Symptomatic postoperative spinal epidural hematoma after spine tumor surgery: Incidence, clinical features, and risk factors
| Autor: | Jianru Xiao, Xin Gao, Yujie Liu, Wei Wan, Dong Lianfeng, Yuechao Zhao, Yang Jiaxiang, Tielong Liu, Cao Jiashi, Lin Li |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Adolescent Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Hematoma Postoperative Complications Risk Factors Medicine Humans Spinal Cord Neoplasms Young adult Pathological Aged Retrospective Studies business.industry Medical record Incidence (epidemiology) Incidence Retrospective cohort study General Medicine Middle Aged medicine.disease Hematoma Epidural Spinal Surgery Neurology Cohort Female Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery Cohort study |
| Zdroj: | Spinal cord. 57(8) |
| ISSN: | 1476-5624 |
| Popis: | Study design Case-control study. Objectives The objective of this study was to provide some useful information concerning the incidence, clinical features, and risk factors for symptomatic postoperative spinal epidural hematoma (SPSEH) in an isolated cohort of patients undergoing spine tumor surgery. Setting Hospital in Shanghai, China. Methods We retrospectively reviewed all patients who underwent surgery for spine tumors between August 2012 and August 2017, and conducted a case-control study involving 16 patients who received evacuation surgery due to SPSEH after spine tumor surgery and 48 controls without SPSEH. Case and control subjects were matched at 1:3 by pathological diagnosis, tumor size (±1 cm), resection mode, surgical approach, and the operation team. Data of SPSEH subjects along with 48 matched controls were further obtained from a detailed review of the medical records. Univariate and multivariate analyses were conducted to identify the risk factors for developing SPSEH. Results SPSEH evacuation surgery was performed after 16 of 5421 (0.30%) spine tumor surgeries. Angiogenic tumors were the most susceptible tumors developing SPSEH. Very large hematomas, continuous blood loss, and delayed hematomas were characteristic clinical presentations for SPSEH after spine tumor surgery. Multiple logistic regression analysis suggested that patients suffering from at least one medical comorbidity and patients with Frankel grade of A-C had a significantly higher risk of developing SPSEH. Conclusions The incidence of SPSEH after spine tumor surgery requiring surgical evacuation was 0.30%. Medical comorbidity and Frankel grade were identified as independent risk factors for SPSEH development. |
| Databáze: | OpenAIRE |
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