2013
DOI: 10.1007/s00586-012-2627-y
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Morbidity and mortality in adult spinal deformity surgery: Norwich Spinal Unit experience

Abstract: Purpose This study analyses the complications of spinal deformity surgery in adults to highlight pre-disposing factors. Methods The clinical records and imaging were reviewed for 48 consecutive patients, 12 males and 36 females, with a mean age of 64 (31-86), who had surgery for spinal deformity. Mean follow-up time was 36 months (24-60). Patient data recorded were age, diagnosis and co-morbidities; deformity assessment: curve type, sagittal and coronal balance, Cobb angle. Operation details: number of instrum… Show more

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Cited by 76 publications
(43 citation statements)
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References 19 publications
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“…Bhagat et al 6 recently reported on a cohort of 48 patients who had open surgical correction of ASD and a 39.5% major complication rate, whereas Cho et al 10 reported a 34.4% major complication rate in adult deformity revision surgery. In our study we noted an incidence of 46% for any (intraoperative and postoperative) complication for all 3 groups combined, with the highest incidence in the OPEN group, albeit not statistically significant (MIS 30%, HYB 47%, OPEN 63%, p = 0.147).…”
Section: Discussionmentioning
confidence: 99%
“…Bhagat et al 6 recently reported on a cohort of 48 patients who had open surgical correction of ASD and a 39.5% major complication rate, whereas Cho et al 10 reported a 34.4% major complication rate in adult deformity revision surgery. In our study we noted an incidence of 46% for any (intraoperative and postoperative) complication for all 3 groups combined, with the highest incidence in the OPEN group, albeit not statistically significant (MIS 30%, HYB 47%, OPEN 63%, p = 0.147).…”
Section: Discussionmentioning
confidence: 99%
“…It became progressively apparent and accepted that patients undergoing fusion for degenerative deformities did not do well when their sagittal rather than coronal balance was less than restored [2] . Alleged reasons for these failures included natural history [3] , junctional degeneration [4] and bone-implant interface failure [5] to name a few. It was only when surgeons started to learn the rules of spino-pelvic parameters and to apply them to patients that reports on adult spinal deformity surgery changed their grim faces into a more optimistic appearance [6] .…”
Section: Introductionmentioning
confidence: 99%
“…We analysed English edited papers on ASD surgery through PubMed in the years 2000-2014 with attention to parameters that closely related to surgical outcomes [2][3][4][5][6][7][8][9] . Eleven papers were included in the analysis because of their clinical relevance to the subject [2][3][4][5][6][7][8][9][10][11][12] .…”
Section: Introductionmentioning
confidence: 99%
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“…Standardization of preanesthesiological evaluation, intraoperative and perioperative anesthesiological care (with special attention to hemodynamic and fluid management), postoperative pain therapy and nutrition are still a challenge in adult deformity care. In the surgical perspective, there is room for improvement in the prevention of complications such as infection, hardware failure and junctional deformities [6,7]. New technologies such as patient-specific templates, navigation tools applied to rod contouring and deformity correction and diseasespecific implants that improve the reproducibility of adult spinal deformity surgery are promising fields in which progress has been done and more is yet to come.…”
mentioning
confidence: 99%