Complications of Surgical Treatment of Degenerative Lumbar Stenosis

Abstract

Objective. To study the structure of complications after surgical treatment of degenerative lumbar stenosis and to analyze their influence on outcomes and indications for revision. Material and Methods. A total of 513 patients with degenerative lumbar stenosis underwent decompression and stabilization of stenotic spinal motion segments including transpedicular fixation and fusion (TLIF or PLIF). All complications both during operations and in the early and late periods of follow-up were systematized. Results. The total rate of complications was 26.51 %. The rate of early complications, including intraoperative ones was 12.67 %, and of late complications-13.84 %. Conclusion. Unsatisfactory outcome in the early postoperative period was associated with pulmonary embolism and suppuration of postoperative wound with generalization of the infection process. Unsatisfactory long-term results of treatment were most often caused by loosening of instrumentation and late suppuration

Treatment of High-Impact Injuries of Thoracic and Lumbar Spine

“…Отдаленный период травматической болезни при сочетанной травме грудного и поясничного отделов позвоночника по-прежнему изучается большими группами исследователей в связи с внедрением новых поколений фиксаторов. В современной вертебрологии остается востребованной проблема хирургического лечения пациентов с различными повреждениями позвоночника, сопровождающимися травматическим стенозом позвоночного канала [1][2][3][4]. Травматические повреждения грудопоясничного отдела позвоночника (Th11-L2) составляют 5,4 % травм, при этом в 30-70 % случаев имеется сдавление или повреждение спинного мозга, на что указывают многочисленные исследования и наблюдения [5][6][7][8].…”

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

“…Lumbar stenosis of degenerative etiology is one of the most common causes of progressive functional deadaptation of the spine. According to the literature, [1][2][3][4][5][6] lumbar stenosis occurs in 6 to15% of patients with chronic back pain. The averaged number of annual operations for lumbar stenosis in Western Europe is 114-132 per 1,000,000 people.…”