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Complications of Surgery

  • F. Postacchini
  • G. Cinotti

Abstract

The incidence of surgical complications has been reported to range between 1.6% and 9.1%, in series in which more than 1500 cases have been analyzed (23, 100, 114, 137). The complications have a slightly higher incidence in women and increase in proportion to the patients age; in patients over 65 years old the complication rate is more than twofold compared with patients aged less than 40 years (23). The incidence of complications is significantly higher in reoperated patients (114), in those with lumbar stenosis and in patients submitted to spinal fusion (23). No difference in the complication rate has been reported between patients operated on by orthopaedic surgeons or neurosurgeons (100). The most frequent complications are: hemorrhages or hematoma infections (superficial or deep), dural sac or nerve-root injuries, cardio-pulmonary disturbances and urinary and gastrointestinal dysfunctions.

Keywords

Vertebral Body Nerve Root Disc Herniation Arteriovenous Fistula Lumbar Disc 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Albanese S., Buterbaugh G., Palmer A. K. et al.: Incomplete anterior interosseous nerve palsy following spinal surgery. Report of two cases. Spine 11: 1037–1038, 1986.PubMedGoogle Scholar
  2. 2.
    Anda S., Aakhus S., Skaanes K. O. et al.: Anterior perforations in lumbar discectomies. A report of four cases of vascular complications and a CT study of the prevertebral lumbar anatomy. Spine 16: 54–60, 1991.PubMedGoogle Scholar
  3. 3.
    Bartolozzi C., Bartolozzi A., Lizzadro G. et al.: La risonanza magnetica nello studio delle spondilodisciti. Radiol. Med. 78: 153–157, 1989.PubMedGoogle Scholar
  4. 4.
    Barrios C., Ahmed M., Arrotegui J. et al.: Microsurgery versus standard removal of the herniated lumbar disc. Acta Orthop. Scand. 61: 399–403, 1990.PubMedGoogle Scholar
  5. 5.
    Bashkoff E., Gadaleta D., Moccio C.: Postlaminectomy aortic pseudoaneurism. J. Spinal Disord. 5: 219–221, 1992.PubMedGoogle Scholar
  6. 6.
    Birkeland I. W., Taylor T. K. F.: Major vascular injuries in lumbar disc surgery. J. Bone Joint Surg. 51-B: 4–18, 1969.Google Scholar
  7. 7.
    Birkeland I. W. Jr., Taylor T. K. F.: Bowel injuries coincident to lumbar disc surgery: a report of four cases and a review of the literature. J. Trauma 10: 163–168, 1970.PubMedGoogle Scholar
  8. 8.
    Bircher M. D., Tasker T., Crawshaw C. et al.: Discitis following lumbar surgery. Spine 13: 98–102, 1988.PubMedGoogle Scholar
  9. 9.
    Boccanera L., Laus M.: Cauda equina syndrome following lumbar spinal stenosis surgery. Spine 12: 712–715, 1987.PubMedGoogle Scholar
  10. 10.
    Borski A. A., Smith R. A.: Ureteral injury in lumbar-disc operation. J. Neurosurg. 17: 925–928, 1960.Google Scholar
  11. 11.
    Bosch J.: Die unspezifische Spondylitis nach Nukleo-graphie und Bandscheibenoperation. Z. Orthop. 100: 191–195, 1965.PubMedGoogle Scholar
  12. 12.
    Bouillet R.: Complications of discal hernia therapy. Comparative study regarding surgical therapy and nucle-olysis by chymopapain. Acta Orthop. Belg. 49: 48–76, 1983.PubMedGoogle Scholar
  13. 13.
    Boyd D. P., Farha G. J.: Arteriovenous fistula and isolated vascular injuries secondary to intervertebral disk surgery. Report of four cases and review of the literature. Ann. Surg. 161: 524–531, 1965.PubMedGoogle Scholar
  14. 14.
    Brewster D. C., May A. R. L., Darling R. C. et al.: Variable manifestations of vascular injury during lumbar disc surgery. Arch. Surg. 114: 1026–1030, 1979.PubMedGoogle Scholar
  15. 15.
    Brussatis F.: Osteomyelitis nach Operation lumbaler Diskushernien. Acta Neurochir. (Wien) 3: 209–230, 1954.Google Scholar
  16. 16.
    Busch E., Andersen A., Broager B. et al.: Le prolapsus discal lombaire. Acta Psychiat. Neurol. Scand. 25: 443–500, 1950.Google Scholar
  17. 17.
    Cabezudo J. M., Lopez A., Bacci F.: Symptomatic root compression by a free fat transplant after hemilaminectomy. Case report. J. Neurosurg. 63: 633–635, 1985.PubMedGoogle Scholar
  18. 18.
    Cain J. E., Dryer R. F., Barton B. R.: Evaluation of dural closure techniques. Suture methods, fibrin adhesive sealant, and cyanoacrylate polymer. Spine 13: 720–725, 1988.PubMedGoogle Scholar
  19. 19.
    Casaccia M., Marra S., Paolillo V. et al.: Fistola artero-venosa secondaria ad intervento di ernia discale intervertebrale. Min. Cardioang. 24: 795–798, 1976.Google Scholar
  20. 20.
    Dall B. E., Rowe D. E., Odette W. G. et al.: Postoperative discitis. Diagnosis and management. Clin. Orthop. 224: 138–146, 1987.PubMedGoogle Scholar
  21. 21.
    Dauch W. A.: Infection of the intervertebral space following conventional and microsurgical operation on the herniated lumbar intervertebral disc. A controlled clinical trial. Acta Neurochir. (Wien) 82: 43–49, 1986.Google Scholar
  22. 22.
    DeSaussure R. L.: Vascular injury coincident to disc surgery. J. Neurosurg. 16: 222–229, 1959.PubMedGoogle Scholar
  23. 23.
    Deyo R. A., Cherkin D. C., Loeser J. D. et al.: Morbidity and mortality in association with operations on the lumbar spine. J. Bone Joint Surg. 74-A: 536–543, 1992.Google Scholar
  24. 24.
    Ebeling U., Reichenberg W., Reulen, H.-J.: Results of microsurgical lumbar discectomy. Acta Neurchir. (Wien) 81: 45–52, 1986.Google Scholar
  25. 25.
    Eie N., Solgaard T., Kleppe H.: The knee-elbow position in lumbar disc surgery: a review of complications. Spine 8: 897–900, 1983.PubMedGoogle Scholar
  26. 26.
    Eismont F. J., Wiesel S. W., Rothman R. H.: Treatment of dural tears associated with spinal surgery. J. Bone Joint Surg. 63-A: 1132–1136, 1981.Google Scholar
  27. 27.
    El-Gindi S., Aref S., Salama M. et al.: Infection of intervertebral discs after operation. J. Bone Joint Surg. 58-B: 114–116, 1976.Google Scholar
  28. 28.
    Emery S. E., Chan D. P. K., Woodward H. R.: Treatment of hematogenous pyogenic vertebral osteomyelitis with anterior debridement and primary bone grafting. Spine 14: 284–291, 1989.PubMedGoogle Scholar
  29. 29.
    Evans W. E.: Arteriovenous fistula following disc surgery. Vasc. Surg. 8: 33–35, 1974.PubMedGoogle Scholar
  30. 30.
    Ewah B., Calder I.: Intraoperative death during lumbar discectomy. Br. J. Anaest. 66: 721–723, 1991.Google Scholar
  31. 31.
    Fargally M., Christenson J. T.: Combined aortic and inferior vena cava injury during laminectomy. A serious complication. Vasa 17: 288–292, 1988.PubMedGoogle Scholar
  32. 32.
    Fernand R., Lee C. K.: Postlaminectomy disc space infection. A review of the literature and a report of three cases. Clin. Orthop. 209: 215–218, 1986.PubMedGoogle Scholar
  33. 33.
    Ferrero R., Boltri F.: Le fistole artero-venose iatrogene del distretto aorto-iliaco. Min. Cardioang. 25: 319–329, 1977.Google Scholar
  34. 34.
    Ford L. T.: Local complications. Symposium of lumbar-disc surgery. J. Bone Joint Surg. 50-A: 418–428, 1968.Google Scholar
  35. 35.
    Fouquet B., Goupille P., Jattiot F. et al.: Discitis after lumbar disc surgery. Features of “aseptic” and “septic” forms. Spine 17: 356–358, 1992.PubMedGoogle Scholar
  36. 36.
    Frank A. M., Trappe A. E.: Die Spondylodiszitis nach lumbaler Bandscheibenoperation. Klinik-Diagnostik-Therapie. Neurochirurgia 31: 205–209, 1988.PubMedGoogle Scholar
  37. 37.
    Frocrain L., Duvauferrier R., Chals G. et al.: Une nouvelle methode diagnostique de la spondylodiscite. L’imagerie par résonance magnétique. J. Radiol. 68: 373–380, 1987.PubMedGoogle Scholar
  38. 38.
    Gandolfi M.: Clinica e terapia delle protrusioni posteriori dei dischi intervertebrali lombari. Rel. 51° Congr. SIOT, Catania, 1966.Google Scholar
  39. 39.
    Garfin S. R., Glover M., Booth R. E. et al.: Laminectomy: a review of the Pennsylvania hospital experience. J. Spinal Disord. 1: 116–133, 1988.PubMedGoogle Scholar
  40. 40.
    Gerber H., Maar K.: Horner-Syndrom: eine Komplikation der Seitenlagerung. Anaesthetist 26: 357–358, 1977.Google Scholar
  41. 41.
    Giunti A., Laus M.: Le radicolopatie spinali. A. Gaggi, Bologna, 1992.Google Scholar
  42. 42.
    Goald H. J.: Microlumbar diskectomy: follow-up of 477 patients. J. Microsurg. 2: 95–100, 1980.PubMedGoogle Scholar
  43. 43.
    Godman L.: Cardiac risks and complications of noncardiac surgery. Ann. Intern. Med. 98: 504–513, 1983.Google Scholar
  44. 44.
    Gorombey Z., Gomory A., Bkassy M.: Iatrogenic aortocaval fistula secondary to intervertebral disc surgery. A case report. Acta Chir. Scand. 150: 585–587, 1984.PubMedGoogle Scholar
  45. 45.
    Gozzi G., Stacul S., Zuiani C. et al.: Ruolo della tomografia computerizzata nella diagnosi di spondilodiscite postchirurgica. Radiol. Med. 75: 287–290, 1988.PubMedGoogle Scholar
  46. 46.
    Greiner L., Pia H. W., Schepelmann F.: Spondylitis und lumbale Bandscheibenoperationen. Zbl. Neurochir. 35: 179–192, 1974.Google Scholar
  47. 47.
    Gurdjian E. S., Webster J. E., Ostrowski A. Z. et al.: Herniated lumbar intervertebral discs — an analysis of 1176 operated cases. J. Trauma 1: 158–176, 1961.PubMedGoogle Scholar
  48. 48.
    Harbison S. P.: Major vascular complications of intervertebral disc surgery. Ann. Surg. 140: 342–348, 1954.PubMedGoogle Scholar
  49. 49.
    Hernando F. J. S., Paredo V. M., Solis J. V.: Iliac arteriovenous fistula as a complication of lumbar disc surgery. J. Cardiovasc. Surg. 27: 180–184, 1986.Google Scholar
  50. 50.
    Hollenhorst R. W., Svien H. J., Benoit C. F.: Unilateral blindness occurring during anesthesia for neurosurgical operations. Arch. Ophth. 52: 819–826, 1954.Google Scholar
  51. 51.
    Holscher E. C.: Vascular and visceral injuries during lumbar-disc surgery. J. Bone Joint Surg. 50-A: 383–392, 1968.Google Scholar
  52. 52.
    Hubbard C. N., Richardson E. G.: Pseudo-obstruction of the colon. A postoperative complication in orthopaedic patients. J. Bone Joint Surg. 65-A: 226–229, 1983.Google Scholar
  53. 53.
    Jampol L. M., Golbaum M., Rosenberg M. et al.: Ischemia of ciliary arterial circulation from ocular compression. Arch. Ophtalmol. 93: 1311–1317, 1975.Google Scholar
  54. 54.
    Jue-Denis P., Kieffer E, Benhamou M. et al.:Traumatismes des vaisseaux abdomineaux apres Chirurgie de la hernie discale. Rev. Chir. Orthop. 70: 141–145, 1984.PubMedGoogle Scholar
  55. 55.
    Kapp J. P., Sybers W. A.: Erythrocyte sedimentation rate following uncomplicated lumbar disc operations. Surg. Neurol. 12: 11–12, 1979.Google Scholar
  56. 56.
    Kelly J. J., Reuter K. L., Waite R. J.: Vascular injury complicating lumbar discectomy — CT diagnosis, a case report. Am. J. Radiol. 153: 1233–1234, 1989.Google Scholar
  57. 57.
    Kern H. B., Barnes W., Malament M.: Lumbar laminectomy and associated ureteral injury. J. Urol. 102: 675–678, 1969.PubMedGoogle Scholar
  58. 58.
    Kitchel S. H., Eismont F. J., Green B. A.: Closed subarachnoid drainage for management of cerebrospinal fluid leakage after an operation on the spine. J. Bone Joint Surg. 71-A: 984–987, 1989.Google Scholar
  59. 59.
    Kock-Jensen C., Brandslund I., Sogaard I.: Lumbar disc surgery and variations in C-reactive protein, erythrocyte sedimentation rate and the complement split product C 3 d. Acta Neurochir. (Wien) 90: 42–44, 1988.Google Scholar
  60. 60.
    Kollbrunner F.: Dickdarmstenose nach Laminektomie. Gastroenterologia 92: 239–251, 1959.PubMedGoogle Scholar
  61. 61.
    Kopecky K. K., Gilmor R. L., Scott J. A. et al.: Pitfalls of computed tomography in diagnosis of discitis. Neuroradiology 27: 57–66, 1986.Google Scholar
  62. 62.
    Kotilainen E., Valtonen S., Carlson C.-A.: Microsurgical treatment of lumbar disc herniation: follow-up of 237 patients. Acta Neurochir. (Wien) 120: 143–149, 1993.Google Scholar
  63. 63.
    Laus M.: citato da Boccanera L., Laus M.: Spine 12: 712–715, 1987.Google Scholar
  64. 64.
    Laus M., Pignatti D., Alfonso C. et al.: Complicazioni del trattamento chirurgico delle stenosi lombari. Chir. Org. Mov. 77: 65–71, 1992.Google Scholar
  65. 65.
    Lenschock C. H.: Infection of the intervertebral disc following operation for protrusion of the nucleus pulposus. Arch. Chir. Neerland. 8: 57–66, 1956.Google Scholar
  66. 66.
    Lesoin F., Warembourg H., Asseman P.: Fatal congestive heart failure associated with an iatrogenic caval aortic fistula following surgical removal of a herniated intervertebral disk. Surg. Neurol. 22: 532, 1984.PubMedGoogle Scholar
  67. 67.
    Lincoln J.R., Sawyer H. P.: Complications related to body positions during surgical procedures. Anesthesiology 22: 800–809, 1961.PubMedGoogle Scholar
  68. 68.
    Lindholm T. S., Pylkkanen P.: Discitis following removal of intervertebral disc. Spine 7: 618–622, 1982.PubMedGoogle Scholar
  69. 69.
    Linton R. R., White P. D.: Arteriovenous fistula between the right common iliac artery and the inferior vena cava; report of an occurrence following an operation for a ruptured intervertebral disc with cure by operation. Arch. Surg. 50: 6–13, 1946.Google Scholar
  70. 70.
    Love J. G.: The disc factor in low-back pain with or without sciatica. J. Bone Joint Surg. 29: 438–447, 1947.PubMedGoogle Scholar
  71. 71.
    Mansour A., Nabos J. F., Taddonio R. F. Jr.: Psoas abscess: thirty-four years after pyogenic osteomyelitis of the spine. Orthopedics 2: 262–264, 1979.Google Scholar
  72. 72.
    Marchetti P. G., Consoli V., Giannini S. et al.: Le disciti postchirurgiche. Giorn. Ital. Ortop. Traumat. Suppl. 2, Vol. 6: 85–97, 1980.Google Scholar
  73. 73.
    Marks C., Weiner S. N., Reydman M.: Arteriovenous fistula secondary to intervertebral disk surgery. J. Cardiovasc. Surg. 12: 417, 1971.Google Scholar
  74. 74.
    Maury M., Francois N., Skoda A.: About the neurological sequelae of herniated intervertebral disc. Paraplegia 11: 221–227, 1973.PubMedGoogle Scholar
  75. 75.
    May A. R. L., Brewster D. C., Darling R. C. et al.: Arteriovenous fistula following lumbar disc surgery. Br. J. Surg. 68: 41–43, 1981.PubMedGoogle Scholar
  76. 76.
    Mayfield F. H.: Complications of laminectomy. Clin. Neurosurg. 23: 435–439, 1976.PubMedGoogle Scholar
  77. 77.
    Mayfield F. H., Kurokawa K.: Watertight closure of spinal dura mater. Technical note. J. Neurosurg. 43: 639–640, 1975.PubMedGoogle Scholar
  78. 78.
    McCallum J., Maroon J. C., Jannetta P. J.: Treatment of postoperative cerebrospinal fluid fistulas by subarachnoid drainage. J. Neurosurg. 42: 434–437, 1975.PubMedGoogle Scholar
  79. 79.
    McCulloch J. A.: Principles of microsurgery for lumbar disc disease. Raven Press, New York, 1989.Google Scholar
  80. 80.
    McLaren A. C., Bayley S. I.: Cauda equina syndrome: a complication of lumbar discectomy. Clin. Orthop. 204: 143–149, 1986.PubMedGoogle Scholar
  81. 81.
    Miller P. R., Elder F. W. Jr.: Meningeal pseudocysts (meningocele spurius, following laminectomy. Report of ten cases. J. Bone Joint Surg. 50-A: 268–276, 1968.Google Scholar
  82. 82.
    Modic M. T., Feiglin D. H., Piraino D. W. et al.: Vertebral osteomyelitis: assessment using MRI. Radiology 157: 157–166, 1985.PubMedGoogle Scholar
  83. 83.
    Montorsi W., Ghiringhelli C.: Genesis, diagnosis and treatment of vascular complications after intervertebral disc surgery. Intern. Surg. 58: 233–235, 1973.Google Scholar
  84. 84.
    Moore C. A., Cohen A.: Combined arterial, venous, and ureteral injury complicating lumbar disk surgery. Am. J. Surg. 115: 574–577, 1968.PubMedGoogle Scholar
  85. 85.
    Nash C. L. Jr, Kaufman B., Frankel V. H.: Postsurgical meningeal pseudocysts of the lumbar spine. Clin. Orthop. 75: 167–178, 1971.PubMedGoogle Scholar
  86. 86.
    Neubauer U.: Retroperitoneale Gefäßverletzungen bei lumbaler Bandscheibenoperation: Bericht über zwei Fälle mit besonderem Verlauf. Neurochirurgia 33: 199–201, 1990.PubMedGoogle Scholar
  87. 87.
    Oldenkott P., Roost D. V.: Traitment microchirurgical de la hernie discale lombaire. Neurochirurgie 26: 229–234, 1980.PubMedGoogle Scholar
  88. 88.
    Oppel F., Schramm A. J., Schirmer M. et al.: Results and complicated course after surgery for lumbar disc herniation. Adv. Neurosurg. 4: 36–51, 1977.Google Scholar
  89. 89.
    Pappas C. T. E., Harrington T., Sonntag V. K. H.: Outcome analysis in 654 surgically treated lumbar disc herniations. Neurosurgery 30: 862–866, 1992.PubMedGoogle Scholar
  90. 90.
    Parker J. M.: Ureteral injury secondary to lumbar disc operation. J. Urol. 105: 85, 1971.PubMedGoogle Scholar
  91. 91.
    Parks B. J.: Postoperative peripheral neuropathies. Surgery 74: 348–357, 1973.PubMedGoogle Scholar
  92. 92.
    Pau A.: Postoperative “meningocele spurius”. Report of two cases. J. Neurosurg. Sci. 18: 150–152, 1988.Google Scholar
  93. 93.
    Peruzzi P., Rousseaux P., Scherpereel B. et al.: Spondylodiscite apres Chirurgie de la hernie discale lombaire. A propos de 12 cas sur 1796 operes. Neurochirurgie 14: 394–400, 1988.Google Scholar
  94. 94.
    Pilgaard S.: Discitis (closed space infection) following removal of lumbar intervertebral disc. J. Bone Joint Surg. 51-A: 713–716, 1969.Google Scholar
  95. 95.
    Postacchini F., Cinotti G.: Postoperative lumbar discitis. Eur. Spine J. 1: 226–230, 1993.PubMedGoogle Scholar
  96. 96.
    Postacchini F., Cinotti G., Perugia D.: Post-operative intervertebral discitis. Evaluation of 12 cases and study of ESR in the normal post-operative period. Ital. J. Orthop. Traumatol 19: 57–69, 1993.PubMedGoogle Scholar
  97. 97.
    Postacchini F., Cinotti G., Perugia D., et al.: The surgical treatment of central lumbar stenosis. Multiple laminotomy compared with total laminectomy. J. Bone Joint Surg. 75-B: 386–392, 1993.Google Scholar
  98. 98.
    Prusick V. R., Lini D. S., Bruder W. J.: Cauda equina syndrome as a complication of free epidural fat-grafting. A report of two cases and a review of the literature. J. Bone Joint Surg. 70-A: 1256–1258, 1988.Google Scholar
  99. 99.
    Puranen J., Makela J., Lahde S.: Postoperative intervertebral discitis. Acta Orthop. Scand. 55: 461–465, 1984.PubMedGoogle Scholar
  100. 100.
    Ramirez L. F., Thisted R.: Complications and demographic characteristics of patients undergoing lumbar discectomy in community hospitals. Neurosurgery 25: 226–231, 1989.PubMedGoogle Scholar
  101. 101.
    Rawlings C. E., Wilkins R. H., Gallis H. A. et al.: Postoperative disc space infection. Neurosurgery 13: 371–376, 1983.PubMedGoogle Scholar
  102. 102.
    Roberts M. P.: Complications of lumbar disc surgery. Spinal Surg. 2: 13–19, 1988.Google Scholar
  103. 103.
    Roberts M. P.: Complications of positioning for neurosurgical operations on the spine. In: Complications of spinal surgery. Tarlov E. C. Ed., Park Ridge, II. American Association of Neurological Surgeons 1–13, 1991.Google Scholar
  104. 104.
    Rosenthal J. D., Hahn J. F., Martinez G. J.: A technique for closure of leak of spinal fluid. Surg. Gynec. Obstet. 140: 948–950, 1975.PubMedGoogle Scholar
  105. 105.
    Roy-Camille R., Saillant G., Sagnet P. et al.: Syndrome de la queue de cheval après cure chirurgicale de hernie discale pour sciatique. Rev. Chir. Orthop. 62 (Suppl. II): 80–83, 1976.PubMedGoogle Scholar
  106. 106.
    Ruggeri F., Sebellin O.: L’osteoartrite intersomatica verte-brale quale complicanza di intervento per ernia del disco lombare. Clin. Ortop. 17: 478–493, 1965.Google Scholar
  107. 107.
    Salander J. M., Youkey J. R., Rich N. M. et al.: Vascular injury related to lumbar disc surgery. J. Trauma 24: 628–631, 1984.PubMedGoogle Scholar
  108. 108.
    Salenius P., Laurent L. E.: Results of operative treatment of lumbar disc herniation. Acta Orthop. Scand. 48: 630–634, 1977.PubMedGoogle Scholar
  109. 109.
    Salvi P.: Infezione dello spazio intervertebrale conseguente ad intervento chirurgico per ernia del disco lombare. Arch. Putti 16: 335–355, 1962.PubMedGoogle Scholar
  110. 110.
    Sandoz I., Hodges C. V.: Ureteral injury incident to lumbar disc operation. J. Urol. 93: 687–690, 1965.PubMedGoogle Scholar
  111. 111.
    Savini R., Valdiserri L.: L’infezione dello spazio interso-matico (meniscite od osteoartrite intervertebrale) negli operati per ernia discale. Chir. Org. Mov. 57: 157–177, 1968.Google Scholar
  112. 112.
    Scherpereel B., Segal P., Rousseaux P. et al.: Complications vasculaires de la Chirurgie des hernies discales lombaires. Neurochirurgie 24: 399–401, 1978.PubMedGoogle Scholar
  113. 113.
    Schuler P., Clemens D., Rossak K.: Retroperitoneal vascular injuries. Z. Orthop. 121: 203–205, 1983.PubMedGoogle Scholar
  114. 114.
    Schuwer U., Roosen K.: Komplikationen bei lumbalen Bandscheibenoperationen. Neurochirurgia 31: 192–195, 1988.PubMedGoogle Scholar
  115. 115.
    Schwartz A. M., Brodkey J. S.: Bowel perforation following microsurgical lumbar discectomy. A case report. Spine 14: 104–105, 1989.PubMedGoogle Scholar
  116. 116.
    Semmes R. E.: Rupture of the lumbar intervertebral disc. Springfield, C. C. Thomas, 1964.Google Scholar
  117. 117.
    Shaw E. D., Scarborough J. T., Beals R. K.: Bowel injury as a complication of lumbar discectomy. A case report and review of the literature. J. Bone Joint Surg. 63-A: 478–480, 1981.Google Scholar
  118. 118.
    Shevlin W. A., Luessenhop A. J., Fox J. L. et al.: Perforation of the anterior annulus during lumbar discectomy. Case report. J. Neurosurg. 38: 514–515, 1973.PubMedGoogle Scholar
  119. 119.
    Silberstein E. B., Schneider H. J., Khodadad G. et al.: Laminectomy: effects on postoperative technetium and gallium scintigraphy. Radiology 151: 785–787, 1984.PubMedGoogle Scholar
  120. 120.
    Smith E. H., Estridge M. N.: Bowel perforation following lumbar discectomy. Report of case and review of literature. J. Bone Joint Surg. 46-A: 826–828, 1964.Google Scholar
  121. 121.
    Smith R. A., Hanigan W. C.: In: Complications of spinal surgery. Tarlov E. C. Ed., Park Ridge, Il. American Association of Neurological Surgeons, 41–49, 1991.Google Scholar
  122. 122.
    Smith R. H., Gremling Z. W., Volpitto P. P.: Problems related to the prone position for surgical operation. Anesthesiology 22: 189–193, 1961.Google Scholar
  123. 123.
    Solonen K. A.: Perforation of the anterior annulus fibrosus during operation for prolapsed disc. Ann. Chir. Gynaec. Fenn. 61: 385–387, 1975.Google Scholar
  124. 124.
    Spangfort E. V.: The lumbar disc herniation. A computer-aided analysis of 2,504 operations. Acta Orthop. Scand. Suppl. 142, 1972.Google Scholar
  125. 125.
    Stambough J. L., Cheeks M. L.: Central retinal artery occlusion: a complication of the knee-chest position. J. Spinal Disord. 5: 363–365, 1992.PubMedGoogle Scholar
  126. 126.
    Staple T. W., Friedenberg M. J.: Ilio-iliac arteriovenous fistula following intervertebral disc surgery. Clin. Radiol. 16: 248–250, 1965.PubMedGoogle Scholar
  127. 127.
    Stern E. W., Crandall P. H.: Inflammatory intervertebral disc disease as a complication of the operative treatment of lumbar herniations. J. Neurosurg. 16: 261–276, 1957.Google Scholar
  128. 128.
    Stokes J. M.: Vascular complications of disc surgery. J. Bone Joint Surg. 50-A: 394–399, 1968.Google Scholar
  129. 129.
    Stolke D., Sollmann W.-P., Seifert V.: Intra-and postoperative complications in lumbar disc surgery. Spine 14: 56–59, 1989.PubMedGoogle Scholar
  130. 130.
    Sullivan C. R., Bickel W. H., Svien H. J.: Infections of vertebral interspaces after operations on intervertebral disks. JAMA 166: 1973–1977, 1958.Google Scholar
  131. 131.
    Teng P.: Postoperative lumbar discitis. Bull. Los Angeles Neurol. Soc. 37: 114–123, 1972.PubMedGoogle Scholar
  132. 132.
    Thibodeau A. A.: Closed space infection following removal of lumbar intervertebral disc. J. Bone Joint Surg. 50-A: 400–410, 1968.Google Scholar
  133. 133.
    Thomas A. N.: The lateral decubitus position. In: Positioning in anesthesia and surgery. Martin J. T. Ed., W. B. Sauders, Philadelphia, 116–124, 1978.Google Scholar
  134. 134.
    Tronnier V., Schneider R., Kunz U. et al.: Postoperative spondylodiscitis: results of a prospective study about the aetiology of spondylodiscitis after operation for lumbar disc herniation. Acta Neurochir. (Wien) 117: 149–152, 1992.Google Scholar
  135. 135.
    Tullberg T., Isacson J., Weidenhielm L.: Does microscopic removal of lumbar disc herniation lead to better results than the standard procedure? Results of a one-year randomized study. Spine 18: 24–27, 1993.PubMedGoogle Scholar
  136. 136.
    Turnbull F.: Postoperative inflammatory disease of lumbar disks. J. Neurosurg. 10: 469–473, 1953.PubMedGoogle Scholar
  137. 137.
    Wildförster U.: Intraoperative Komplikationen während lumbaler Bandscheibenoperationen. Kooperative Studie der Arbeitsgemeinschaft Wirbelsäule der Deutschen Gesellschaft für Neurochirurgie. Neurochirurgia 34: 53–56, 1991.PubMedGoogle Scholar
  138. 138.
    Wildförster U., Kozianka J.: Verletzungen retroperitonealer Arterien bei lumbalen Bandscheibenoperationen. Chirurg. 60: 690–693, 1989.PubMedGoogle Scholar
  139. 139.
    Werner A.: A propos d’un syndrome médullaire post-opératoire après discectomie lombaire inférieure. Arch. Suisses Neurol. Chir. Psichiatr. 107: 291–298, 1970.Google Scholar
  140. 140.
    Williams J. L., Moller G. A., O’Rourke T. L.: Pseudoinfections of the intervertebral disk and adjacent vertebrae? AJR.. 103: 611–615, 1968.Google Scholar
  141. 141.
    Wilson D. H., Harbaugh R.: Microsurgical and standard removal of the protruded lumbar disc: a comparative study. Neurosurgery 8: 422–425, 1981.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Wien 1999

Authors and Affiliations

  • F. Postacchini
  • G. Cinotti

There are no affiliations available

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