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Postoperative complications after surgery for lumbar spinal stenosis, assessment using two different data sources – Lumbar Spinal Stenosis

The article investigates postoperative complications in patients undergoing lumbar spinal stenosis (LSS) surgery by comparing data from a national spine registry (NORspine) and electronic patient records (EPR). A total of 474 patients were included in the study, with a mean age of 66.3 years and 53.6% being female. The overall rate of postoperative complications was found to be 22.4%, with NORspine reporting a rate of 15.6% and EPR review resulting in a rate of 16.0%. The types of complications varied between the two data sources, with inconsistent frequencies of reoperation and wound infection. Despite the high rate of complications, there was no association between postoperative complications and patient-reported outcomes. Overall, the study highlights the importance of accurately documenting and analyzing postoperative complications in LSS surgery to improve patient outcomes

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CONCLUSION: Postoperative complications occurred in 22% of LSS patients. The frequency of different postoperative complications differed between the two data sources.

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Acta Neurochir (Wien). 2024 Apr 23;166(1):189. doi: 10.1007/s00701-024-06086-y. ABSTRACT PURPOSE: Lumbar spinal stenosis (LSS) is a prevalent disorder, and surgery for LSS is a common procedure. Postoperative complications occur after any surgery and impose costs for society and costs and additional morbidity for patients. Since complications are relatively rare, medical registries of large populations may,

Acta Neurochir (Wien). 2024 Apr 23;166(1):189. doi: 10.1007/s00701-024-06086-y.

ABSTRACT

PURPOSE: Lumbar spinal stenosis (LSS) is a prevalent disorder, and surgery for LSS is a common procedure. Postoperative complications occur after any surgery and impose costs for society and costs and additional morbidity for patients. Since complications are relatively rare, medical registries of large populations may provide valuable knowledge. However, recording of complications in registries can be incomplete. To better estimate the true prevalence of complications after LSS surgery, we reviewed two different sources of data and recorded complications for a sample of Norwegian LSS patients.

METHODS: 474 patients treated surgically for LSS during 2015 and 2016 at four hospitals reported to a national spine registry (NORspine). Postoperative complications were recorded by patients in NORspine, and we cross-referenced complications documented in NORspine with the patients´ electronic patient records (EPR) to re-test the complication rates. We performed descriptive statistics of complication rates using the two different data sources above, and analyzed the association between postoperative complications and clinical outcome with logistic regression.

RESULTS: The mean (95%CI) patient age was 66.3 (65.3-67.2) years, and 254 (53.6%) were females. All patients were treated with decompression, and 51 (10.7%) received an additional fusion during the index surgery. Combining the two data sources, we found a total rate for postoperative complications of 22.4%, the NORspine registry reported a complication rate of 15.6%, and the EPR review resulted in a complication rate of 16.0%. However, the types of complications were inconsistent across the two data sources. According to NORspine, the frequency of reoperation within 90 days was 0.9% and according to EPR 3.4%. The rates of wound infection were for NORspine 3.1% and EPR review 2.1%. There was no association between postoperative complication and patient reported outcome.

CONCLUSION: Postoperative complications occurred in 22% of LSS patients. The frequency of different postoperative complications differed between the two data sources.

PMID:38653826 | DOI:10.1007/s00701-024-06086-y

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Postoperative complications after surgery for lumbar spinal stenosis, assessment using two different data sources

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Acta Neurochir (Wien). 2024 Apr 23;166(1):189. doi: 10.1007/s00701-024-06086-y. ABSTRACT PURPOSE: Lumbar spinal stenosis (LSS) is a prevalent disorder, and surgery for LSS is a common procedure. Postoperative complications occur after any surgery and impose costs for society and costs and additional morbidity for patients. Since complications are relatively rare, medical registries of large populations may

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