[Peak timing for complications after spine surgery].
Komplikationen im zeitlichen Verlauf nach einer operativen Wirbelsäulenversorgung.
Aftercare
Prosthesis failure
Spine surgery
Spondylodesis
Wound infection
Journal
Der Orthopade
ISSN: 1433-0431
Titre abrégé: Orthopade
Pays: Germany
ID NLM: 0331266
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
pubmed:
28
7
2019
medline:
15
1
2020
entrez:
27
7
2019
Statut:
ppublish
Résumé
Spine surgeries can pose many complications; however, peak timing of post-operative complications in the field of spine surgery is still not sufficiently delineated in the literature as yet. Nevertheless the determination of peak timing of post-operative complications has a significant influence on patient education and post-operative follow-up. This single-center study analyzed the medical records of 1179 patients that underwent spinal instrumentation between 2010 and 2015 at 3, 6, 12, 24 and 36 months postoperatively. Complications were analyzed according to their time of onset. Of the 1179 patients included, 199 (16.9%) underwent revision surgery due to a complication. Peak timing for complications (72.9%) occurred within the first 3 months after surgery. Infection was the most common reason for revision surgery (42.7%) and most infections occurred within the first 3 months after surgery (early infections) (91.8% of infections). Peak timing for material failure occurred in the second post-operative year (46% of all detected prosthesis failures) (2.5% of all complications). Peak timing of post-operative complications post spinal instrumentation occurs as early on as within the first 3 months after surgery and post-operative infections remain the most common post-operative complication overall. Nonetheless, regular and long-term postoperative clinical and radiological follow-up is crucial, since in particular prosthesis failure has its peak timing in the second post-operative year.
Sections du résumé
BACKGROUND
BACKGROUND
Spine surgeries can pose many complications; however, peak timing of post-operative complications in the field of spine surgery is still not sufficiently delineated in the literature as yet. Nevertheless the determination of peak timing of post-operative complications has a significant influence on patient education and post-operative follow-up.
MATERIALS AND METHODS
METHODS
This single-center study analyzed the medical records of 1179 patients that underwent spinal instrumentation between 2010 and 2015 at 3, 6, 12, 24 and 36 months postoperatively. Complications were analyzed according to their time of onset.
RESULTS
RESULTS
Of the 1179 patients included, 199 (16.9%) underwent revision surgery due to a complication. Peak timing for complications (72.9%) occurred within the first 3 months after surgery. Infection was the most common reason for revision surgery (42.7%) and most infections occurred within the first 3 months after surgery (early infections) (91.8% of infections). Peak timing for material failure occurred in the second post-operative year (46% of all detected prosthesis failures) (2.5% of all complications).
DISCUSSION
CONCLUSIONS
Peak timing of post-operative complications post spinal instrumentation occurs as early on as within the first 3 months after surgery and post-operative infections remain the most common post-operative complication overall. Nonetheless, regular and long-term postoperative clinical and radiological follow-up is crucial, since in particular prosthesis failure has its peak timing in the second post-operative year.
Identifiants
pubmed: 31346644
doi: 10.1007/s00132-019-03770-1
pii: 10.1007/s00132-019-03770-1
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
39-58Références
Neurosurgery. 2011 Jul;69(1):164-72; discussion 172
pubmed: 21336218
Spine (Phila Pa 1976). 2012 Nov 1;37(23):1975-82
pubmed: 22498991
Eur Spine J. 2016 Dec;25(12):3902-3907
pubmed: 27026016
Acta Orthop. 2010 Dec;81(6):667-73
pubmed: 20919816
Int J Spine Surg. 2017 Jun 28;11:20
pubmed: 28765804
Spine (Phila Pa 1976). 2010 Jun 1;35(13):1323-8
pubmed: 20150831
Orthopade. 2018 Apr;47(4):288-295
pubmed: 29556679
J Orthop Sci. 2013 Nov;18(6):926-31
pubmed: 24037338
Spine (Phila Pa 1976). 2016 Jul 15;41(14):E879-86
pubmed: 27398796
Rev Chir Orthop Reparatrice Appar Mot. 2000 Jun;86(4):335-45
pubmed: 10880933
Neurochirurgie. 1997;43(4):220-7
pubmed: 9686224
Case Rep Surg. 2015;2015:321682
pubmed: 26185703
Spine (Phila Pa 1976). 2011 May 1;36(10):817-24
pubmed: 20683385
J Neurosurg. 1995 Jul;83(1):1-7
pubmed: 7782824
Clin Neurol Neurosurg. 2018 Jun;169:161-165
pubmed: 29702425
Korean J Spine. 2016 Jun;13(2):47-52
pubmed: 27437012
J Neurosurg Spine. 2014 Dec;21(6):994-1003
pubmed: 25325175
South Med J. 2010 Jan;103(1):25-30
pubmed: 19996837
Orthop Surg. 2018 May;10(2):89-97
pubmed: 29770586
Spine (Phila Pa 1976). 2017 Mar 15;42(6):420-427
pubmed: 27398890
Spine (Phila Pa 1976). 2014 Oct 15;39(22):1875-80
pubmed: 25077909
Nagoya J Med Sci. 2017 Nov;79(4):545-550
pubmed: 29238110
Spine (Phila Pa 1976). 2008 Jun 1;33(13):E400-6
pubmed: 18520925
J Neurosurg Spine. 2016 Jul;25(1):1-14
pubmed: 26918574
Spine (Phila Pa 1976). 2008 Jan 1;33(1):108-13
pubmed: 18165756
Orthopade. 2018 Apr;47(4):301-309
pubmed: 29445843
Neurosurg Focus. 2014;37(1):E8
pubmed: 24981907
J Bone Joint Surg Am. 1989 Jan;71(1):32-44
pubmed: 2913001
Ther Clin Risk Manag. 2017 Sep 20;13:1239-1245
pubmed: 29033574
Clin Neurol Neurosurg. 2013 Sep;115(9):1766-9
pubmed: 23622935
J Orthop Trauma. 2017 Apr;31 Suppl 1:S18-S24
pubmed: 28323797
Spine (Phila Pa 1976). 2004 Sep 15;29(18):1996-2005
pubmed: 15371700
Eur Spine J. 2014 Oct;23 Suppl 6:610-5
pubmed: 25238797
J Biomech Eng. 2015 Dec;137(12):121003
pubmed: 26502116
J Spinal Disord. 1998 Oct;11(5):440-3
pubmed: 9811105
Eur Spine J. 2018 Oct;27(10):2529-2535
pubmed: 29654369
Neurosurgery. 2012 Oct;71(4):862-7
pubmed: 22989960
Int J Spine Surg. 2015 Nov 19;9:65
pubmed: 26767157
Swiss Med Wkly. 2005 Apr 30;135(17-18):243-51
pubmed: 15965826
Spine (Phila Pa 1976). 2002 Aug 1;27(15):1670-3
pubmed: 12163731
Spine (Phila Pa 1976). 2006 Sep 15;31(20):2329-36
pubmed: 16985461
J Bone Joint Surg Br. 1997 Mar;79(2):183-9
pubmed: 9119839
J Bone Jt Infect. 2018 Aug 10;3(4):173-181
pubmed: 30155402
Arch Orthop Trauma Surg. 2016 Aug;136(8):1063-7
pubmed: 27312862
World Neurosurg. 2018 Jul;115:e509-e515
pubmed: 29689393
Spine (Phila Pa 1976). 2003 Oct 15;28(20):S125-38
pubmed: 14560184
Eur Spine J. 2013 Nov;22 Suppl 6:S853-8
pubmed: 24061972
Spine (Phila Pa 1976). 2001 Aug 1;26(15):1668-72
pubmed: 11474353
Orthopade. 2018 Apr;47(4):296-300
pubmed: 29435595
Spine (Phila Pa 1976). 2017 Feb 15;42(4):267-274
pubmed: 28207669
Spine (Phila Pa 1976). 2015 Dec;40(24):E1257-63
pubmed: 26208230
J Bone Joint Surg Am. 1978 Sep;60(6):799-805
pubmed: 701314
Spine (Phila Pa 1976). 2007 Nov 15;32(24):2764-70
pubmed: 18007258