A team approach to anterior lumbar spine surgery in the military.

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.

journal_name

Vascular

journal_title

Vascular

authors

Dua A,Fox J,Patel B,Martin E,Rosner M,Fox CJ

doi

10.1177/1708538113478757

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

246-51

issue

4

eissn

1708-5381

issn

1708-539X

pii

1708538113478757

journal_volume

22

pub_type

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