5 key notes on spine surgery adverse events

Spine

A new study published in the Journal of Neurosurgery: Spine examines adverse events after spinal surgery.

Researchers used the Thompson Reuters MarketScan Commercial Claims and Encounters and the Medicare Supplemental and Coordination of Benefits database for a retrospective analysis of longitudinal administrative data from 189,000 patients.

 

The study includes complication rates through 30 days after surgery. Here are five key findings from the report:

 

1. The overall complication rate for all spine surgeries was 13.6 percent. The complications increased to 22.8 percent at 30 days after surgery.

 

2. The wound dehiscence, infection and other wound complications increased frequencies between 10 days and 20 days postoperatively.

 

3. Complication rates for chronic pain, delirium and dysrhythmia increased gradually over the 30 days after surgery.

 

4. The 30-day complication rate for single-level anterior cervical fusions was 8.6 percent; for multilevel fusions combining anterior and posterior lumbar spinal fusion, the complication rate was 27.3 percent.

 

5. The frequency of individual complication types increased at different rates, and the study authors concluded using the database provided comparable results to prospective studies and superior results to nonlongitudinal administrative databases.

 

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