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Published in: European Spine Journal 4/2005

01-05-2005 | Original Article

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

Authors: Orhan Sen, Osman Kizilkilic, M. Volkan Aydin, Ozlem Yalcin, Bulent Erdogan, Melih Cekinmez, Hakan Caner, Nur Altinors

Published in: European Spine Journal | Issue 4/2005

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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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Metadata
Title
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
Authors
Orhan Sen
Osman Kizilkilic
M. Volkan Aydin
Ozlem Yalcin
Bulent Erdogan
Melih Cekinmez
Hakan Caner
Nur Altinors
Publication date
01-05-2005
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 4/2005
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-004-0801-6

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