Influence factors of severe complications occurrence in surgical treatment for patients with thoracolumbar vertebral deformities
10.3969/j.issn.1671-8348.2017.30.011
- VernacularTitle:外科治疗胸腰椎体畸形患者发生严重并发症的影响因素
- Author:
Feng ZHENG
1
;
Gang CHEN
;
Zhe XU
Author Information
1. 青海省人民医院骨科
- Keywords:
orthopedics;
postoperative complications;
thoracolumbar vertebral deformity;
influencing factors
- From:
Chongqing Medicine
2017;46(30):4211-4213
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence factors of severe complications in the surgical treatment for the patients with thoracolumbar vertebral deformities. Methods The clinical data in 164 cases of thoracolumbar vertebral deformity in this hospital from June 2011 to June 2016 were retrospectively analyzed. All cases were treated by thoracic and lumbar deformity correction surgery and divided into the severe complication group (n= 18) and non-complication group (n= 146) according to postoperative complications. The risk factors of severe complications occurrence in surgical treatment of thoracolumbar vertebral deformities were analyzed. Results Among 18 cases of severe complications,the severe complications with higher occurrence rates were the nerve injury,pleural injury and non-union. The multivariate Logistic analysis results showed that the long disease history, preoperative neurological damage,low FVC, long operation time, more amount of intraoperative bleeding and intraoperative osteotomy were the risk factors of severe complications occurrence in surgical treatment of thoracolumbar vertebral deformities (P < 0. 05 ). Conclusion Clinic should strengthen the monitoring on the patients with long disease history, preoperative neurological damage, low FVC,long operation time, more amount of intraoperative bleeding and intraoperative osteotomy in order to reduce the occurrence rate of postoperative severe complications.
