Associated factors of patients with spinal stenosis who undergo reoperation after a posterior lumbar spinal fusion in a Hispanic-American population
| Autor: | Christian Nieves-Ríos, Gerardo Olivella, José Massanet-Volrath, José Montañez-Huertas, José Acosta-Julbe, Enrique Escobar, Miguel Cartagena, José C. Pérez-López, Norman Ramirez |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Spinal stenosis medicine.medical_treatment Population Hispanic american Hematoma Spinal Stenosis Medicine Humans Orthopedics and Sports Medicine education Retrospective Studies education.field_of_study Lumbar Vertebrae business.industry Epidural steroid injection Lumbar spinal stenosis Hispanic or Latino medicine.disease United States Surgery Posterolateral fusion Spinal Fusion Steroids business Lumbar spinal fusion |
| Zdroj: | European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 32(8) |
| ISSN: | 1432-1068 |
| Popis: | Purpose The aim of this study was to evaluate the associated factors of patients with LSS who undergo reoperation after a PLSF in a Hispanic-American population. Methods A retrospective single-center review was performed from all non-age-related Hispanic-Americans with LSS who underwent one or two-level PLSF from 2008 to 2018. Baseline characteristics were analyzed between the reoperation and no-reoperation group using a bivariate and multivariate analyses. Results Out of 425 patients who underwent PLSF, 38 patients underwent reoperation. At a two-year follow-up, the reoperation rate was 6.1% (26/425), mostly due to pseudoarthrosis (39.5%), recurrent stenosis (26.3%), new condition (15.8%), infection (10.5%), hematoma (5.3%), and dural tear (2.6%). Patients who underwent reoperation were more likely to have a preoperative history of epidural steroid injection (ESI) (OR 5.18, P = 0.009), four or more comorbidities (OR 2.69, P = 0.028), and operated only with a posterolateral fusion without intervertebral fusion (OR 2.15, P = 0.032). Finally, the multivariable analysis showed that ESI was the only independent associated factor in patients who underwent reoperation after a PLSF in our group. Conclusion Among this population who underwent surgery, a reoperation rate at two years of follow-up was less than ten percent. Our study did not find any associated factor inherent to Hispanic-Americans, as ethnic group, who were reoperated after LSS. |
| Databáze: | OpenAIRE |
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