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Published in: International Orthopaedics 4/2019

01-04-2019 | Review

The evidence-based approach for surgical complications in the treatment of lumbar disc herniation

Authors: Robert Harper, Eric Klineberg

Published in: International Orthopaedics | Issue 4/2019

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Abstract

Purpose

The purpose of this article is to review the evidence-based approach for surgical complications following disc herniation.

Methods

A search of the primary English literature was conducted for research examining the outcomes and complications of surgical discectomy. Special regard was given to high-quality prospective randomized studies.

Results

The most commonly reported complications of surgical treatment of disc herniation are included in this review. Medical complications, and surgical complications including infection, durotomy, neurological injury, symptomatic re-herniation, and revision surgery are defined and systematically reviewed in detail for incidence, evaluation, and management.

Conclusion

This article provides the clinician and surgeon with a review of the evidence-based evaluation and management of surgical complications following disc herniation, offering best practice guidelines for informed discussions with patients in shared decision-making.
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Metadata
Title
The evidence-based approach for surgical complications in the treatment of lumbar disc herniation
Authors
Robert Harper
Eric Klineberg
Publication date
01-04-2019
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 4/2019
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-4255-6

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