Osteopenia and Sarcopenia as Potential Risk Factors for Surgical Site Infection after Posterior Lumbar Fusion: A Retrospective Study.

lumbar spinal fusion osteopenia risk factors sarcopenia surgical site infection

Journal

Microorganisms
ISSN: 2076-2607
Titre abrégé: Microorganisms
Pays: Switzerland
ID NLM: 101625893

Informations de publication

Date de publication:
26 Sep 2022
Historique:
received: 23 08 2022
revised: 18 09 2022
accepted: 22 09 2022
entrez: 27 10 2022
pubmed: 28 10 2022
medline: 28 10 2022
Statut: epublish

Résumé

Surgical site infection (SSI) is a feared complication in spinal surgery, that leads to lower outcomes and increased healthcare costs. Among its risk factors, sarcopenia and osteopenia have recently attracted particular interest. The purpose of this article is to evaluate the influence of sarcopenia and osteopenia on the postoperative infection rate in patients treated with posterior fusion for degenerative diseases of the lumbar spine. This retrospective study included data from 308 patients. Charts were reviewed and central sarcopenia and osteopenia were evaluated through magnetic resonance images (MRI), measuring the psoas to lumbar vertebral index (PLVI) and the M score. Multivariate linear regression was performed to identify independent risk factors for infection. The postoperative SSI rate was 8.4%. Patients with low PLVI scores were not more likely to experience postoperative SSI (

Identifiants

pubmed: 36296182
pii: microorganisms10101905
doi: 10.3390/microorganisms10101905
pmc: PMC9607357
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Orthop Traumatol Surg Res. 2012 Nov;98(7):788-94
pubmed: 23044465
Age Ageing. 2014 Nov;43(6):748-59
pubmed: 25241753
Spine (Phila Pa 1976). 2017 Jul 1;42(13):979-983
pubmed: 27831968
Age Ageing. 2019 Jan 1;48(1):16-31
pubmed: 30312372
Spine (Phila Pa 1976). 2016 Dec 15;41(24):1933-1938
pubmed: 27275579
Spine J. 2014 Sep 1;14(9):2112-7
pubmed: 24456678
Eur J Clin Nutr. 2008 Jun;62(6):802-9
pubmed: 17637603
Neurosurg Focus. 2015 Oct;39(4):E5
pubmed: 26424345
Bone. 2000 Nov;27(5):585-90
pubmed: 11062343
Eur Spine J. 2014 Apr;23 Suppl 1:S66-71
pubmed: 24458936
Spinal Cord. 2018 May;56(5):426-435
pubmed: 29209025
Ageing Res Rev. 2015 May;21:55-70
pubmed: 25804855
Calcif Tissue Int. 2017 Aug;101(2):111-131
pubmed: 28324124
Mol Cell Endocrinol. 2016 Sep 5;432:14-36
pubmed: 26506009
Orthopedics. 2016 Nov 1;39(6):e1159-e1164
pubmed: 27536954
World Neurosurg. 2018 Apr;112:e548-e554
pubmed: 29360585
Spine (Phila Pa 1976). 2012 Jul 1;37(15):1340-5
pubmed: 22210012
World Neurosurg. 2016 Nov;95:548-555.e4
pubmed: 27544340
Arch Intern Med. 2008 Feb 25;168(4):382-9
pubmed: 18299493
Eur J Trauma Emerg Surg. 2014 Feb;40(1):57-65
pubmed: 26815778
Spine J. 2016 Nov;16(11):1315-1323
pubmed: 27374110
Osteoporos Int. 2016 Feb;27(2):473-82
pubmed: 26243357
J Orthop Surg Res. 2017 Jul 19;12(1):116
pubmed: 28724387
Global Spine J. 2018 Sep;8(6):563-569
pubmed: 30202709
Front Endocrinol (Lausanne). 2019 Apr 24;10:255
pubmed: 31068903
J Arthroplasty. 2019 Jan;34(1):116-122
pubmed: 30337254
Neurosurg Focus. 2020 Aug;49(2):E6
pubmed: 32738806
Osteoporos Int. 2013 Jan;24(1):87-98
pubmed: 22776861
Reumatologia. 2015;53(6):328-36
pubmed: 27407266
Spine (Phila Pa 1976). 2016 Apr;41(7):577-84
pubmed: 27018898
Spine (Phila Pa 1976). 2020 Jun 15;45(12):837-842
pubmed: 32032322
Curr Osteoporos Rep. 2014 Jun;12(2):142-53
pubmed: 24633910
Spine (Phila Pa 1976). 2015 Jun 15;40(12):909-16
pubmed: 25785964
J Bone Joint Surg Am. 2011 Sep 7;93(17):1627-33
pubmed: 21915578
Curr Opin Clin Nutr Metab Care. 2016 Jan;19(1):31-6
pubmed: 26418824

Auteurs

Alberto Ruffilli (A)

1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Marco Manzetti (M)

1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Tosca Cerasoli (T)

1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Francesca Barile (F)

1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Giovanni Viroli (G)

1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Matteo Traversari (M)

1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Francesca Salamanna (F)

Complex Structure Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Milena Fini (M)

Scientific Direction, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Cesare Faldini (C)

1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Classifications MeSH