論文

査読有り
2016年3月

A multi-center study of reoperations within 30 days of spine surgery

EUROPEAN SPINE JOURNAL
  • Takayoshi Shimizu
  • ,
  • Shunsuke Fujibayashi
  • ,
  • Mitsuru Takemoto
  • ,
  • Bungo Otsuki
  • ,
  • Hiroaki Kimura
  • ,
  • Masato Ota
  • ,
  • Akira Kusuba
  • ,
  • Youngwoo Kim
  • ,
  • Tsunemitsu Soeda
  • ,
  • Kei Watanabe
  • ,
  • Takeshi Sakamoto
  • ,
  • Akira Uchikoshi
  • ,
  • Naoya Tsubouchi
  • ,
  • Shuichi Matsuda

25
3
開始ページ
828
終了ページ
835
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s00586-015-4113-9
出版者・発行元
SPRINGER

To investigate the incidence and causes of reoperations within 30 days of spine surgery.
Patients who underwent spine surgery between 2002 and 2012, at one of 9 institutions, were enrolled. The causes of all reoperations, within 30 days of the index surgery, were reviewed. The incidence of reoperations within 30 days were calculated and compared according to the preoperative diagnosis, use of instrumentation, surgical level, and approach. Moreover, the distribution of the causes for reoperations within the 30-day period was also assessed.
The overall incidence of reoperations, within 30 days of spine surgery, was 1.6 % (175/10,680). Patients who underwent instrumentation procedures demonstrated a higher incidence of reoperations than patients who underwent procedures without instrumentation (P < 0.001). Moreover, patients diagnosed with preoperative trauma had a higher incidence of reoperation than those with other diagnoses (P < 0.001). Surgical site infection (SSI), postoperative epidural hematoma, pedicle screw malposition, and inadequate decompression were the four main causes of reoperation. Motor paralysis, due to epidural hematoma, was the predominant cause of reoperations during the hyper-acute phase (0-1 days, postoperatively), whereas SSI was the dominant cause during the sub-acute phase (11-30 days, postoperatively).
This large, multi-center study indicated the causes and incidence of reoperations, within 30 days of the initial spinal surgery. Based on these data, spinal surgeons can provide patients with information that allows them to better understand the surgical risk and expected post-surgical management.

Web of Science ® 被引用回数 : 8

リンク情報
DOI
https://doi.org/10.1007/s00586-015-4113-9
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000370957400022&DestApp=WOS_CPL

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