Complications in Elderly Patients Undergoing Lumbar Arthrodesis for Spinal Stenosis
| Autor: | Xiangyao Sun, Chao Kong, Xiangyu Li, Ma-Chao Guo, Shibao Lu, Jun-Zhe Ding |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Spinal stenosis Arthrodesis medicine.medical_treatment Operative Time Blood Loss Surgical Comorbidity Logistic regression Body Mass Index 03 medical and health sciences Postoperative Complications Spinal Stenosis 0302 clinical medicine Lumbar Pedicle Screws Risk Factors Humans Surgical Wound Infection Medicine Risk factor Aged Aged 80 and over Hypoproteinemia Lumbar Vertebrae business.industry Pneumonia Perioperative Length of Stay medicine.disease Surgery Logistic Models Spinal Fusion 030220 oncology & carcinogenesis Female Neurology (clinical) business Complication Body mass index 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 132:e949-e955 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2019.06.147 |
| Popis: | To report the perioperative complication rates in elderly patients undergoing lumbar arthrodesis and to analyze the risk factors.Between September 2015 and June 2018, 215 patients aged ≥70 underwent posterior lumbar arthrodesis with pedicle screw fixation. Demographic data including age, gender, smoking status, body mass index (BMI) and preoperative comorbidities were collected. Operative records as the number of levels fused, estimated blood loss, time of surgery, and the occurrence of perioperative complications were reviewed. Risk factors of perioperative complications were determined by logistic regression analysis.The total perioperative complication rate in all patients was 30.2%, of which major complications occurred in 24 patients (11.2%) and minor complications occurred in 41 patients (19.1%). Two risk factors of perioperative complications (major or minor) were chosen: BMI (cutoff value 24.32) and surgical level (≥3). Lower surgical level (≥3) and smaller BMI were risk factors for perioperative minor complications, and major complication was affected only by surgical level (≥3).The risk factor of perioperative complication in elderly patients after lumbar arthrodesis was fusion segment (≥3), and BMI was a protective factor. Elderly patients with BMI24.32 are more likely to have perioperative complications after lumbar arthrodesis. |
| Databáze: | OpenAIRE |
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