Risk Factors for Cerebrospinal Fluid Leak Following Anterior Cervical Discectomy and Fusion
| Autor: | Bhaveen H. Kapadia, Samuel I Decker, Neil V. Shah, Matthew R. Boylan, Carl B. Paulino |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Leak medicine.medical_specialty Adolescent Anterior cervical discectomy and fusion Myelopathy Young Adult Cerebrospinal fluid Risk Factors Cervical spondylosis medicine Humans Orthopedics and Sports Medicine Child Aged Cerebrospinal fluid leak Cerebrospinal Fluid Leak business.industry Infant Newborn Infant Retrospective cohort study Middle Aged medicine.disease Surgery Spinal Fusion Child Preschool Cervical Vertebrae Female Neurology (clinical) business Complication Diskectomy |
| Zdroj: | Clinical spine surgery. 32(2) |
| ISSN: | 2380-0194 |
| Popis: | STUDY DESIGN/SETTING This was a retrospective cohort study. PURPOSE The purpose of this study was to examine the association between postoperative cerebrospinal fluid (CSF) leak and anterior cervical discectomy and fusion (ACDF). Specifically, we evaluated: (1) demographic risk factors; (2) comorbid risk factors; (3) indications for surgery; and (4) lengths of stay. SUMMARY OF BACKGROUND DATA CSF leak is a rare but serious complication of ACDF. Currently, there is a paucity of literature describing the risk factors for CSF leak following ACDF. METHODS The Nationwide Inpatient Sample was used to identify all patients who underwent cervical fusion using the anterior approach with excision of intervertebral disc between 1998 and 2010. Patients who had a diagnosis of ossification of the posterior longitudinal ligament in the cervical region were excluded. All patients who had a CSF leak were identified. Demographics and comorbidities were compared via χ analysis, and logistic regression to calculate the odds of having a CSF leak. RESULTS Of the 1,261,140 patients identified, 3048 patients (0.24%) had a postoperative CSF leak. Patients who were between the ages of 55 and 69 years (P=0.038) and 70 years or older (P=0.001) were at an increased risk of CSF leak compared with patients who were aged 40-54 years. Non-white race (P=0.021), obesity, (P |
| Databáze: | OpenAIRE |
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