Post-op hematoma incidence similar for decompression types

Post-op hematoma incidence similar for decompression types

(HealthDay)—For patients undergoing decompression for degenerative stenosis, the incidence of epidural hematoma is similar for different surgical approaches; however, there is a tendency toward increased postoperative hematoma in approaches with greater bony decompression area, according to a study published in the December issue of the Journal of Spinal Disorders & Techniques.

Massimo A. Leonardi, M.D., from the University of Zurich, and colleagues utilized data from a previous prospective study involving 30 patients undergoing lumbar for degenerative stenosis (49 levels treated by laminectomy; bilateral fenestration; and unilateral fenestration with contralateral undercutting). Before and after surgery, the cross-sectional area of the maximum bony stenosis and dural sac compression were measured in each operated level. The presence of and its size were noted.

The researchers observed no significant between-group difference in the median postoperative bony stenosis. The median postoperative extension of dural sac areas also did not vary significantly between the three groups. In all three groups the incidence of epidural hematoma was also similar. There was larger bony decompression at the levels where postoperative epidural hematoma was detected, independent of the surgical approach.

"Unilateral and bilateral approaches achieve a similar amount of dural sac extension by a lesser extent of bony resection in comparison with the laminectomy approach," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Epidural during/Post spine surgery gives better outcomes

Jul 17, 2013

(HealthDay)—In patients undergoing reconstructive spine surgery, combined epidural and general anesthesia results in better pain control and other outcomes compared with general anesthesia plus narcotics, ...

Multimodal analgesia lessens post-op morphine needs

Aug 23, 2013

(HealthDay)—A multimodal analgesia combination appears to be safe and effective for pain relief after lumbar decompressive laminectomy, according to a study published in the August issue of the Journal of ...

Recommended for you

Antidepressants show potential for postoperative pain

Aug 20, 2014

(Medical Xpress)—After a systematic review of clinical trials based on administering antidepressants for acute and chronic postsurgical pain, researchers have concluded that more trials are needed to determine ...

First-of-a-kind surgery in US for severe headaches

Aug 18, 2014

For those suffering excruciating pain from cluster headaches, relief may soon be available from an investigational device being studied in a national multicenter clinical trial. Recently, doctors at The Ohio ...

User comments