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The Affect of Parkinson Illness on Lumbar Decompression Surgical procedure: A Retrospective Case Management Examine.

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The Affect of Parkinson Illness on Lumbar Decompression Surgical procedure: A Retrospective Case Management Examine.

World Neurosurg. 2017 Dec;108:513-518

Authors: Westermann L, Eysel P, Hantscher J, Baschera D, Simons M, Herren C, Zarghooni Okay, Siewe J

Summary
BACKGROUND: Parkinson illness (PD) is a significant danger issue throughout backbone surgical procedure, and its frequency is rising because the inhabitants ages. The examine goal was to look at the affect of PD particularly on lumbar decompression surgical procedure.
METHODS: A retrospective evaluation was carried out of all sufferers with PD who underwent elective lumbar decompression surgical procedure at 2 college hospital departments between December 2003 and July 2016. For every affected person, 2 controls with out PD had been chosen randomly amongst those that had been matched for intercourse and age and had an identical 12 months of surgical procedure (±three) and comorbidity profile. The primary outcomes had been issues and reoperation fee.
RESULTS: The imply observe up was 1.2 ± 1.6 years within the PD group (n = 36) and 1.four ± 2.1 years within the management group (n = 72). The general complication fee was 47.2% within the PD group and 19.four% within the management group (P < zero.01). The reoperation fee was 27.eight% within the PD group and 9.7% within the management group (P = zero.02).
CONCLUSIONS: There’s a considerably larger fee of perioperative issues in sufferers with PD present process elective decompression surgical procedure. Though the distinction in main complication charges was minimal, minor issues had been extra frequent in sufferers with PD.

PMID: 28919560 [PubMed – indexed for MEDLINE]

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