Evidence map›Paper›PMID 39261310›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Incidental durotomy during tubular microdiscectomy does not preclude same-day discharge.

Eva Liu, Sabahat Saeed, Nicole R Coote, Jack Su, Patrick R Toyota, Braeden D Newton, Amit R Persad, Daryl R Fourney

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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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Eva LiuDivision of Neurosurgery, Department of Surgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada.
Sabahat SaeedDivision of Neurosurgery, Department of Surgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada.
Nicole R CooteDivision of Neurosurgery, Department of Surgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada.
Jack SuDivision of Neurosurgery, Department of Surgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada.
Patrick R ToyotaDivision of Neurosurgery, Department of Surgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada.
Braeden D NewtonDivision of Neurosurgery, Department of Surgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada.
Amit R PersadDepartment of Neurosurgery, Stanford University, Palo Alto, CA, USA.
Daryl R FourneyDivision of Neurosurgery, Department of Surgery, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada. daryl.fourney@usask.ca.ORCID 0000-0002-6567-3236

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOne of the major advantages of a minimally invasive microdiscectomy is that when CSF leak occurs, there is minimal anatomic dead space for ongoing leakage following removal of the tubular retractor. However, there are no published reports that address the safety and long-term outcomes of same-day discharge for CSF leak after tubular microdiscectomy.

methodsThis is a retrospective compartive study of 30 patients with incidental durotomy during minimally invasive tubular microdiscectomy occurring between January 1, 2009 to August 31, 2023 at our institution.

resultsThere were 16 patients (53%) admitted to hospital and 14 (47%) patients discharged home the same day following CSF leak. There were no differences in patient demographics between the two groups at baseline. Twenty-nine out of 30 (97%) of the patients had onlay duraplasty, and one (3%) patient was repaired using sutures through the tubular retractor. None were converted to an open approach. The hospitalized group was kept on bed rest overnight or for 24 h. The discharge group was kept on best rest for 2 h or mobilized immediately after surgery. No patients in either group required readmission or revision surgery for CSF leak. The average length of admission for the hospitalized group was 2.4 ± 4.0 days.

conclusionPatients with CSF leak during minimally invasive tubular microdiscectomy can be safely discharged home the same day.

Indexed as

DiskectomyDura MaterAdultAgedCerebrospinal Fluid LeakFemaleHumansMaleMicrosurgeryMiddle AgedMinimally Invasive Surgical ProceduresPatient DischargePostoperative ComplicationsRetrospective StudiesTreatment OutcomeCSF leakMicrodiscectomyMinimally invasiveSpine

Identifiers

PMID39261310

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