Reoperation inside 2 years after lumbar interbody fusion: a multicenter research.
Eur Backbone J. 2018 Feb 08;:
Authors: Kobayashi Okay, Ando Okay, Kato F, Kanemura T, Sato Okay, Hachiya Y, Matsubara Y, Kamiya M, Sakai Y, Yagi H, Shinjo R, Nishida Y, Ishiguro N, Imagama S
PURPOSE: Posterior lumbar interbody fusion (PLIF)/transforaminal lumbar interbody fusion (TLIF) can have problems that require reoperation. The purpose of the research was to determine threat elements for reoperation inside 2 years after PLIF/TLIF.
METHODS: A retrospective evaluation of a potential multicenter database was carried out for sufferers who underwent PLIF/TLIF. A complete of 1363 sufferers (689 males and 674 females) had been recognized, with a median age of 65.9 years outdated. Comorbidities, perioperative ASA grade, and operative elements had been in contrast between sufferers with and with out reoperation. Danger elements for reoperation had been recognized in multivariate logistic evaluation.
RESULTS: There have been 38 reoperations inside 2 years after PLIF/TLIF (2.eight%). The unique surgical procedures had been open PLIF (n = 26), open TLIF (n = 10), and minimally invasive surgical procedure (n = 2). Reoperation was as a result of adjoining section degeneration (ASD) (n = 10), surgical web site an infection (SSI) (n = 9), screw misplacement (n = 6), postoperative epidural hematoma (n = 6), pseudoarthrosis (n = four), and cage protrusion (n = three). Variety of ranges fused and dural tear had been considerably related to reoperation. In evaluation of problems requiring reoperation, SSI was associated to diabetes mellitus and dural tear, and postoperative epidural hematoma was associated to fusion of two or extra ranges, EBL, and operation time. In multivariate logistic regression, fusion of two or extra ranges (HR 2.19) was considerably related to reoperation.
CONCLUSION: Surgical invasiveness, as mirrored by variety of fused ranges, operation time, EBL and dural tear, was related to reoperation. Fusion of two or extra ranges is a robust threat issue for reoperation inside 2 years after preliminary PLIF/TLIF. These slides could be retrieved beneath Digital Supplementary Materials.
PMID: 29423887 [PubMed – as supplied by publisher]