Complication Avoidance in Spine Surgery.
Cerebrospinal fluid leakage
Complication
Implant failure
Neurological deterioration
Postoperative infection
Pseudoarthrosis
Spine surgery
Vascular injury
Journal
Acta neurochirurgica. Supplement
ISSN: 0065-1419
Titre abrégé: Acta Neurochir Suppl
Pays: Austria
ID NLM: 100962752
Informations de publication
Date de publication:
2023
2023
Historique:
medline:
8
8
2023
pubmed:
7
8
2023
entrez:
7
8
2023
Statut:
ppublish
Résumé
The outcomes of spine surgery are closely related to postoperative morbidity. Therefore, an experienced surgeon must be aware of various complications and should apply all necessary preventive measures to avoid them. It is widely considered that complications of spine surgery are underreported and that their real incidence is much higher than expected. This review highlights methods to prevent various types of morbidity that may be encountered during different spinal procedures, considering general complications, approach-related complications, fusion- and implant-related complications, and systemic complications.
Identifiants
pubmed: 37548734
doi: 10.1007/978-3-030-12887-6_18
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
141-156Informations de copyright
© 2023. Springer Nature Switzerland AG.
Références
Zileli M, Benzel EC. Preoperative and surgical planning for avoiding complications. In: Steinmetz MP, Benzel EC, editors. Benzel’s spine surgery: techniques, complication avoidance, and management. 4th ed. Philadelphia: Elsevier; 2017. p. 210–8.
Nasser R, Yadla S, Maltenfort MG, Harrop JS, Anderson DG, Vaccaro AR, Sharan AD, Ratliff JK. Complications in spine surgery. J Neurosurg Spine. 2010;13:144–57.
pubmed: 20672949
doi: 10.3171/2010.3.SPINE09369
Smith JS, Fu KM, Polly DW Jr, Sansur CA, Berven SH, Broadstone PA, Choma TJ, Goytan MJ, Noordeen HH, Knapp DR Jr, Hart RA, Donaldson WF 3rd, Perra JH, Boachie-Adjei O, Shaffrey CI. Complication rates of three common spine procedures and rates of thromboembolism following spine surgery based on 108,419 procedures: a report from the Scoliosis Research Society Morbidity and Mortality Committee. Spine (Phila Pa 1976). 2010;35:2140–9.
pubmed: 20581760
doi: 10.1097/BRS.0b013e3181cbc8e7
Mannion AF, Fekete TF, O’Riordan D, Porchet F, Mutter UM, Jeszenszky D, Lattig F, Grob D, Kleinstueck FS. The assessment of complications after spine surgery: time for a paradigm shift? Spine J. 2013;13:615–24.
pubmed: 23523445
doi: 10.1016/j.spinee.2013.01.047
Braughler JM, Hall ED. Current application of “high-dose” steroid therapy for CNS injury. A pharmacological perspective. J Neurosurg. 1985;62:806–10.
pubmed: 3998828
doi: 10.3171/jns.1985.62.6.0806
Glattes RC, Bridwell KH, Lenke LG, Kim YJ, Rinella A, Edwards C 2nd. Proximal junctional kyphosis in adult spinal deformity following long instrumented posterior spinal fusion: incidence, outcomes, and risk factor analysis. Spine (Phila Pa 1976). 2005;30:1643–9.
pubmed: 16025035
doi: 10.1097/01.brs.0000169451.76359.49
Hall ED, Wolf DL, Braughler JM. Effects of a single large dose of methylprednisolone sodium succinate on experimental posttraumatic spinal cord ischemia. Dose–response and time–action analysis. J Neurosurg. 1984;61:124–30.
pubmed: 6374068
doi: 10.3171/jns.1984.61.1.0124
Cammisa FP Jr, Girardi FP, Sangani PK, Parvataneni HK, Cadag S, Sandhu HS. Incidental durotomy in spine surgery. Spine (Phila Pa 1976). 2000;25:2663–7.
pubmed: 11034653
doi: 10.1097/00007632-200010150-00019
Jones AA, Stambough JL, Balderston RA, Rothman RH, Booth RE Jr. Long-term results of lumbar spine surgery complicated by unintended incidental durotomy. Spine (Phila Pa 1976). 1989;14:443–6.
pubmed: 2718049
doi: 10.1097/00007632-198904000-00021
Wang JC, Bohlman HH, Riew KD. Dural tears secondary to operations on the lumbar spine. Management and results after a two-year-minimum follow-up of eighty-eight patients. J Bone Joint Surg Am. 1998;80:1728–32.
pubmed: 9875930
doi: 10.2106/00004623-199812000-00002
Hlincik P, Nowitzke A. Rapid fluctuations in conscious state in a patient with an extensive spinal dural fistula. J Clin Neurosci. 2005;12:717–20.
pubmed: 16098750
doi: 10.1016/j.jocn.2004.09.014
Sciubba DM, Kretzer RM, Wang PP. Acute intracranial subdural hematoma following a lumbar CSF leak caused by spine surgery. Spine (Phila Pa 1976). 2005;30:E730–2.
pubmed: 16371890
doi: 10.1097/01.brs.0000192208.66360.29
Chang HS, Kondo S, Mizuno J, Nakagawa H. Airway obstruction caused by cerebrospinal fluid leakage after anterior cervical spine surgery. A report of two cases. J Bone Joint Surg Am. 2004;86:370–2.
pubmed: 14960684
doi: 10.2106/00004623-200402000-00023
Ducker TB. Cervical radiculopathies and myelopathies: posterior approaches. In: Frymoyer JW, Ducker TB, Hadler NM, Kostuik JP, Weinstein JN, Whitecloud III TS, editors. The adult spine: principles and practice. New York: Raven; 1991. p. 1187–205.
Heller JG, Kim HS, Carlson GW. Subarachnoid–pleural fistulae—management with a transdiaphragmatic pedicled greater omental flap: report of two cases. Spine (Phila Pa 1976). 2001;26:1809–13.
pubmed: 11493856
doi: 10.1097/00007632-200108150-00018
Kassam A, Horowitz M, Carrau R, Snyderman C, Welch W, Hirsch B, Chang YF. Use of Tisseel fibrin sealant in neurosurgical procedures: incidence of cerebrospinal fluid leaks and cost–benefit analysis in a retrospective study. Neurosurgery. 2003;52:1102–5.
pubmed: 12699553
Nakamura H, Matsuyama Y, Yoshihara H, Sakai Y, Katayama Y, Nakashima S, Takamatsu J, Ishiguro N. The effect of autologous fibrin tissue adhesive on postoperative cerebrospinal fluid leak in spinal cord surgery: a randomized controlled trial. Spine (Phila Pa 1976). 2005;30:E347–51.
pubmed: 15990651
doi: 10.1097/01.brs.0000167820.54413.8e
McCormack BM, Zide BM, Kalfas IH. Cerebrospinal fluid fistula and pseudomeningocele after spine surgery. In: Benzel EC, editor. Spine surgery: techniques, complication avoidance, and management. 2nd ed. Philadelphia: Churchill Livingstone; 2005. p. 2033–42.
doi: 10.1016/B978-0-443-06616-0.50161-9
Jampol LM, Goldbaum M, Rosenberg M, Bahr R. Ischemia of ciliary arterial circulation from ocular compression. Arch Ophthalmol. 1975;93:1311–7.
pubmed: 1200896
doi: 10.1001/archopht.1975.01010020945003
Mosdal C. Cervical osteochondrosis and disc herniation. Eighteen years’ use of interbody fusion by Cloward’s technique in 755 cases. Acta Neurochir (Wien). 1984;70:207–25.
pubmed: 6711365
doi: 10.1007/BF01406650
Robinson RA, Walker AE, Ferlic DC, Wiecking DK. The results of anterior interbody fusion of the cervical spine. J Bone Joint Surg Am. 1962;44:1569–87.
doi: 10.2106/00004623-196244080-00007
Mirovsky Y, Neuwirth M. Injuries to the lateral femoral cutaneous nerve during spine surgery. Spine (Phila Pa 1976). 2000;25:1266–9.
pubmed: 10806504
doi: 10.1097/00007632-200005150-00011
Roberts MP. Complications of positioning for neurosurgical operations on the spine. In: Tarlov EC, editor. Complications of spinal surgery. Park Ridge: AANS Publication Committee; 1991. p. 1–13.
Dempsey R, Rapp RP, Young B, Johnston S, Tibbs P. Prophylactic parenteral antibiotics in clean neurosurgical procedures: a review. J Neurosurg. 1988;69:52–7.
pubmed: 3288725
doi: 10.3171/jns.1988.69.1.0052
Haines SJ. Systemic antibiotic prophylaxis in neurological surgery. Neurosurgery. 1980;6:355–61.
pubmed: 6993984
Savitz MH, Katz SS. Rationale for prophylactic antibiotics and neurosurgery. Neurosurgery. 1981;9:142–4.
pubmed: 7266811
doi: 10.1227/00006123-198108000-00005
Shapiro M, Wald U, Simchen E, Pomeranz S, Zagzag D, Michowiz SD, Samuel-Cahn E, Wax Y, Shuval R, Kahane Y, Sachs T, Shalit M. Randomized clinical trial of intra-operative antimicrobial prophylaxis of infection after neurosurgical procedures. J Hosp Infect. 1986;8:283–95.
pubmed: 2878034
doi: 10.1016/0195-6701(86)90125-8
Apfelbaum RI, Kriskovich MD, Haller JR. On the incidence, cause, and prevention of recurrent laryngeal nerve palsies during anterior cervical spine surgery. Spine (Phila Pa 1976). 2000;25:2906–12.
pubmed: 11074678
doi: 10.1097/00007632-200011150-00012
Benzel EC, editor. Surgical exposure of the spine: an extensile approach. Park Ridge: AANS Publication Committee; 1995.
Connolly ES, Seymour RJ, Adams JE. Clinical evaluation of anterior cervical fusion for degenerative cervical disc disease. J Neurosurg. 1965;23:431–7.
pubmed: 5852400
doi: 10.3171/jns.1965.23.4.0431
Saunders RL. Anterior reconstructive procedures in cervical spondylotic myelopathy. Clin Neurosurg. 1991;37:682–721.
pubmed: 2009714
Menezes AH. Surgical approaches to the cranio-vertebral junction. In: Frymoyer JW, Ducker TB, Hadler NM, Kostuik JP, Weinstein JN, Whitecloud II TS, editors. The adult spine: principles and practice. New York: Raven; 1991. p. 967–85.
Been HD, Kalkman CJ, Traast HS, Ongerboer de Visser BW. Neurologic injury after insertion of laminar hooks during Cotrel–Dubousset instrumentation. Spine (Phila Pa 1976). 1994;19:1402–5.
pubmed: 8066524
doi: 10.1097/00007632-199406000-00017
Batzdorf U, Batzdorff A. Analysis of cervical spine curvature in patients with cervical spondylosis. Neurosurgery. 1988;22:827–36.
pubmed: 3380271
doi: 10.1227/00006123-198805000-00004
Riley LH 3rd, Vaccaro AR, Dettori JR, Hashimoto R. Postoperative dysphagia in anterior cervical spine surgery. Spine (Phila Pa 1976). 2010;35(9 Suppl):S76–85.
pubmed: 20407354
doi: 10.1097/BRS.0b013e3181d81a96
Sundaresan N, DiGiancinto GV. Surgical considerations and approaches. In: Sundaresan N, Schmidek HH, Schiller AL, Rosenthal DI, editors. Tumors of the spine: diagnosis and clinical management. Philadelphia: Saunders; 1990. p. 358–79.
Saunders RL. On the pathogenesis of the radiculopathy complicating multilevel corpectomy. Neurosurgery. 1995;37:408–13.
pubmed: 7501103
doi: 10.1227/00006123-199509000-00006
Cardoso MJ, Koski TR, Ganju A, Liu JC. Approach-related complications after decompression for cervical ossification of the posterior longitudinal ligament. Neurosurg Focus. 2011;30(3):E12.
pubmed: 21361750
doi: 10.3171/2011.1.FOCUS10278
Matsuoka T, Yamaura I, Kurosa Y, Nakai O, Shindo S, Shinomiya K. Long-term results of the anterior floating method for cervical myelopathy caused by ossification of the posterior longitudinal ligament. Spine (Phila Pa 1976). 2001;26:241–8.
pubmed: 11224859
doi: 10.1097/00007632-200102010-00008
DePalma AF, Rothman RH, Lewinnek GE, Canale ST. Anterior interbody fusion for severe cervical disc degeneration. Surg Gynecol Obstet. 1972;134:755–8.
pubmed: 5031486
Zileli M, Çağlı S, Oran I, Kalayci M, Islekel S. Iatrogenic cervical vertebral artery pseudoaneurysm successfully treated by an endovascular approach: case report. J Spinal Surgery (India). 2009;1(3):46–9.
Cagli S, Isik HS, Zileli M. Cervical screw missing secondary to delayed esophageal fistula: case report. Turk Neurosurg. 2009;19:437–40.
pubmed: 19847769
Sharma RR, Sethu AU, Lad SD, Turel KE, Pawar SJ. Pharyngeal perforation and spontaneous extrusion of the cervical graft with its fixation device: a late complication of C2–C3 fusion via anterior approach. J Clin Neurosci. 2001;8:464–8.
pubmed: 11535022
doi: 10.1054/jocn.2000.0826
Ebraheim NA, Lu J, Yang H, Heck BE, Yeasting RA. Vulnerability of the sympathetic trunk during the anterior approach to the lower cervical spine. Spine (Phila Pa 1976). 2000;25:1603–6.
pubmed: 10870134
doi: 10.1097/00007632-200007010-00002
Whitecloud TS, Kelley LA. Anterior and posterior surgical approaches to the cervical spine. In: Frymoyer JW, Ducker TB, Hadler NM, Kostuik JP, Weinstein JN, Whitecloud III TS, editors. The adult spine: principles and practice. New York: Raven; 1991. p. 987–1013.
Watkins RG. Cervical, thoracic and lumbar complications—anterior approach. In: Garfin SR, editor. Complications of spine surgery. Baltimore: Lippincott Williams & Wilkins; 1989. p. 29–52.
Tarlov EC. Major vascular injury secondary to spine surgery. In: Tarlov EC, editor. Complications of spinal surgery. Park Ridge: AANS Publication Committee; 1991. p. 23–7.
Resnick DK, Benzel EC. Lateral extracavitary approach for thoracic and thoracolumbar spine trauma: operative complications. Neurosurgery. 1998;43:796–803.
pubmed: 9766306
doi: 10.1097/00006123-199810000-00041
Anda S, Aakhus S, Skaanes KO, Sande E, Schrader H. Anterior perforations in lumbar discectomies. A report of four cases of vascular complications and a CT study of the prevertebral lumbar anatomy. Spine (Phila Pa 1976). 1991;16:54–60.
pubmed: 2003238
doi: 10.1097/00007632-199101000-00011
Than KD, Wang AC, Rahman SU, Wilson TJ, Valdivia JM, Park P, La Marca F. Complication avoidance and management in anterior lumbar interbody fusion. Neurosurg Focus. 2011;31(4):E6.
pubmed: 21961869
doi: 10.3171/2011.7.FOCUS11141
Zdeblick TA. The treatment of degenerative lumbar disorders. A critical review of the literature. Spine (Phila Pa 1976). 1995;20(24 Suppl):126S–37S.
pubmed: 8747267
doi: 10.1097/00007632-199512151-00009
Flynn JC, Price CT. Sexual complications of anterior fusion of the lumbar spine. Spine (Phila Pa 1976). 1984;9:489–92.
pubmed: 6495012
doi: 10.1097/00007632-198407000-00013
O’Toole JE, Eichholz KM, Fessler RG. Surgical site infection rates after minimally invasive spinal surgery. J Neurosurg Spine. 2009;11:471–6.
pubmed: 19929344
doi: 10.3171/2009.5.SPINE08633
Hussain NS, Perez-Cruet MJ. Complication management with minimally invasive spine procedures. Neurosurg Focus. 2011;31(4):E2.
pubmed: 21961864
doi: 10.3171/2011.8.FOCUS11165
Perez-Cruet MJ, Fessler RG, Perin NI. Review: complications of minimally invasive spinal surgery. Neurosurgery. 2002;51(Suppl 2):S26–36.
pubmed: 12234427
Silva PS, Pereira P, Monteiro P, Silva PA, Vaz R. Learning curve and complications of minimally invasive transforaminal lumbar interbody fusion. Neurosurg Focus. 2013;35(2):E7.
pubmed: 23905958
doi: 10.3171/2013.5.FOCUS13157
Knight RQ, Schwaegler P, Hanscom D, Roh J. Direct lateral lumbar interbody fusion for degenerative conditions: early complication profile. J Spinal Disord Tech. 2009;22:34–7.
pubmed: 19190432
doi: 10.1097/BSD.0b013e3181679b8a
Cummock MD, Vanni S, Levi AD, Yu Y, Wang MY. An analysis of postoperative thigh symptoms after minimally invasive transpsoas lumbar interbody fusion. J Neurosurg Spine. 2011;15:11–8.
pubmed: 21476801
doi: 10.3171/2011.2.SPINE10374
Uribe JS, Arredondo N, Dakwar E, Vale FL. Defining the safe working zones using the minimally invasive lateral retroperitoneal transpsoas approach: an anatomical study. J Neurosurg Spine. 2010;13:260–6.
pubmed: 20672964
doi: 10.3171/2010.3.SPINE09766
Moreland DB, Landi MK, Grand W. Vertebroplasty: techniques to avoid complications. Spine J. 2001;1:66–71.
pubmed: 14588371
doi: 10.1016/S1529-9430(01)00013-4
Han S, Wan S, Ning L, Tong Y, Zhang J, Fan S. Percutaneous vertebroplasty versus balloon kyphoplasty for treatment of osteoporotic vertebral compression fracture: a meta-analysis of randomised and non-randomised controlled trials. Int Orthop. 2011;35:1349–58.
pubmed: 21637959
pmcid: 3167445
doi: 10.1007/s00264-011-1283-x
Campbell PG, Yadla S, Malone J, Maltenfort MG, Harrop JS, Sharan AD, Ratliff JK. Complications related to instrumentation in spine surgery: a prospective analysis. Neurosurg Focus. 2011;31(4):E10.
pubmed: 21961854
doi: 10.3171/2011.7.FOCUS1134
Charosky S, Guigui P, Blamoutier A, Roussouly P, Chopin D. Complications and risk factors of primary adult scoliosis surgery: a multicenter study of 306 patients. Spine (Phila Pa 1976). 2012;37:693–700.
pubmed: 22504517
doi: 10.1097/BRS.0b013e31822ff5c1
Cho SK, Bridwell KH, Lenke LG, Yi JS, Pahys JM, Zebala LP, Kang MM, Cho W, Baldus CR. Major complications in revision adult deformity surgery: risk factors and clinical outcomes with 2- to 7-year follow-up. Spine (Phila Pa 1976). 2012;37:489–500.
pubmed: 21587110
doi: 10.1097/BRS.0b013e3182217ab5
Gautschi OP, Schatlo B, Schaller K, Tessitore E. Clinically relevant complications related to pedicle screw placement in thoracolumbar surgery and their management: a literature review of 35,630 pedicle screws. Neurosurg Focus. 2011;31(4):E8.
pubmed: 21961871
doi: 10.3171/2011.7.FOCUS11168
Hicks JM, Singla A, Shen FH, Arlet V. Complications of pedicle screw fixation in scoliosis surgery: a systematic review. Spine (Phila Pa 1976). 2010;35:E465–70.
pubmed: 20473117
doi: 10.1097/BRS.0b013e3181d1021a
Merloz P, Tonetti J, Pittet L, Coulomb M, Lavalleé S, Sautot P. Pedicle screw placement using image guided techniques. Clin Orthop Relat Res. 1998;354:39–48.
doi: 10.1097/00003086-199809000-00006
Fisher CG, Sahajpal V, Keynan O, Boyd M, Graeb D, Bailey C, Panagiotopoulos K, Dvorak MF. Accuracy and safety of pedicle screw fixation in thoracic spine trauma. J Neurosurg Spine. 2006;5:520–6.
pubmed: 17176016
doi: 10.3171/spi.2006.5.6.520
Davne SH, Myers DL. Complications of lumbar spinal fusion with transpedicular instrumentation. Spine (Phila Pa 1976). 1992;17(6 Suppl):S184–9.
pubmed: 1631716
doi: 10.1097/00007632-199206001-00021
Banwart JC, Asher MA, Hassanein RS. Iliac crest bone graft harvest donor site morbidity. A statistical evaluation. Spine (Phila Pa 1976). 1995;20:1055–60.
pubmed: 7631235
doi: 10.1097/00007632-199505000-00012
Aronson N, Filtzer DL, Bagan M. Anterior cervical fusion by the Smith–Robinson approach. J Neurosurg. 1968;29:396–404.
pubmed: 4235320
doi: 10.3171/jns.1968.29.4.0397
Simmons EH, Bhalla SK, Butt WP. Anterior cervical discectomy and fusion. A clinical and biomechanical study with eight-year follow-up. J Bone Joint Surg Br. 1969;51:225–37.
pubmed: 4890317
doi: 10.1302/0301-620X.51B2.225
White AA III, Hirsch C. An experimental study of the immediate load bearing capacity of some commonly used iliac bone grafts. Acta Orthop Scand. 1971;42:482–90.
pubmed: 4947292
doi: 10.3109/17453677108989065
Cloward RB. The anterior surgical approach to the cervical spine—the Cloward procedure: past, present, and future. Spine (Phila Pa 1976). 1988;13:823–7.
pubmed: 3057647
doi: 10.1097/00007632-198807000-00020
Kumar MN, Jacquot F, Hall H. Long-term follow-up of functional outcomes and radiographic changes at adjacent levels following lumbar spine fusion for degenerative disc disease. Eur Spine J. 2001;10:309–13.
pubmed: 11563616
doi: 10.1007/s005860000207
Schlegel JD, Smith JA, Schleusener RL. Lumbar motion segment pathology adjacent to thoracolumbar, lumbar, and lumbosacral fusions. Spine (Phila Pa 1976). 1996;21:970–81.
pubmed: 8726202
doi: 10.1097/00007632-199604150-00013
Park P, Garton HJ, Gala VC, Hoff JT, McGillicuddy JE. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine (Phila Pa 1976). 2004;29:1938–44.
pubmed: 15534420
doi: 10.1097/01.brs.0000137069.88904.03
Kim HJ, Lenke LG, Shaffrey CI, Van Alstyne EM, Skelly AC. Proximal junctional kyphosis as a distinct form of adjacent segment pathology after spinal deformity surgery: a systematic review. Spine (Phila Pa 1976). 2012;37(22 Suppl):S144–64.
pubmed: 22885829
doi: 10.1097/BRS.0b013e31826d611b
Schairer WW, Carrer A, Deviren V, Hu SS, Takemoto S, Mummaneni P, Chou D, Ames C, Burch S, Tay B, Sawyer A, Berven SH. Hospital readmission after spine fusion for adult spinal deformity. Spine (Phila Pa 1976). 2013;38:1681–9.
pubmed: 23698572
doi: 10.1097/BRS.0b013e31829c08c9
Sansone JM, del Rio AM, Anderson PA. The prevalence of and specific risk factors for venous thromboembolic disease following elective spine surgery. J Bone Joint Surg Am. 2010;92:304–13.
pubmed: 20124056
doi: 10.2106/JBJS.H.01815