Risk factors for postoperative sympathetic chain dysfunction following oblique lateral lumbar interbody fusion: a multivariate analysis
- 23.05.2023
- Original Article
Erschienen in:
- Verfasst von
- Long Zhao
- Wei Hou
- Huagang Shi
- Wenbin Jiang
- Min Cao
- Dun Wan
- Erschienen in
- European Spine Journal | Ausgabe 7/2023
Abstract
Purpose
Postoperative sympathetic chain dysfunction (PSCD) was a relatively common complication after anterior lumbar interbody fusion due to the manipulation adjacent to the lumbar sympathetic chain (LSC). This study aimed to investigate the incidence of PSCD and identify its related independent risk factors after oblique lateral lumbar interbody fusion (OLIF) surgery.
Methods
PSCD was defined as either of the following in the affected lower limb compared to the contralateral: (1) increase in skin temperature by 1 ºC or more, (2) reduced skin perspiration, (3) limb swelling or skin discoloration. Consecutive patients who underwent OLIF at L4/5 level from February 2018 and May 2022 at a single institution were retrospectively reviewed and divided into two groups: patients with PSCD and patients without PSCD. Binary logistic regression analyses were performed on patients’ demographic, comorbidities, radiological datum and perioperative factors to identify independent risk factors for PSCD.
Results
Twelve (5.7%) of 210 patients experienced PSCD following OLIF surgery. Multivariate logistic regression analysis identified the identification of lumbar dextroscoliosis (OR = 7.907, P = 0.012) and the presence of “tear-drop” psoas (OR = 7.216, P = 0.011) as independent risk factors for the PSCD following OLIF.
Conclusion
This study identified the lumbar dextroscoliosis and the “tear-drop” psoas as independent risk factors for the development of PSCD after OLIF. Spine alignment examination and the morphological identification of psoas major muscle should be highly noticed for the PSCD prevention following OLIF.
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- Titel
- Risk factors for postoperative sympathetic chain dysfunction following oblique lateral lumbar interbody fusion: a multivariate analysis
- Verfasst von
-
Long Zhao
Wei Hou
Huagang Shi
Wenbin Jiang
Min Cao
Dun Wan
- Publikationsdatum
- 23.05.2023
- Verlag
- Springer Berlin Heidelberg
- Erschienen in
-
European Spine Journal / Ausgabe 7/2023
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932 - DOI
- https://doi.org/10.1007/s00586-023-07761-x
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