Acute complications in open/miss primary and revision thoracolumbar spine surgery: a descriptive study of the most common complications and treatment of choice
- 29.11.2023
- Original Paper
Erschienen in:
- Verfasst von
- Alberto Planas Gil
- Alfredo Chárlez Marco
- Antonio Loste Ramos
- Diego Peña Jiménez
- Facundo Rojas Tomba
- Enrique Suñén Sánchez
- Marina Angulo Tabernero
- Antonio Tabuenca Sánchez
- Erschienen in
- International Orthopaedics | Ausgabe 2/2024
Abstract
Purpose
Main question
The aim of this study is to describe and analyze the frequency of acute perioperative (intraoperatively and 30 days after) complications of open/MISS thoracolumbar spine surgery.
Secondary questions
A)
Describe the treatment of choice for every kind of complication mentioned.
B)
Perform a bibliographic search and compare the complications described and their frequency with those studied in the manuscript.
Methods
A retrospective cohort of 816 patients undergoing spinal surgery over a two year period was analyzed. Acute complications of 59 patients are described whether those with a greater number of levels required longer periods of hospitalization.
Results
The frequency of acute complications was 7.2%. The most common was infection (2.7%), followed by dural tear (1.7%), and screw malpositioning (1%), which is consistent with the current literature. No statistically significant results were observed when comparing the mean length of hospital stay among patients operated on a greater number of levels compared to the rest (P: 0.344; 95% CI: -3.88–10.93).
Conclusions
The subsidiary patient of spinal surgery is getting older and has more comorbidities, and therefore, has a higher risk of complications. Although there are models predicting the risk of complications, they are not used in routine clinical practice. It would be necessary to unify the main criteria and establish guidelines for risk detection and therapeutic algorithms based on new high-quality studies.
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- Titel
- Acute complications in open/miss primary and revision thoracolumbar spine surgery: a descriptive study of the most common complications and treatment of choice
- Verfasst von
-
Alberto Planas Gil
Alfredo Chárlez Marco
Antonio Loste Ramos
Diego Peña Jiménez
Facundo Rojas Tomba
Enrique Suñén Sánchez
Marina Angulo Tabernero
Antonio Tabuenca Sánchez
- Publikationsdatum
- 29.11.2023
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
International Orthopaedics / Ausgabe 2/2024
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195 - DOI
- https://doi.org/10.1007/s00264-023-06047-7
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