What does this research mean for the field?

Anterior procedures on the thoracic, thoracolumbar, or lumbar spine are relatively safe, with an overall complication rate of 31% (11% major), where risk is significantly increased by blood loss over 520 mL and combined same-day anterior-posterior procedures. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

June 1, 1996Journal of Bone and Joint Surgery

Perioperative Complications of Anterior Procedures on the Spine*†

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Why the study?

What are the rates and risk factors for perioperative complications associated with anterior procedures on the spine?

Population

447 patients who underwent an anterior procedure on the thoracic, thoracolumbar, or lumbar spine to treat…

Design

Cohort

Follow-up

perioperative

Authors

MMMark McDonnellUniversity of Louisville SGSteven D. GlassmanNorton Healthcare JDJohn R. DimarUniversity of Louisville

Discussion

Member takes

Implication

Anterior spine procedures carry notable complication risks with identifiable factors; Level 3 data leaves open causal confirmation and practice change.

Structured PICO

What are the rates and risk factors for perioperative complications associated with anterior procedures on the spine?

Population

447 patients who underwent an anterior procedure on the thoracic, thoracolumbar, or lumbar spine to treat spinal deformity or for débridement or decompression of the spinal canal. Diagnostic groups included idiopathic scoliosis in adolescents or young adults (n=100), scoliosis in mature adults (n=63), kyphosis (n=61), neuromuscular scoliosis (n=60), fracture (n=47), revision procedure (n=39), congenital scoliosis (n=36), tumor (n=19), vertebral osteomyelitis or discitis (n=8), and miscellaneous (n=14).

Intervention

Anterior procedure on the thoracic, thoracolumbar, or lumbar spine

Outcome

Perioperative complications (major and minor)safety

Anterior procedures on the spine are relatively safe, with a 31% overall complication rate, though risks increase with age >60, blood loss >520 mL, and combined anterior/posterior procedures in a single session.

Cite This Study

McDonnell et al. (1996) studied this question.

synapsesocial.com/papers/6a1bc53ab33628da419cd4a1 https://doi.org/10.2106/00004623-199606000-00006

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Implication

Anterior spine procedures carry notable complication risks with identifiable factors; Level 3 data leaves open causal confirmation and practice change.

Perioperative Complications of Anterior Procedures on the Spine*†

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Perioperative Complications of Anterior Procedures on the Spine*†

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider