5 key notes on adult spinal deformity surgery complications

Written by Laura Dyrda | September 14, 2015 | Print  |

A new study examining the complications associated with adult spinal deformity surgery was published in Spine.

The researchers examined radiographic and implant-related complications in adult spinal deformity surgery. The data from a multicenter, prospective database of surgical patients was reviewed. All patients had two-year follow-ups. There were 245 patients who met inclusion criteria. The researchers reported:

 

1. The radiographic and implant-related complications were found in 31.7 percent of the patients. A little over half — 52.6 percent — of those patients required a reoperation.

 

2. The complication breakdown was:

 

• Rod breakage: 47 percent of implant-related complications
• Proximal functional kyphosis: 54.5 percent of radiographic complications

 

3. The risk factors for complication included weight, ASA score, revision procedures, stopping the fusion in the lower thoracic spine, worse SRS-Schwab classification modifiers, higher T1 spinopelvic inclination and higher T1 slope.

 

4. Both the group with radiographic and implant-related complications and the non-complication groups experienced significant improvement over time on the Oswestery Disability Index, SF-36 and SRS-22r.

 

5. Overtime, the rate of improvement was less for patients with complications.

 

More articles on spine surgery:
What non-patient issues are keeping spine surgeons up at night?
5 key notes on spine surgery adverse events
North America dominates cervical total disc replacement surgery global market

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