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Research ArticleArticles

Intraregional differences of perioperative management strategy for lumbar disc herniation: is the Devil really in the details?

Cesare Zoia, Daniele Bongetta, Jacopo C. Poli, Mariarosaria Verlotta, Raffaelino Pugliese and Paolo Gaetani
International Journal of Spine Surgery January 2017, 11 (1) 1; DOI: https://doi.org/10.14444/4001
Cesare Zoia
1Neurosurgery Unit, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy
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Daniele Bongetta
1Neurosurgery Unit, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy
2Neurosurgery, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Università degli Studi di Pavia, Pavia, Italy
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Jacopo C. Poli
3Neurosurgery Unit, Ospedale di Circolo e Fondazione Macchi, Varese, Italy
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Mariarosaria Verlotta
2Neurosurgery, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Università degli Studi di Pavia, Pavia, Italy
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Raffaelino Pugliese
1Neurosurgery Unit, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy
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Paolo Gaetani
1Neurosurgery Unit, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy
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Abstract

Background This study intends to evaluate whether regional common habits or differences in case-volume between surgeons are significative variables in the perioperative management of patients undergoing surgery for lumbar disc herniation.

Methods An e-mail survey was sent to all neurosurgeons working in Lombardy, Italy's most populated region. The survey consisted of 17 questions about the perioperative management of lumbar disc herniation.

Results Forty-seven percent (47%) out of 206 Lombard neurosurgeons answered the survey. Although in some respects there is clear evidence in current literature on which is the best practice to adopt for an optimal management strategy, we noticed substantial differences between respondents, not only between hospitals but also between surgeons from the same hospital. Still, no differences were evident in a high vs low case-volume comparison.

Conclusion We identified no regional clusterization as for practical principles in the perioperative management of lumbar disc herniation and neither was case-volume a significative variable. Other causes may be relevant in the variability between the perioperative management and the outcomes achieved by different specialists.

  • lumbar disc herniation
  • discectomy
  • sciatica
  • surgery
  • Copyright © 2017 ISASS - This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery
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International Journal of Spine Surgery
Vol. 11, Issue 1
1 Jan 2017
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Intraregional differences of perioperative management strategy for lumbar disc herniation: is the Devil really in the details?
Cesare Zoia, Daniele Bongetta, Jacopo C. Poli, Mariarosaria Verlotta, Raffaelino Pugliese, Paolo Gaetani
International Journal of Spine Surgery Jan 2017, 11 (1) 1; DOI: 10.14444/4001

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Intraregional differences of perioperative management strategy for lumbar disc herniation: is the Devil really in the details?
Cesare Zoia, Daniele Bongetta, Jacopo C. Poli, Mariarosaria Verlotta, Raffaelino Pugliese, Paolo Gaetani
International Journal of Spine Surgery Jan 2017, 11 (1) 1; DOI: 10.14444/4001
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Keywords

  • lumbar disc herniation
  • discectomy
  • sciatica
  • surgery

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