scholarly journals Risk Factors and Scoring System of Cage Retropulsion after Posterior Lumbar Interbody Fusion: A Retrospective Observational Study

2021 ◽  
Author(s):  
Lei Peng ◽  
Jiang Guo ◽  
Ji‐ping Lu ◽  
Song Jin ◽  
Peng Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Observational Study ◽  
Scoring System ◽  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Retrospective Observational Study ◽  
Lumbar Interbody Fusion

Risk Factors for Poor Patient-Reported Quality of Life Outcomes After Posterior Lumbar Interbody Fusion

Spine ◽  
2017 ◽  
Vol 42 (19) ◽  
pp. 1502-1510 ◽  
Author(s):  
Takahiro Makino ◽  
Takashi Kaito ◽  
Hiroyasu Fujiwara ◽  
Hirotsugu Honda ◽  
Yusuke Sakai ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Life Outcomes ◽  
Poor Patient ◽  
Quality Of Life Outcomes ◽  
Patient Reported

59. Risk factors for adjacent segment degeneration after posterior lumbar interbody fusion

2004 ◽  
Vol 4 (5) ◽  
pp. S31-S32
Author(s):  
Shinya Okuda ◽  
Motoki Iwasaki ◽  
Akira Miyauchi ◽  
Masahiro Morita ◽  
Hiroyuki Aono
Keyword(s):  
Risk Factors ◽  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Adjacent Segment Degeneration ◽  
Adjacent Segment ◽  
Lumbar Interbody Fusion

Perioperative complications of primary posterior lumbar interbody fusion for nonisthmic spondylolisthesis: analysis of risk factors

2008 ◽  
Vol 9 (5) ◽  
pp. 403-407 ◽  
Author(s):  
Noboru Hosono ◽  
Masato Namekata ◽  
Takahiro Makino ◽  
Toshitada Miwa ◽  
Takashi Kaito ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Loss ◽  
Interbody Fusion ◽  
Perioperative Complications ◽  
Posterior Lumbar Interbody Fusion ◽  
Operation Time ◽  
Neurological Complications ◽  
Lumbar Interbody Fusion ◽  
Facet Joints ◽  
Surgeon Experience

Object Although posterior lumbar interbody fusion (PLIF) is an excellent procedure to attain circumferential decompression, it is technically demanding and can lead to various surgical complications. The authors retrospectively reviewed consecutive patients with nonisthmic spondylolisthesis who underwent PLIF to reveal the incidence and risk factors for perioperative complications of PLIF. Methods A total of 240 patients underwent PLIF. The fusion level was at L4–5 in 220, L3–4 in 18, and L5–S1 in 2. The medial walls of the fusion segment's facet joints were resected, and the VSP Spine System was used for the pedicle screw instrumentation. The operations were performed by 7 surgeons, who were divided into 4 groups according to their level of experience with spinal surgery. Results The average operation time was 175 ± 49 minutes, and the estimated blood loss was 746 ± 489 ml. A total of 90 patients (37.5%) experienced complications; 41 (17%) experienced transient neurological complications, and 18 (7.5%) experienced permanent neurological complications. The mean neurological score according to the Japanese Orthopaedic Association improved from 14.3 ± 3.8 to 24.7 ± 4.0 in the patients without complications and from 14.8 ± 3.6 to 24.0 ± 3.9 in the patients with complications. Multivariate analysis concerning the relationship between complications and risk factors (operation time, estimated intraoperative blood loss, and surgeon experience) revealed that operation time was the only significant risk factor for complications. Conclusions Perioperative complications of PLIF were more frequent in this homogeneous study group than in other studies of various implants. Total excision of the facet joints might preclude neurological complications.

scholarly journals Risk Factors for Posterior Cage Migration after Lumbar Interbody Fusion Surgery

2018 ◽  
Vol 12 (1) ◽  
pp. 59-68 ◽  
Author(s):  
Dong-Yeong Lee ◽  
Young-Jin Park ◽  
Sang-Youn Song ◽  
Soon-Taek Jeong ◽  
Dong-Hee Kim
Keyword(s):  
Risk Factors ◽  
Interbody Fusion ◽  
Multiple Logistic Regression Analysis ◽  
Univariate Analysis ◽  
Surgical Techniques ◽  
Case Series ◽  
Posterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Related Factors ◽  
Low Bmi

<sec><title>Study Design</title><p>A retrospective clinical case series.</p></sec><sec><title>Purpose</title><p>To determine the strength of association between cage retropulsion and its related factors.</p></sec><sec><title>Overview of Literature</title><p>Lumbar interbody fusion with cage can obtain a firm union and can restore the disc height with normal sagittal and coronal alignment. Although lumbar interbody fusion procedures have satisfactory clinical outcomes, peri- and postoperative complications regarding the cage remain challenging.</p></sec><sec><title>Methods</title><p>From January 2006 to June 2016, 1,047 patients with lumbar degenerative disc disease who underwent posterior lumbar interbody fusion or transforaminal interbody fusion at Gyeongsang National University Hospital were enrolled. Medical records and pre- and postoperative radiographs were reviewed to identify significant cage retropulsion-related factors. The associations between cage retropulsion with various risk factors were evaluated by calculating odds ratios (ORs) and 95% confidence intervals (CIs) using multiple logistic regression analysis.</p></sec><sec><title>Results</title><p>Of 1,229 disc levels, 16 cases (1.3%, 10 men and 6 women) had cage retropulsion. Univariate analysis revealed no significant differences between the cage retropulsion group and the no cage retropulsion group with regard to demographic data such as age, sex, weight, height, body mass index (BMI), smoking habits, presence of osteoporosis, and duration of follow-up. Multivariate analysis revealed that low BMI (OR, 0.875; 95% CI, 0.771–0.994; <italic>p</italic>=0.040), presence of screw loosening (OR, 27.400; 95% CI, 7.818–96.033; <italic>p</italic>&lt;0.001), and pear-shaped disc (OR, 9.158; 95% CI, 2.455–34.160; <italic>p</italic>=0.001) were significantly associated with cage retropulsion.</p></sec><sec><title>Conclusions</title><p>This study demonstrated that low BMI, loosening of posterior instrumentation, and pear-shaped disc were associated with cage retropulsion after lumbar interbody fusion. Therefore, when performing lumbar interbody fusion with a cage, surgeons should have skillful surgical techniques for firm fixation to prevent cage retropulsion, particularly in non-obese patients.</p></sec>

Risk Factors of Cage Subsidence after Posterior Lumbar Interbody Fusion

2016 ◽  
Vol 23 (2) ◽  
pp. 100 ◽  
Author(s):  
Dong-Yeong Lee ◽  
Soon-Taek Jeong ◽  
Chang-Hwa Hong ◽  
Young-Lac Choi ◽  
Byeong-Hun Kang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Cage Subsidence

scholarly journals Prolonged length of stay and discharge disposition to rehabilitation facilities following single-level posterior lumbar interbody fusion for acquired spondylolisthesis

2020 ◽  
Vol 11 ◽  
pp. 411
Author(s):  
Joshua Alexander Benton ◽  
Rafael De La Garza Ramos ◽  
Yaroslav Gelfand ◽  
Jonathan D. Krystal ◽  
Vijay Yanamadala ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Transfusion ◽  
Length Of Stay ◽  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Prolonged Length ◽  
Single Level ◽  
Rehabilitation Facilities ◽  
Perioperative Blood Transfusion

Background: Acquired lumbar spondylolisthesis is often treated with interbody fusion. However, few studies have evaluated predictors for prolonged length of stay (LOS) and disposition to rehabilitation facilities after posterior single-level lumbar interbody fusion for acquired spondylolisthesis. Methods: The American College of Surgeons National Quality Improvement Program database was queried for adults with acquired spondylolisthesis who underwent single-level lumbar interbody fusion through a posterior approach (posterior lumbar interbody fusion (PLIF) or transforaminal lumbar interbody fusion [TLIF]). We utilized multivariate logistic regression analysis to identify predictors of prolonged LOS and disposition in this patient population. Results: Among 2080 patients identified, 700 (33.7%) had a prolonged LOS (≥4 days), and 306 (14.7%) were discharged postoperatively to rehabilitation facilities. Predictors for prolonged LOS included: American Society of Anesthesiologist (ASA) class ≥3, anemia, prolonged operative time, perioperative blood transfusion, pneumonia, urinary tract infections, and return to the operating room. The following risk factors predicted discharge to postoperative rehabilitation facilities: age ≥65 years, male sex, ASA class ≥3, modified frailty score ≥2, perioperative blood transfusion, and prolonged LOS. Conclusion: Multiple partial-overlapping risk factors predicted prolonged LOS and discharge to rehabilitation facilities after single-level TLIF/PLIF performed for acquired spondylolisthesis.

scholarly journals Establishment and Verification of a Perioperative Blood Transfusion Model After Posterior Lumbar Interbody Fusion: A Retrospective Study Based on Data From a Local Hospital

2021 ◽  
Vol 8 ◽  
Author(s):  
Bo Liu ◽  
Junpeng Pan ◽  
Hui Zong ◽  
Zhijie Wang
Keyword(s):  
Risk Factors ◽  
Blood Transfusion ◽  
Medical History ◽  
Calibration Curve ◽  
Interbody Fusion ◽  
Lumbar Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Validation Set ◽  
Elder People

Objective: We aimed to analyze the related risk factors for blood transfusion and establish a blood transfusion risk model during the per-ioperative period of posterior lumbar interbody fusion (PLIF). It could provide a reference for clinical prevention and reduction of the risk of blood transfusion during the peri-operative period.Methods: We retrospectively analyzed 4,378 patients who underwent PLIF in our hospital. According to whether they were transfused blood or not, patients were divided into the non-blood transfusion group and the blood transfusion group. We collected variables of each patient, including age, sex, BMI, current medical history, past medical history, surgical indications, surgical information, and preoperative routine blood testing. We randomly divide the whole population into training group and test group according to the ratio of 4:1. We used the multivariate regression analyses get the independent predictors in the training set. The nomogram was established based on these independent predictors. Then, we used the AUC, calibration curve and DCA to evaluate the nomogram. Finally, we verified the performance of the nomogram in the validation set.Results: Three or more lumbar fusion segments, preoperative low hemoglobin, with hypertension, lower BMI, and elder people were risk factors for blood transfusion. For the training and validation sets, the AUCs of the nomogram were 0.881 (95% CI: 0.865–0.903) and 0.890 (95% CI: 0.773–0.905), respectively. The calibration curve shows that the nomogram is highly consistent with the actual observed results. The DCA shows that the nomogram has good clinical application value. The AUC of the nomogram is significantly larger than the AUCs of independent risk factors in the training and validation set.Conclusion: Three or more lumbar fusion segments, preoperative low hemoglobin, with hypertension, lower BMI, and elder people are associated with blood transfusion during the peri-operative period. Based on these factors, we established a blood transfusion nomogram and verified that it can be used to assess the risk of blood transfusion after PLIF. It could help clinicians to make clinical decisions and reduce the incidence of peri-operative blood transfusion.

scholarly journals Minimal Access Spinal Technologies (Mast) Fusion Procedures For The Treatment Of The Degenerative Lumbar Spine (A Part Of Multicentral Prospective Study)

2014 ◽  
Vol 14 (1) ◽  
pp. 33-39 ◽  
Author(s):  
A.H. Khoshab ◽  
P. Dumy ◽  
B. Kolarovszkl
Keyword(s):  
Blood Loss ◽  
Observational Study ◽  
Minimally Invasive ◽  
Prospective Study ◽  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Fluoroscopy Time ◽  
Lumbar Interbody Fusion ◽  
Patient Reported ◽  
Surgical Duration

Abstract A prospective multicentral observational study of minimally invasive fusion to treat degenerative lumbar disorders, and to report outcomes of one or two level minimally invasive posterior lumbar interbody fusion (MLIF) for degenerative lumbar disorders in a multi-center 1-year prospective study. We prospectively studied a group of 32 patients, mostly female 24 ( 75% female ), and 8 males ( 25%). They underwent minimally invasive transforaminal lumbar interbody fusion (mTLIF), 21 of them monosegmental and 11 bisegmental. Patients demographics, intraoperative data and complications were recorded. Time to first ambulation, time to study-defined recovery, surgical duration, blood loss, fluoroscopy time and adverse events were recorded. Visual analogue scale (VAS) of back and legs pain, Oswestry disability index (ODI) and health-related questionnaire (EQ-5D) were assessed preoperatively and at defined time points through 12 months postoperatively. Mean surgical duration, blood loss and intraoperative fluoroscopy time were 125 vs.175 minutes, 150 vs. 170 ml, and 105 vs. 145 seconds in one- and twolevel segments, respectively. Mean preoperative VAS back (6.5) and VAS leg (7.9) scores dropped significantly (p<0.0001) to 3.5 (2.6) and 2.1 (2.0) at discharge (6 weeks). At the end, this is the largest prospective multi-center observational study of MLIF to date, following routine local standard of practice and, MLIF demonstrated favourable clinical results with early and sustained improvement in patient reported outcomes and low major perioperative morbidity.

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