versus non-drainage for single-level lumbar discectomy: a prospective randomized controlled study.BMC musculoskeletal disorders · 2020Trial
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- Is Tranexamic Acid an Effective Prevention in the Formation of Epidural Fibrosis? Histological Evaluation in the Rats.Journal of Korean Neurosurgical Society · 2023Article
- Which Criterion for Wound Drain Removal is Better Following Posterior 1-Level or 2-Level Lumbar Fusion With Instrumentation: Time Driven or Output Driven?Global spine journal · 2023Article
- Negative versus natural drainage after single-level posterior lumbar interbody fusion. A prospective randomized study.Brain & spine · 2023Article
- Drain vs. no-drain for acetabular fractures after treatmentFrontiers in surgery · 2023Article
- Continuous release of mefloquine featured in electrospun fiber membranes alleviates epidural fibrosis and aids in sensory neurological function after lumbar laminectomy.Materials today. Bio · 2022Article
- Neuromodulation in the treatment of postoperative epidural fibrosis: comparison of the extent of epidural fibrosis and the effect of stimulation.Physiological research · 2021Observational
- Spinal arthrodesis via lumbar interbody fusion without direct decompression as a treatment for recurrent radicular pain due to epidural fibrosis: patient series.Journal of neurosurgery. Case lessons · 2021Article
- Clinical outcome of biportal endoscopic revisional lumbar discectomy for recurrent lumbar disc herniation.Journal of orthopaedic surgery and research · 2020Article
- Laminin α5 modulates fibroblast proliferation in epidural fibrosis through the PI3K/AKT/mTOR signaling pathway.Molecular medicine reports · 2020Article
- Post-operative drain use in patients undergoing decompression and fusion: incidence of complications and symptomatic hematoma.Journal of spine surgery (Hong Kong) · 2018Article
- Analysis of Revision Surgery of Microsurgical Lumbar Discectomy.Asian spine journal · 2018Article
- Lumbar epidural analgesia for labor in a parturient with a history of surgery for lumbar intradural ependymoma: Literature review and case presentation.Surgical neurology international · 2018Article
- MMC controlled-release membranes attenuate epidural scar formation in rat models after laminectomy.Molecular medicine reports · 2017Article
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Authors and funding
8 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
In this study we aimed to evaluate the role of closed-suction drainage on the extent of epidural fibrosis (EF) after lumbar disc surgery and to define a new grading system of epidural fibrosis in these patients, based on magnetic resonance imaging. Seventy-nine patients (34 women, 45 men) with a unilateral, single-level lumbar disc herniation were included in this study. Forty-one patients in whom closed-suction drainage was implanted were compared with 38 patients in whom the drain was not implanted. We have used a new grading system for the extent of epidural fibrosis, on the basis of follow-up magnetic resonance imaging findings. Pain intensity was evaluated by visual analog scale (VAS), and the patients' function and working ability were measured according to the Prolo functional-economic scale. We conclude that, in patients operated on for unilateral, single-level lumbar disc hernias, implantation of closed-suction drainage into the operation site results in less formation of EF radiologically and yields better clinical outcome.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.