The perioperative risk factors of postoperative complications after posterior lumbar fusion operation: a retrospective analysis of 654 cases
10.3760/cma.j.issn.0253-2352.2017.20.006
- VernacularTitle:后路腰椎融合术后并发症危险因素的多因素分析
- Author:
Lin HUANG
1
;
Zhaopeng CAI
;
Keng CHEN
;
Xumin HU
;
Peng WANG
;
Weihua ZHAO
;
Min ZHAO
;
Jichao YE
;
Huiyong SHEN
Author Information
1. 510120广州,中山大学孙逸仙纪念医院骨科、脊柱外科,中山大学脊髓损伤研究所,广东省脊柱脊髓疾病科研中心
- Keywords:
Lumbar vertebrae;
Spinal fusion;
Postoperative complications;
Risk factors
- From:
Chinese Journal of Orthopaedics
2017;37(20):1285-1293
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the perioperative risk factors of postoperative complications after posterior lumbar fusion operation.Methods The clinical data of 654 patients with posterior lumbar fusion during 2010 and 2014 were retrospectively analyzed.Using x2 test and one-way ANOVA,the predicted risk factors were screened for further Logistic regression.Results The total complication rate was 11.6％ among all 654 patients.The major complications included cardiac infarction,deep infection,sepsis,neurological impairment,and secondary operation.And the minor complications included wound dehiscence,urinary tract infection,pulmonary infection,gastrointestinal bleeding,CSF leakage and others.According to x2 test and one-way ANOVA,renal function insufficiency,preoperative neurological injury,ASA higher than Ⅲ level,intraoperative blood loss,long operation length,and usage of autogenous bone were screened as risk factors of complications.Renal function insufficiency,preoperative neurological injury,intraoperative blood loss,and long operation length were screened as risk factors of minor complications.And male,renal function insufficiency,preoperative neurological injury,intervertebral fusion,and posteriolateral fusion were screened as risk factors of major complications.However,according to Logistic regression,the independent risk factor of complications were preoperative neurological injury and long operation length;independent risk factors of minor complications were renal function insufficiency,preoperative neurological injury and long operation length;and independent risk factor of major complications was preoperative neurological injury.Conclusion Preoperative neurological injury,renal function insufficiency and long operation length are proved to be the risk factors of postoperative complication in lumbar fusion surgery.
