RESUMEN
Objectives: To evaluate the demographic characteristics, surgical safety in addition to highlighting major complications in 1525 consecutive patients who underwent microscopic inter-laminar discectomy electively at King Hussein Medical Center
Methods: A series of 1525 consecutive patients underwent elective inter-laminar lumbar discectomy, during a 5-year period [January 2009 to January 2014] in our neurosurgical department, are analyzed retrospectively. Demographic features evaluated: Age, gender, site of surgery. In addition to general and specific complications encountered
Results: Lumbar discectomy surgeries operated more commonly in male patients constituted with a percent of 64 % of all lumbar discectomies considered in this study, and it was more common in the age group between 40-60 year-old patients .The most common level operated was L4/L5 level, followed by the L5/S1 level. With a recurrence rate of 4.9% in all over levels operated, unintended durotomy occurred in 7.9 % of the surgeries, superficial wound infection and deep wound infection occurred in 3%, 0.5% respectively and the mortality rate was 1/1525
Conclusion: Five-year follow-up demonstrate effective interlaminar approach in treatment of herniated lumber disc with comparable complications to reported incidences worldwide. Demographic features were in line with reported results in terms of gender and age groups and slit deference regarding level of disc herniation
RESUMEN
Thirty six cases of percutaneous biopsies for spinal lesions were carried out at King Hussein Medical Center in the period January 1995 till January 1999 in an attempt to obviate the need for open surgery, and to reduce the mortality and morbidity rates associated with open back surgery. All the patients who were subjected to percutaneous biopsies had localised spinal pathology on computed tomography [CT] scan or magnetic resonance imaging [MRI]. All the biopsies have been performed under local anesthesia. Bi-planar fluoroscopy control was used as radiology guidance in lumbar and cervical biopsies. CT controlled biopsies were used for cervical, dorsal, and sacral lesions. The Ackerman trephine needle was used in all patients. Several core biopsies for pathological examination and culture were obtained from all patients. No serious complications were registered. Out of the 36 cases only seven cases were not diagnosed using percutaneous biopsy. Percutaneous biopsy proved to be safe, quick, and a reliable alternative to open surgery biopsy in this respect