Mid- and Long-Term Efficacy of Surgical Treatment of L1-2 Vertebral Tuberculosis with Subdiaphragmatic Extraperitoneal Approach

Zhou, Fubiao; Wang, Qian; Liu, Liehua; Han, Shuanqiang; Jin, Weidong; Wang, Zili

doi:10.12659/msm.932284

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Blood products cannot meet the growing surgical demand [ 9 ]. The surgical procedure for spinal tuberculosis is difficult, and severe intraoperative bleeding occurs during surgery [ 10 ]. Shi et al demonstrated a bleeding volume of 350–550 mL for spinal tuberculosis surgery [ 5 ], whereas Li et al exhibited a volume of > 500 mL [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Blood transfusion risk prediction in spinal tuberculosis surgery: development and assessment of a novel predictive nomogram

Chen

Gan

Huang

et al. 2022

BMC Musculoskelet Disord

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Objective The present study attempted to predict blood transfusion risk in spinal tuberculosis surgery by using a novel predictive nomogram. Methods The study was conducted on the clinical data of 495 patients (167 patients in the transfusion group and 328 patients in the non-transfusion group) who underwent spinal tuberculosis surgery in our hospital from June 2012 to June 2021. The least absolute shrinkage and selection operator (LASSO) and multivariable logistic regression analyses were used to screen out statistically significant parameters, which were included to establish a novel predictive nomogram model. The receiver operating characteristic (ROC) curve, calibration curves, C-index, and decision curve analysis (DCA) were used to evaluate the model. Finally, the nomogram was further assessed through internal validation. Results The C-index of the nomogram was 0.787 (95% confidence interval: 74.6%–.82.8%). The C-value calculated by internal validation was 0.763. The area under the curve (AUC) of the predictive nomogram was 0.785, and the DCA was 0.01–0.79. Conclusion A nomogram with high accuracy, clinical validity, and reliability was established to predict blood transfusion risk in spinal tuberculosis surgery. Surgeons must prepare preoperative surgical strategies and ensure adequate availability of blood before surgery.

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Section: Introductionmentioning

confidence: 99%

Blood transfusion risk prediction in spinal tuberculosis surgery: development and assessment of a novel predictive nomogram

Chen

Gan

Huang

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…However, surgeries are sometimes associated with certain unexpected complications. The results of Zhou et al's study revealed that 102 patients with L1–2 vertebral tuberculosis had 14 patients with pulmonary complications after the surgery ( 5 ). Zhuang et al applied oblique lateral interbody fusion to lumbar spinal tuberculosis with 10 (16.95%) complications, including peritoneal injury, neurological injury, infection of incisions, segmental artery, iliac vein lacerations, and instrument failure.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Clinical Data Between Patients With Complications and Without Complications After Spinal Tuberculosis Surgery: A Propensity Score Matching Analysis

Chen

Liu

et al. 2022

Front. Surg.

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PurposeThis study used a propensity score matching (PSM) analysis to explore the risk factors of post-operative complications and compared the differences in clinical data between them following spinal tuberculosis surgery.MethodsThe clinical data of patients with spinal tuberculosis were collected in our hospital from June 2012 to June 2021, including general information, laboratory results, surgical information, and hospitalization costs. The data were divided into two groups: complication and without complication groups. The baseline data of the two groups were obtained using the PSM analysis. Univariate and multivariate logistic analyses were used to analyze the differences between the two groups.ResultsA total of 292 patients were included in the PSM analysis: 146 patients with complications and 146 patients without complications. The operation time, incision length, hospital stay, and albumin quantity in the complications group were 162 ± 74.1, 11.2 ± 4.76, 14.7 ± 9.34, and 1.71 ± 2.82, respectively, and those in the without complication group were 138 ± 60.5, 10.2 ± 3.56, 11.7 ± 7.44, and 0.740 ± 2.44, respectively. The laboratory costs, examination costs, guardianship costs, oxygen costs, and total costs in the complications group were higher than those in the without complication group. A significant difference was observed in the albumin quantity by logistic regression analysis (P < 0.05).ConclusionSeveral costs in the complication group were higher than in the without complication group. The albumin quantity may be an independent factor to predict post-operative complications of spinal tuberculosis by logistic regression analysis.

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Mid- and Long-Term Efficacy of Surgical Treatment of L1-2 Vertebral Tuberculosis with Subdiaphragmatic Extraperitoneal Approach

Cited by 2 publications

References 24 publications

Blood transfusion risk prediction in spinal tuberculosis surgery: development and assessment of a novel predictive nomogram

Blood transfusion risk prediction in spinal tuberculosis surgery: development and assessment of a novel predictive nomogram

Comparison of Clinical Data Between Patients With Complications and Without Complications After Spinal Tuberculosis Surgery: A Propensity Score Matching Analysis

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