Perioperative characteristics and complications in obese patients undergoing anterior cervical fusion surgery

Srinivasan, Dushyanth; Marca, Frank La; Than, Khoi D.; Patel, Rakesh; Park, Paul

doi:10.1016/j.jocn.2013.11.017

Cited by 16 publications

(14 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In keeping with prior studies, there were no infections in anterior approaches to the cervical spine [12]. When comparing approaches in general, there was a higher incidence of infection in posterior approaches [13].…”

Section: Discussionsupporting

confidence: 78%

Risk factors for surgical site infection after instrumented fixation in spine trauma

Cooper

Glenn

Martin

et al. 2016

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

Surgical site infection (SSI) represents a significant complication after instrumented fixation in spine changes have emphasized early fracture correction, shortened intraoperative times, early ambulation, and prompt nutritional supplementation. This retrospective study evaluates the senior author’s experience of instrumented spinal trauma SSI occurring at a single Level I trauma center over two equal and contiguous time periods, 2005–2007 (before nutritional supplementation was added to the institutional protocol) and 2008–2010 (after nutritional supplementation was added). This study assessed whether SSI varied depending on the primary surgical site and/or by the chosen approach. Lastly, the incidence of SSI among demographic and other clinical variables was evaluated. In total, 358 patients underwent an index procedure for spinal trauma correction. Fourteen patients developed a SSI requiring reoperation for an incidence of 4.0%. In assessing nutritional supplementation, the probability of infection tended to be lower in the supplemented group (3.7%) than the pre-supplement group (4.3%), but this did not reach significance. The difference in approach for the cervical spine was statistically significant (p = 0.045) with rates of infection via posterior approach at 8.1% and no infections via anterior approach. Presence of comorbidities (p = 0.03) and time to surgery >3 days (p = 0.006) were predictors of developing SSI. Benefit is shown from early surgical correction of spinal trauma patients in the reduction of postoperative SSI. Nutritional supplementation may provide a small reduction in infections in the spine trauma population.

show abstract

Section: Discussionsupporting

confidence: 78%

Risk factors for surgical site infection after instrumented fixation in spine trauma

Cooper

Glenn

Martin

et al. 2016

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

show abstract

“…We were also limited in our ability to assess regional complications, which have been reported to differ by surgery type. For example, in cervical fusion surgery, obesity was linked to urinary tract infection, wound dehiscence, and neck hematoma, 93 whereas in lumbar fusion surgery obese patients associated with increased blood loss, length of hospital stay, risk of postoperative complication, and surgical site infection. 94 Further, there are limitations to the utility of BMI for evaluating obesity.…”

Section: Discussionmentioning

confidence: 99%

Obesity Is an Independent Risk Factor of Early Complications After Revision Spine Surgery

Sing

Yue

Metz

et al. 2016

SPINE

View full text Add to dashboard Cite

show abstract

“…The variables that are statistically associated with compromise of the airways are exposure of more than three vertebral bodies, exposure of levels C2-C4, blood loss greater than 300 ml, and surgical time of more than 5 hours. [6][7][8][9] For patients in the high-risk category for postoperative complications of the airways, a postoperative protocol that incorporates delayed extubation and monitoring in the intensive care unit (ICU) is indicated. There is controversy around the minimum elapsed time considered reasonable and safe prior to extubation.…”

Section: Introductionmentioning

confidence: 99%

“…Advanced age and three or more comorbidities are among the factors associated with an increase in the complications rate. 9 The concept of presurgical evaluation has been established for many years and has recently been incorporated into the process via surgery through the clinic. The final objective of presurgical evaluation is to facilitate a complete assessment of the risk each patient through targeted research that leads to appropriate decision making and the assignment of presurgical resources to benefit postsurgical recovery and the long-term outcome.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Protocol and Morbimortality in Cervical Surgery With Anterior Approach

et al. 2018

View full text Add to dashboard Cite

Objective: To determine the correlation between morbidity/mortality and the pre-surgical protocol in patients undergoing anterior cervical surgical approach. Methods: Retrospective, cross-sectional and descriptive study, in which 114 patients who underwent anterior cervical surgical approach were reviewed, divided into two groups: “Group A” Conventional Presurgical Protocol (CPP) and “Group B” Extended Presurgical Protocol (EPP). Statistical analysis used the IBM SPSS Statistics Base v.24 software. Results: We evaluated 114 patients, 35 from “Group A”, 79 from “Group B”, 83 (72.8%) with cervical myelopathy, 30 (26.3%) with cervicobrachialgia. “Group A” had 10 cases of respiratory failure, with 5 secondary to bronchial secretion, 2 secondary to cervical hematoma. “Group B” had 12 cases of respiratory failure, 3 secondary to bronchial secretion and 1 secondary to cervical hematoma. Conclusions: The extended presurgical protocol can be the answer to reduce complications by improving selection parameters of the candidate patient for a surgical procedure of the cervical spine. Level of Evidence III; Case-control studyg.

show abstract

Perioperative characteristics and complications in obese patients undergoing anterior cervical fusion surgery

Cited by 16 publications

References 12 publications

Risk factors for surgical site infection after instrumented fixation in spine trauma

Risk factors for surgical site infection after instrumented fixation in spine trauma

Obesity Is an Independent Risk Factor of Early Complications After Revision Spine Surgery

Preoperative Protocol and Morbimortality in Cervical Surgery With Anterior Approach

Contact Info

Product

Resources

About