Lumbar Spine Decompression, Seroma
Conditions
Brief summary
The aim of this study is to evaluate the clinical presentation and management strategies of seroma formation following posterior lumbar spine decompression.
Detailed description
Posterior lumbar spine decompression is a widely employed surgical approach to alleviate neural element compression due to degenerative spinal conditions such as spinal stenosis, spondylolisthesis, and disc herniation. While generally effective in reducing symptoms and improving quality of life, this procedure is not without risk. Seroma formation, in particular, may follow posterior decompressive surgery or fusion and is thought to arise from the accumulation of lymphatic or serous fluid in the dead space created by tissue dissection.
Interventions
Patients undergoing elective posterior lumbar spine decompression.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years. * Both sexes. * Patients undergoing elective posterior lumbar spine decompression.
Exclusion criteria
* History of previous lumbar spine surgery. * Active spinal infection, trauma, or malignancy. * Severe medical comorbidities that contraindicate surgery or influence wound healing (e.g., uncontrolled diabetes, immunosuppression, severe cardiovascular disease). * Patients unfit for general anesthesia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of seroma | 6 months postoperatively | Incidence of seroma formation following posterior lumbar spine decompression will be recorded during hospitalization and at scheduled postoperative follow-up visits at 2 weeks, 6 weeks, 3 months, and 6 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of aspirations required | 6 months postoperatively | Number of aspirations required will be recorded. |
| Seroma recurrence rate | 6 months postoperatively | Seroma recurrence rate will be recorded. |
| Association with patient risk factor | 6 months postoperatively | Association with patient risk factor will be recorded. |
Countries
Egypt