Skip to content

Neurosurgery Wiki

Critical thinking, integrity, and intellectual freedom in neurosurgery

  • About Us
  • Wiki
  • FAQ
  • Help Center
  • Contact

lumbar laminectomy

SPORT: Does incidental durotomy affect long-term outcomes in cases of spinal stenosis?

July 16, 2025March 16, 2015 by Editorial Board

In a prospective cohort study from a randomized clinical trial database (SPORT) Atman Desai *et al.* from the Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire published in the *Neurosurgery Journal* to assess whether incidental durotomy during first-time open decompressive laminectomy for lumbar spinal stenosis impacts long-term outcomes. Incidental durotomy was associated with longer operative times, greater blood loss, and longer hospital stays but did not impact long-term functional outcomes (up to 4 years) such as pain, physical function, or disability scores

Critical Review

This study leverages the robust SPORT dataset, focusing on a sub-cohort of 409 patients with lumbar spinal stenosis undergoing first-time laminectomy. The reported 9% incidence of durotomy aligns with existing literature. Its main strength lies in the long-term follow-up (mean 43.8 months) and standardized outcome measures, including SF-36 and ODI.

However, there are several concerns:

Read more

Categories Spinal stenosis, Spine Surgery Tags complication, durotomy, long-term follow-up, lumbar laminectomy, outcomes, spinal stenosis, spine surgery, SPORT trial Leave a comment

Newsletter

Please wait...

Thank you for sign up!

Recent Posts

  • Assessment of differential diagnostic skills of physiotherapists related to the cervical spine – approaches to improving effectiveness
  • From medical school to global health leadership: 35‑year career outcomes and gender disparities from the Aga Khan University Medical College
  • GLP-1 Receptor Agonists in Idiopathic Intracranial Hypertension
  • Chronic Glymphatic Dysfunction Modulates Domain-Specific Cognitive Recovery After Stroke: A DTI-ALPS Lesion Stratification Study
  • Recurrent Subdural Hematoma: A Case Report of Diagnostic Pitfall of Spontaneous Intracranial Hypotension and Successful Management With Targeted Epidural Blood Patch
  • Analysis of predictive factors for the efficacy of reinforced radiculoplasty in symptomatic sacral Tarlov cysts
  • Characteristics of Postural Instability in Idiopathic Normal Pressure Hydrocephalus
  • Neurosurgical faculty and resident perspectives on collective bargaining efforts by resident physicians in the United States
  • Chiari: From the Foramen Magnum to the Psychiatrist’s Couch
  • Anthropometrics, cancer risks, and survival outcomes in adult patients with glioma – a systematic review and meta‑analysis

Categories

  • Artificial intelligence
  • Case report
  • Chronic subdural hematoma
  • Complications
  • Craniotomy
  • Device
  • Diagnosis
  • Disorder
  • Economics
  • Editorial Letter
  • Education
  • Endovascular Therapy
  • Epilepsy
  • Epilepsy monitoring
  • Experimental Neurosurgery
  • Female Neurosurgeon
  • Functional Neurosurgery
  • Geriatric neurosurgery
  • Glioblastoma
  • Glioma
  • Guidelines
  • Hemangioma
  • Hydrocephalus
  • Idiopathic intracranial hypertension
  • Industry
  • Infection
  • Journal of Neurosurgery
  • Letter
  • Magnetic Resonance Imaging
  • Management
  • Medication
  • Medulloblastoma
  • Meningioma
  • Metastases
  • Neuro-oncology
  • Neuroanatomy
  • Neuropathology
  • Neurorehabilitation
  • Neurotraumatology
  • Outcome
  • Pediatric Neurosurgery
  • Pediatric Spine Surgery
  • Pituitary tumor
  • Radiotherapy
  • Research
  • Review
  • Skull Base Surgery
  • Spinal stenosis
  • Spine Surgery
  • Stent-Assisted Coiling
  • Stroke
  • Subarachnoid Hemorrhage
  • Survey
  • Systematic Review
  • Technique
  • Technological Innovation
  • Treatment
  • Ultrasound
  • Urinary tract infection
  • Vascular
July 2025
M T W T F S S
 123456
78910111213
14151617181920
21222324252627
28293031  
« Jun    

Tags

academic medicine adult epilepsy AKU alumni survey anthropometrics ASD augmented reality BMC Med Educ BMI brain cancer brain_abscess callosotomy case lessons case report case_report CHCHD2P9 chromoblastomycosis collective bargaining cross‐sectional study cytokines dematiaceous_fungi disc herniation DRPLA early-onset scoliosis EHR database epidemiology epidural blood patch epilepsy erector spinae female neurosurgeon GAP_score genomics glioblastoma glioma height histopathology Hungary IDH1 IDH2 imaging integration immunocompromised incidence inflammatory biomarkers intramuscular hemangioma invasive_mycosis King Abdulaziz University L5-S1 long‑term careers lumbar spine MCGR mechanical_complications medulloblastoma Mendelian randomization molecular pathology neuroinflammation neurosurgery neurosurgical implications osteoarthritis pain outcomes palliative neurosurgery papilledema pediatric brain tumor pediatric neurosurgery pediatric spine pedicle screws PME posterior fusion prognosis pseudogene quality of life radiographic outcomes registry repeat CT resident unionization retrospective study Roussouly sagittal_alignment Sanger sequencing Saudi Arabia seizure freedom single-cell RNA-seq spinal surgery spine surgery Stroke surgical complications surgical planning Surgical Theater T4-L1-Hip-Axis trainee wellbeing transcriptomics TriNetX tumor heterogeneity vascular tumor virtual reality β-catenin

  1. The Mission on A national study of neurosurgical residency competency developmentJune 21, 2025

    What Neurosurgery Wiki is doing here is deeply flawed. Turning a study like this into a spectacle of intellectual superiority—dressed…

  2. John on Global burden and trend of stroke attributable to metabolic risks among young adults (20–39 years old) from 1990 to 2021June 18, 2025

    Liu et al. offer a valuable overview of the growing impact of metabolic risk factors on stroke in young adults,…

© 2025 Neurosurgery Wiki. All rights reserved. Privacy Policy | Contact