Risks Factors for Reoperation in Patients Treated Surgically for Degenerative Spondylolisthesis: A Subanalysis of the Eight-Year Data from the SPORT Trial

Gerling, Michael C.; Leven, Dante M.; Lafage, Virginie; Passias, Peter G.; Bianco, Kristina; Lee, Alexandra A.; Lurie, Jon D.; Zhao, Wenyan; Spratt, Kevin F.; Errico, Thomas J.

doi:10.1016/j.spinee.2014.08.186

Cited by 13 publications

(20 citation statements)

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“…A better understanding of the complications rate of and risk factors for unplanned reoperations may help improve surgical outcomes and prognoses. It was reported that the cumulative reoperation rate in lumbar degenerative diseases was 4.7% at 3 months, 6.1% at 1 year, 8.5% at 2 years, 15.2% at 3 years, 17.7% at 5 years and 23.3% (38/163 patients) at the final follow-up [4][5][6][7][8]. Reducing the rate of lumbar surgery revision is also vital because the outcomes of DLS reoperation may be worse than the results of the initial surgical management.…”

Section: Introductionmentioning

confidence: 99%

Complications rate of and risk factors for the unplanned reoperation of degenerative lumbar spondylolisthesis in elderly patients: a retrospective single-Centre cohort study of 33 patients

et al. 2020

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Background: The study was to investigate the complications rate of and risk factors for unplanned reoperation among elderly patients who underwent posterior lumbar fusion (PLF) for degenerative lumbar spondylolisthesis (DLS). Methods: A total of 1100 DLS patients who were older than 60 years were reviewed from January 2006 to December 2016. 33 patients underwent unplanned reoperations and were analysed and divided into two groups (group A: posterolateral fusion, 650 patients; group B: intervertebral fusion, 450 patients). Sex, body mass index (BMI), radiographic data and clinical outcome data were analysed to evaluate the complications rate of and the risk factors for unplanned reoperations. Results: A total of 33 patients underwent unplanned reoperations (3%). The patients were followed up for an average of 4.20 ± 2.25 years (group A) and 4.32 ± 2.54 years (group B) without a significant difference. Significant differences were found in mean age, levels of involvement, hospital stay, surgery time, and blood loss between the groups. The causes of unplanned operation were wound infection, screw misplacement, neurological deficit, nonunion, and screw fracture, which were significant except for wound infection between the groups. Higher BMI (obesity), diabetes mellitus (DM), more bleeding and sex (female) were risk factors for complications. Cases of screw misplacement, neurological deficit, nonunion and screw fracture in group A were more significant than those in group B. Conclusion: Patients with higher BMI, DM, older age, posterolateral fusion, and female sex predicted a higher incidence of unplanned reoperations. Spine surgeons may need to pay more attention to their preoperative training and to improving surgical techniques that could reduce the reoperation rate.

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Section: Introductionmentioning

confidence: 99%

Complications rate of and risk factors for the unplanned reoperation of degenerative lumbar spondylolisthesis in elderly patients: a retrospective single-Centre cohort study of 33 patients

et al. 2020

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“…In previous studies, reoperation rates differed for each disease. The reported reoperation rates based on the disease were more than 20% in lumbar spondylolisthesis, 15-20% in lumbar stenosis, and less than 10% in lumbar disc herniation 10,12,14,19,20) . Generally, the reoperation rate was reportedly approximately 13% in patients with LDD over a 6-year period; reoperation rate for LDD was 13.2% over an 8-year period in the present study.…”

Section: Reoperation For Lddmentioning

confidence: 99%

“…Reportedly, 3.3% of patients in a previous study required reoperation every year after spinal operation for lumbar spinal stenosis with 50% occurring at adjacent levels 19) . Studies that identify predictors of reoperation for LDD are lacking due to the relatively low incidence of reoperation 10,14) .…”

Section: Introductionmentioning

confidence: 99%

The Influence of Comorbidities on Reoperations Following Primary Surgery of Lumbar Degenerative Diseases : A Nationwide Population-Based Retrospective Cohort Study from 2009–2016

Park

Lee

et al. 2020

J Korean Neurosurg Soc

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Objective : Spinal degeneration is a progressive disease, worsening over time. Lumbar degenerative disease (LDD) is a major spinal disease in elderly patients. Surgical treatment is considered for medically intractable patients with LDD and reoperation after primary surgery is not uncommon. The surgical outcome is occasionally unpredictable because of comorbidities. In the present study, the relationship between comorbidities and the incidence of reoperation for LDD over time was determined. Methods : The claims data of the health insurance national database were used to identify a cohort of patients who underwent spinal surgery for LDD in 2009. The patients were followed up until 2016. Medical comorbidity was assessed according to the Charlson comorbidity index (CCI). Cox proportional hazard regression modeling was used to identify significant differences in sex, surgery, age, causative disease, and comorbidity. Results : The study cohort included 78241 patients; 10328 patients (13.2%) underwent reoperation during the observation period. The reoperation rate was statistically higher (p<0.01) in males, patients 55-74 years and 65-74 years of age, and patients with decompression or discectomy. Significant association was found between increasing reoperation rate and CCI score (p<0.01). Based on multivariate analysis of comorbidities, the significantly higher reoperation rates were observed in patients with peripheral vascular disease, pulmonary lung disease, peptic ulcer, diabetes, and diabetes complications (p<0.01). Conclusion : The study results indicate the reoperation rate for LDD is associated with patient comorbidities. The comorbidities identified in this study could be helpful in future LDD studies.

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Section: Introductionmentioning

confidence: 99%

Complications rate of and risk factors for the unplanned reoperation of degenerative lumbar spondylolisthesis in elderly patients: a retrospective single-centre cohort study of 33 patients

Zhong

Liang

Luo

et al. 2020

Preprint

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Background: The study aimed to investigate the complications rate of and risk factors for unplanned reoperation among elderly patients who underwent posterior lumbar fusion (PLF) for degenerative lumbar spondylolisthesis (DLS).Methods: A total of 1100 DLS patients who were older than 60 years were reviewed from January 2006 to December 2016; 33 patients underwent unplanned reoperations and were analysed and divided into two groups (group A: posterolateral fusion, 650 patients; group B: intervertebral fusion, 450 patients). Sex, body mass index (BMI), radiographic data and clinical outcome data were analysed to evaluate the complications rate of and the risk factors for unplanned reoperations.Results: A total of 33 patients underwent unplanned reoperations (3%). The patients were followed for an average of 4.20±2.25 years (group A) and 4.32±2.54 years (group B) without a significant difference. Significant differences were found in mean age, levels of involvement, hospital stay, surgery time, and blood loss between the groups. The causes of unplanned operation were wound infection, screw misplacement, neurological deficit, nonunion, and screw fracture, which were significant except for wound infection between the groups. Higher BMI (obesity), diabetes mellitus (DM), more bleeding and sex (female) were risk factors for complications. Cases of screw misplacement, neurological deficit, nonunion and screw fracture in group A were more significant than those in group B.Conclusion: Patients with higher BMI, DM, older age, posterolateral fusion, and female sex predicted a higher incidence of unplanned reoperations. Spine surgeons may need to pay more attention to their preoperative training and to improving surgical techniques that could reduce the reoperation rate.

show abstract

Risks Factors for Reoperation in Patients Treated Surgically for Degenerative Spondylolisthesis: A Subanalysis of the Eight-Year Data from the SPORT Trial

Cited by 13 publications

References 0 publications

Complications rate of and risk factors for the unplanned reoperation of degenerative lumbar spondylolisthesis in elderly patients: a retrospective single-Centre cohort study of 33 patients

Complications rate of and risk factors for the unplanned reoperation of degenerative lumbar spondylolisthesis in elderly patients: a retrospective single-Centre cohort study of 33 patients

The Influence of Comorbidities on Reoperations Following Primary Surgery of Lumbar Degenerative Diseases : A Nationwide Population-Based Retrospective Cohort Study from 2009–2016

Complications rate of and risk factors for the unplanned reoperation of degenerative lumbar spondylolisthesis in elderly patients: a retrospective single-centre cohort study of 33 patients

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