Published in:
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.