Back to Search
Start Over
A team approach to anterior lumbar spine surgery in the military.
- Source :
-
Vascular [Vascular] 2014 Aug; Vol. 22 (4), pp. 246-51. Date of Electronic Publication: 2013 May 07. - Publication Year :
- 2014
-
Abstract
- We report a five year military experience with anterior retroperitoneal spine exposure combining vascular and neurosurgical spine teams. From August 2005 through April 2010 (56 months), hospital records from a single institution were retrospectively reviewed. Complications, estimated blood loss, transfusions, operative time and length of stay were documented. Eighty-four patients with lumbar spondylosis underwent primary (63, 75%) or secondary exposure (21, 25%) of a single- (66, 79%) or multilevel disc space (18, 21%). Median operative time and estimated blood loss were 127 minutes (range, 30-331 minutes) and 350 mL (range, 0-2940 mL). The overall complication rate was 23.8%. Postoperative complications included six blood transfusions (7%), three patients with retrograde ejaculation (3.57%) or surgical site infection; two with a prolonged ileus (2.38%) or ventral hernia and one each with a bowel obstruction (1, 1.19%), deep venous thrombosis or lymphocele. All-cause mortality was 1%. In conclusion, a team approach can minimize complications while offering the technical benefits and durability of an anterior approach to the lumbar spine.<br /> (© The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.)
- Subjects :
- Adult
Aged
Cooperative Behavior
Female
Humans
Interdisciplinary Communication
Length of Stay
Male
Middle Aged
Neurosurgical Procedures adverse effects
Neurosurgical Procedures mortality
Orthopedic Procedures adverse effects
Orthopedic Procedures mortality
Postoperative Complications diagnosis
Postoperative Complications therapy
Retrospective Studies
Spinal Diseases mortality
Time Factors
Treatment Outcome
United States
Vascular Surgical Procedures adverse effects
Vascular Surgical Procedures mortality
Young Adult
Lumbar Vertebrae surgery
Military Medicine methods
Neurosurgical Procedures methods
Orthopedic Procedures methods
Patient Care Team
Spinal Diseases surgery
Vascular Surgical Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1708-5381
- Volume :
- 22
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Vascular
- Publication Type :
- Academic Journal
- Accession number :
- 23493280
- Full Text :
- https://doi.org/10.1177/1708538113478757