Resultados de la discectomia lumbar en pacientes ambulatorios y hospitalizados en terminos de dolor, complicaciones y requerimiento de reingreso en un hospital universitario en Bogota D.C, Colombia

Frank Mario Herrera-Mendez; Madeline Rossana Bilbao-Rodas; Geraldine Álvarez-Archila; Sofía Muñoz-Medina

doi:10.58814/01208845.50

Authors

Frank Mario Herrera-Mendez Clínicas Colsanitas, Clínica Universitaria Colombia, Orthopedics Service, Bogotá D.C., Colombia. | Clínicas Colsanitas, Clínica Universitaria Colombia, Surgical Service, Spine Surgery Specialty, Bogotá D.C., Colombia. https://orcid.org/0000-0002-6415-7563
Madeline Rossana Bilbao-Rodas Clínicas Colsanitas, Clínica Universitaria Colombia, Orthopedics Service, Bogotá D.C., Colombia. | Clínicas Colsanitas, Clínica Universitaria Colombia, Surgical Service, Spine Surgery Specialty, Bogotá D.C., Colombia. https://orcid.org/0000-0002-7424-5209
Geraldine Álvarez-Archila Fundación Universitaria Sanitas, Orthopedics and Trauma Specialty Program, Bogotá D.C., Colombia. https://orcid.org/0000-0002-1486-8199
Sofía Muñoz-Medina Fundación Universitaria Sanitas, Research Unit, Bogotá D.C., Colombia. https://orcid.org/0000-0002-8038-298X

DOI:

https://doi.org/10.58814/01208845.50

Keywords:

Spinal Diseases, Hernia, Laminectomy, Diskectomy, Ambulatory Care

Abstract

Introduction: Lumbar discectomy is the most common spine surgery.

Objective: To describe the outcomes of lumbar discectomy in adults in terms of pain, presence of complications, and readmission requirement.

Methodology: Retrospective observational study conducted in 101 patients <75 years old undergoing lumbar discectomy (laminectomy, foraminotomy, and/or lumbar microdiscectomy) between January 2014 and December 2021 at a university hospital in Bogotá D.C., Colombia. Pain was assessed using the visual analogue scale (VAS) 7 days after the procedure, while the presence of complications and the need for readmission were assessed up to 30 days postoperatively. In addition, a bivariate analysis (Student's T, Mann-Whitney U, and Fisher's exact tests) was performed to determine differences in the variables considered according to the presence of postoperative complications and readmission requirements.

Results: Patients' mean age was 41.88 years (SD: 12.6). Median bleeding and operative time were 30mL (IQR: 20-50) and 63 minutes (IQR: 60 - 76), respectively. The median VAS score was 1 (IQR: 1) and 51 patients showed an improvement in pain level of 100%. Three patients had to be readmitted due to deep vein thrombosis (n=1), pain (n=1), or dyspnea (n=1). There were no reoperations or mortality at 30 days postoperatively.

Conclusion: Low rates of complications and hospital readmission were observed in the present study. Since no deaths or reoperation were reported, it is possible to state that this is a safe surgical procedure.

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