Complications of surgical treatment for lumbar spinal stenosis

Prodan, A I; Perepechay, Oleg; Kolesnichenko, V. A.; Balan, Sergey; Chernyshev, Aleksandr

doi:10.14531/ss2009.1.31-37

Cited by 4 publications

(1 citation statement)

References 27 publications

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“…However, the complications of such operations are as high as 20%. 2,7 Complications in the early postoperative period include a worsening of the vertebrogenic algic syndrome, postoperative liquorrhea, and suppuration of the operating wound. Complications in the later postoperative period include instability of fixation structures, late suppuration, and progression of dystrophic processes to adjacent vertebral motor segments.…”

Section: Introductionmentioning

confidence: 99%

Complications of Surgical Treatment of Lumbar Stenosis in the Early Postoperative Period

et al. 2018

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Objective: To analyze the structure of degenerative lumbar stenosis surgical treatment complications and to analyze their effect on the results and indications for revision operations. Methods: Between 2009 and 2013, 513 patients with lumbar stenosis of degenerative etiology were surgically treated. There were 205 men, 308 women, aged 23 to 74 years. The main clinical manifestations were persistent compression radiculopathy, chronic pain in the back and lower limbs, and difficulty walking. The intensity of the pain was assessed by the VAS. At the time of hospitalization, VAS was 55-90 points. Results: Of the 513 operated patients, 65 (12.67%) had complications in the early postoperative period (up to three months after the operation); intraoperative complications occurred in 26 (5.1%) patients; intraoperative dura mater injury occurred in 24 (4.67%); pulmonary embolism (PE) occurred in 2 (0.39%) patients; 39 patients had early postoperative complications; acute radiculopathy occurred in 22 patients (4.28%); and 17 patients (3.31%) had surgical wound complications. Conclusions: Liquorrhea, postoperative hematomas and acute radiculopathy had no negative effect on the results of treatment in any of the cases. In the early postoperative period, 4 (0.77%) deaths were recorded intraoperatively and in 2 (0.39%) cases, intraoperative PE occurred. Two cases (0.39%) resulted in sepsis and multiple organ failure. In eight (1.55%) patients, the results of the treatment were unsatisfactory: in 4 (0.77%) cases due to death, and in a further 4 (0.77%) due to elimination of the system by the spinal column as a result of suppuration. Level of Evidence IV; Therapeutic studies - Investing the results of treatment.

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Section: Introductionmentioning

confidence: 99%

Complications of Surgical Treatment of Lumbar Stenosis in the Early Postoperative Period

et al. 2018

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Surgical treatment of spinal canal stenosis at the lumbar level in the elderly and senile patients

Грин

Nikitin

Yusupov

2020

Nejrohirurgiâ (Mosk.)

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The review provides current data on the available literature on pathophysiology and clinical features of degenerative spinal canal stenosis in age-related patients. The possibilities of modern instrumental diagnostics of this pathology are described, a differential clinical diagnosis of lumbar stenosis is presented. Methods of surgical treatment of degenerative stenosis are described. The data on the effectiveness of surgical treatment, including in elderly patients. The features of anesthesia and risk factors for the adverse outcome of the surgical treatment of degenerative stenosis in elderly patients are described.

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Comprehensive analysis of the results of surgical treatment of patients with degenerative diseases of the lumbar spine using rigid fixation systems

Krivoschein

Конев

Kolesov

et al. 2022

Acta biomedica scientifica

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Introduction. According to the literature, the development of adjacent-level syndrome 10 years after posterior rigid stabilization is noted in 6.7–80 % of patients, of which 24 % require revision surgery.The aim: to conduct a comprehensive analysis of the results of surgical treatment of patients with degenerative diseases of the lumbar spine using rigid fixation systems.Materials and methods. A multicenter retrospective study of the results of surgical treatment of 268 patients with degenerative-dystrophic diseases of the lumbar spine, who underwent mono- or bisegmental decompression-stabilizing intervention with the implementation of the TLIF (Transforaminal Lumbar Interbody Fusion) technique and open transpedicular rigid fixation, was conducted. The study included radiography, MRI and CT (in 2-energy mode) of intervertebral discs and isolated facet degeneration of the upper adjacent level.Results and discussion. The combination of the initial degeneration of the adjacent spinal motion segment in the form of disc degeneration of grade III and higher according to Pfirrmann with threshold values of the density of the outer cartilaginous plate from 161.7 ± 18.8 to 164.8 ± 14.2 HU, the density of the outer facet – from 702.43 ± 12.3 to 713.65 ± 13.6 HU and the density of the inner facet – from 580.5 ± 11.6 to 582.1 ± 15.1 HU, as well as with signs of segmental instability of the adjacent segment can be considered as risk factors for the development of its degeneration. With the progression of degeneration of the upper intervertebral disc, revision interventions were performed within 12–60 months after surgery.Conclusion. Bisegmental stabilization with signs of initial degeneration in the intervertebral disc and facet joints in the upper segment has proven its clinical and instrumental effectiveness in the period of 36 months and reduces the risks of developing degenerative disease of the adjacent disc.

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Complications of surgical treatment for lumbar spinal stenosis

Cited by 4 publications

References 27 publications

Complications of Surgical Treatment of Lumbar Stenosis in the Early Postoperative Period

Complications of Surgical Treatment of Lumbar Stenosis in the Early Postoperative Period

Surgical treatment of spinal canal stenosis at the lumbar level in the elderly and senile patients

Comprehensive analysis of the results of surgical treatment of patients with degenerative diseases of the lumbar spine using rigid fixation systems

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