Abstract
Background: Anterior spinal fusion can be approached through a retroperitoneal exposure lessening the risks of intra-abdominal exploration. The aim of this study is to report the complication rate and risk factors associated with anterior spinal fusion. Methods: A retrospective review and analysis of 128 consecutive patients undergoing anterior lumbar fusion was performed looking to correlate potential risk factors with known serious complications of this operation such as vein injury, deep vein thrombosis, pulmonary embolism, and death. Results: The overall complication rate was 15.5%, with 7.75% being considered serious complications. The most common complication was vein injury (5.4%), but no blood transfusions were required. Postoperatively, there was one death (0.8%), one pulmonary embolism, and one intraoperative hypoxic episode of undetermined etiology. Univariate analysis showed that vein injury was associated with increased operative time (p < .001) and associated with increased blood loss (p = .02) but not increased length of stay (p = .13). By multivariate analysis, operative time and length of stay were influenced by the approach of the operation (anterior alone versus anterior and posterior fixation), but not by the presence of vein injury or blood loss. Conclusions: In this large series of patients undergoing anterior spinal fusion by a dedicated surgical team, there was a single death, and although vein injury was the most frequent serious complication, it did not lead to an increase in operative time or length of stay.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1414-1419 |
| Number of pages | 6 |
| Journal | World Journal of Surgery |
| Volume | 32 |
| Issue number | 7 |
| DOIs | |
| State | Published - Jul 2008 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
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Infraumbilical anterior retroperitoneal exposure of the lumbar spine in 128 consecutive patients. / Brewster, Luke; Trueger, Nathan; Schermer, Carol; Ghanayem, Alex; Santaniello, John.
In: World Journal of Surgery, Vol. 32, No. 7, 07.2008, p. 1414-1419.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Infraumbilical anterior retroperitoneal exposure of the lumbar spine in 128 consecutive patients
AU - Brewster, Luke
AU - Trueger, Nathan
AU - Schermer, Carol
AU - Ghanayem, Alex
AU - Santaniello, John
PY - 2008/7
Y1 - 2008/7
N2 - Background: Anterior spinal fusion can be approached through a retroperitoneal exposure lessening the risks of intra-abdominal exploration. The aim of this study is to report the complication rate and risk factors associated with anterior spinal fusion. Methods: A retrospective review and analysis of 128 consecutive patients undergoing anterior lumbar fusion was performed looking to correlate potential risk factors with known serious complications of this operation such as vein injury, deep vein thrombosis, pulmonary embolism, and death. Results: The overall complication rate was 15.5%, with 7.75% being considered serious complications. The most common complication was vein injury (5.4%), but no blood transfusions were required. Postoperatively, there was one death (0.8%), one pulmonary embolism, and one intraoperative hypoxic episode of undetermined etiology. Univariate analysis showed that vein injury was associated with increased operative time (p < .001) and associated with increased blood loss (p = .02) but not increased length of stay (p = .13). By multivariate analysis, operative time and length of stay were influenced by the approach of the operation (anterior alone versus anterior and posterior fixation), but not by the presence of vein injury or blood loss. Conclusions: In this large series of patients undergoing anterior spinal fusion by a dedicated surgical team, there was a single death, and although vein injury was the most frequent serious complication, it did not lead to an increase in operative time or length of stay.
AB - Background: Anterior spinal fusion can be approached through a retroperitoneal exposure lessening the risks of intra-abdominal exploration. The aim of this study is to report the complication rate and risk factors associated with anterior spinal fusion. Methods: A retrospective review and analysis of 128 consecutive patients undergoing anterior lumbar fusion was performed looking to correlate potential risk factors with known serious complications of this operation such as vein injury, deep vein thrombosis, pulmonary embolism, and death. Results: The overall complication rate was 15.5%, with 7.75% being considered serious complications. The most common complication was vein injury (5.4%), but no blood transfusions were required. Postoperatively, there was one death (0.8%), one pulmonary embolism, and one intraoperative hypoxic episode of undetermined etiology. Univariate analysis showed that vein injury was associated with increased operative time (p < .001) and associated with increased blood loss (p = .02) but not increased length of stay (p = .13). By multivariate analysis, operative time and length of stay were influenced by the approach of the operation (anterior alone versus anterior and posterior fixation), but not by the presence of vein injury or blood loss. Conclusions: In this large series of patients undergoing anterior spinal fusion by a dedicated surgical team, there was a single death, and although vein injury was the most frequent serious complication, it did not lead to an increase in operative time or length of stay.
UR - http://www.scopus.com/inward/record.url?scp=45849109957&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=45849109957&partnerID=8YFLogxK
U2 - 10.1007/s00268-007-9433-4
DO - 10.1007/s00268-007-9433-4
M3 - Article
C2 - 18224476
AN - SCOPUS:45849109957
VL - 32
SP - 1414
EP - 1419
JO - Presentations from the 9th Annual Electric Utilities Environmental Conference
JF - Presentations from the 9th Annual Electric Utilities Environmental Conference
SN - 0364-2313
IS - 7
ER -