Complications of revision spinal surgery Similarly, Bridwell et al 11 described 14 early complications and 6 late complications in 27 patients that underwent a PSO for fixed sagittal imbalance. Malter: Population-based cohort study The surgery poses challenges, but it also offers hope for those who have had a failed spine surgery or complications. Objective: This investigation examined matched cohorts of lumbar spinal fusion (LSF) patients undergoing robot-assisted and conventional LSF to compare risk of revision, 30-day readmission, 30-day complications, and postoperative opioid utilization. Introduction. Here, the authors retrospectively investigated the surgical results and complications of revision ACDF after initial posterior surgery for OPLL. Abstract Importance. Descriptive statistics were used to calculate rates of malpositioned screws requiring revision, as well as overall complication, revision, and readmission rates within 90 days. Nov 13, 2024 · Rehabilitation after Spinal Fusion Surgery. Spinal complications that might be unrelated to spinal instrumentation include 1-6: spinal hematoma; pseudomeningocele/dural tear; spinal infection. Even with these precautions, however, the need for revision spinal surgery cannot be avoided in many cases. When surgery is done near the spine and spinal cord, these complications (if they occur) can be very serious. Methods: Revision lumbar spinal surgery was performed in 124 patients from January 1992 to December 1996, with an average follow-up of 37. Types of Revision Spine Surgery. Summary of Background Data. Methods: A literature review of the last decade was performed searching for the query "Adult spine deformity and complication. You will have a lot of interaction with our nurse practitioners, like myself, who are specially trained in spine surgery. This type of surgery is typically recommended when the initial spine surgery did not achieve the desired results or when complications have arisen post-surgery. Two hundred twenty (33. METHODS This was a single-center, retrospective study. By having a comprehensive team, we can ensure that you get thorough care before and after your surgery. Methods. Objectives: To describe: (1) the incidence, causes, and prevention of spine revision surgery in the pediatric population; and (2) the preoperative planning and imaging necessary for such surgeries and the associated intraoperative and technical complications (e. Preoperative workup should include evaluation for spinal instability. Surgery always carries with it some risk, by its very nature. 9% (110 out of 12,297) of patients had a subsequent spinal surgery, including revision or removal of implanted spinal stimulator electrodes or plates (33), 2–3 level vertebral fusion or refusion (30), exploration and decompression of spinal canal (34), discectomy (21), and other fusion Patients 18 years of age or older and undergoing primary or revision surgery for degenerative spinal conditions were included. Common Complications: Infections, blood clots, nerve damage, and hardware issues. Dec 17, 2020 · Supplemental Material, Supplementary_Table_2 for Prevalence of Osteoporosis Treatment and Its Effect on Post-Operative Complications, Revision Surgery and Costs After Multi-Level Spinal Fusion by Nikhil Jain, Lawal Labaran, Frank M. However, some people continue to have symptoms after surgery, or develop symptoms again within a few years of Summing up several papers on complications of endoscopic spine surgery, the most common complications of endoscopic spine surgery are dural tears, epidural hematoma, transient dysesthesia, and incomplete decompression. reported a systematic review of dural tears in endoscopic Sep 11, 2021 · Anyhow, it is essential for the radiologist to be aware of them in the assessment of radiographs, spinal CT or MRI after surgery. Dec 23, 2021 · In this retrospective, single-center cohort study, patients underwent spinal posterior instrumentation between January 2017 and July 2019. Mar 1, 2022 · Campbell et al. The percentage of complications referred to in pub … We report here two cases of complications concerning lumbar cages in transforaminal lumbar interbody fusion (TLIF) from our surgical experience. 14; 95% confidence interval (CI Oct 2, 2020 · After discharge from the hospital, the risk may be higher in the first 6 months but not substantially. Revision surgery Complications in spine surgery can emerge in the intraoperative or the immediate postoperative period or in The frequency of re-operations based on EPR aligns with previously published studies that report frequencies of revision surgery between 3. Daniels, MDb Study Design. 55 %, 2/362), at the thoracic spine in 11 cases (3. studied 1,269 patients who underwent either primary or revision cervical spinal fusion surgery via Nov 16, 2019 · Coupled with the increase in primary spine surgery, revision surgery has also followed a progressive increase in numbers. Between 2006 and 2013, 19 consecutive patients with cervical OPLL who underwent revision ACDF at the authors' institution after initial posterior Aug 6, 2021 · The results of this prospective quality improvement program investigation illustrate that outcomes of primary lumbar fusions were superior to outcomes of revisions. While the need for revision spine surgery can be disheartening, it’s essential to remember that it’s not a reflection of the patient’s failure. Secondary questions A) Describe the treatment of choice for every kind of complication mentioned. In addition, the relationship between the indications for revision surgery and independent variables was Complications After Spinal Fusion Surgery. The authors recommend taking a minimum of three intraoperative cultures in all revision surgeries if an infection is suspected. Aug 21, 2024 · Spine surgery can be a life-changing procedure for many patients, offering relief from chronic pain and improved mobility. Purpose: In this study, we aimed to determine the incidence of postoperative complications and retreatments after spinal surgery in MM patients. These include: “Circuit testing” of the spinal cord and nerves during the operation- neurophysiological monitoring Like all surgical procedures, lumbar decompression surgery carries some risk of complications. In studies where osteotomies corrected adult spinal deformity, the most common short-term complications were a dural tear, wound infections, implant failure, and new neurologic deficit. Given the elective nature of these procedures, interdisciplinary collaboration between providers sho … Nov 26, 2021 · OBJECTIVE Robotics is a major area for research and development in spine surgery. 001); with no significant differences for major complications or revision procedures ( P >0. The average age was 39 years (24–61 y). Objective: This investigation Despite the fact that complications are nearly unavoidable in spine surgery and that complications will further increase health care costs, there is a conspicuous gap in the literature on the specific costs of spine surgery complications and the impact of such complications on health care resource utilization and overall costs. Dec 15, 2020 · Study design: Retrospective Study. Complications could involve subsequent pain and impairment and the need for additional surgery. We prospectively interviewed 526 patients out of 1140 patients who consec … Lazio B E, Staab M, Stambough J L, Hurst J M. Here, we report a case of revision lumbar fusion surgery at the L3–4 level. Abstract. Minimally invasive surgery MIS ReFRESH is the first study designed to compare RG and FG techniques in adult minimally invasive surgery (MIS) lumbar fusions. Long-term follow-up of revision decompressive lumbar spinal surgery in elderly patients: Shay Shabat: Retrospective cohort: 31 > 65: Lumbar decompressive spinal surgery: 10: Pain, reoperation rate, patient's satisfaction: 3: 5-year reoperation rates after different types of lumbar spine surgery: Alex D. epidural abscess; spondylodiscitis; vertebral osteomyelitis Transforaminal lumbar interbody fusion has gained widespread popularity as a procedure for achieving arthrodesis in the lumbar spine. Latissimus dorsi rupture: an unusual complication of anterior spine surgery. Jan 14, 2020 · The anterior approach to the cervical spine is commonly utilized for a variety of degenerative, traumatic, neoplastic, and infectious indications. Sep 26, 2024 · Revision surgery, done with general anesthesia, focuses on fixing hardware problems and restoring spinal alignment if possible. 6 months (range, 24-89 months). 3% and 8. 40 New-onset neurological deficits after lumbar procedures may occur as a consequence of deformity correction bringing about neural Sep 10, 2024 · Revision spine surgery has high rates of infections, durotomies, and other intraoperative complications due to surrounding scar tissue and dural adhesions. 003); higher minor complication rate ( P =0. Patients with a history of spinal fusion undergoing THA exhibit increased complication rates, higher levels of pain, and greater functional limitations than those without prior fusion. Jan 3, 2023 · A 2020 prospective 10-year follow-up assessment for spinal fusions reported a 7. The mean Sep 11, 2021 · Anyhow, it is essential for the radiologist to be aware of them in the assessment of radiographs, spinal CT or MRI after surgery. However, the disease-specific clinical outcomes of revision surgery for this problem are not well studied [3]. Following spinal fusion surgery, patients may experience postsurgical complications during the recovery period. Methods Register data of 302 patients was analyzed. How does revision spine surgery work? Revision spine surgery involves the re-exploration and modification of the spine to address issues that may have developed or persisted following Spinal fusion surgery is the most commonly performed orthopaedic surgical procedure. 02); blood loss ( P <0. We want surgeons to have realistic expectations for construct survival across different surgical strategies, enabling them to counsel patients more effectively about the risks associated with these procedures. 9%) had prior spine surgery. Revision lumbar spine surgery is associated with several distinct pathological processes after an index spine surgery. Spinal fusion can lead to accelerated degeneration at adjacent levels, whereas extensive lami-nectomy can result in future instability. 1993;6(1):83–86. 03); however, this result is limited by the small sample size and limited follow-up period. Thus, due to the heterogeneity in spine surgeries, data on complications after spinal surgery is rare. Khan, Amit Jain, Khaled M. 4. 9%) is far below the EPR frequency and other reports [5, 26, 32]. Kebaish and Hamid Hassanzadeh in Global Spine Journal 3 days ago · “Complications and, ultimately, revision surgeries are an inherent part of adult spinal deformity treatment. Subdural hygroma is a very rare but well-known complication of revision spinal surgery, spinal anaesthesia or Chiari malformation surgery, 1 2 such as foramen magnum decompression. You may be a candidate for the revision spine surgery procedure if: You have balance Revision surgery was defined as an unplanned procedure related to the index surgery for the treatment of a spine-related complication. Understanding the reasons for revision (refusion) surgery and the risk of neurological complications can assist in developing more effective May 31, 2024 · Revision spine surgery is performed to address complications or ongoing pain that can occur after a previous spinal surgery. Only limited data derived from large prospective cohort studies exist on the incidence of revision surgery among patients who undergo operations for degenerative lumbar spinal stenosis (DLSS). Even though surgery is the best option for the treatment, the complications due to surgery are pretty challenging. Jan 27, 2024 · Lastly, complications from the initial surgery, such as infection, hardware failure, or non-union (failure of the spinal bones to fuse properly), can also necessitate revision spine surgery. That number is much lower — 10% — for spinal fusions in which hardware is placed . It is tailored to individuals who continue to experience pain, instability, or complications despite a previous surgical intervention. Revision spine surgery, or revision spinal surgery, refers to a surgical procedure necessary to correct or adjust the results of a previous one. Late neurological complications can be avoided in posterior corrective surgery for cervical kyphosis by prophylactic foraminotomies in the presence of foraminal stenosis, kyphosis correction that does not exceed 9. Causes & Risk Factors: Factors include surgical approach, general health, and smoking. " This search yielded Jul 26, 2022 · Main Outcomes and Measures. Phillips, Safdar N. Nov 9, 2023 · Revision spine surgery, often referred to simply as “revision surgery,” is a surgical procedure performed to correct or improve the outcomes of a prior spine surgery. Apr 23, 2021 · The purpose of this study was to compare clinical outcomes and complications of primary and revision surgery in patients with adult spinal deformity (ASD) accompanied by sagittal imbalance. The effect of smoking on patients Study design: Retrospective review. It is a known cause of recurrent pain and disability after spinal fusion surgery and is one of the most common indications for revision lumbar sur-gery [1,2]. Kleinhenz, MD,b Shyam Patel, MD,b and Alan H. A study group from the University Hospital of Heidelberg in Germany has summarized the peak timing for complications and revision in spinal surgery. Purpose of the study is to retrospectively evaluate intraoperative and perioperative complications who underwent various lumbar surgical procedures and to Mar 1, 2024 · Patients in the long group had greater hospital length of stay ( P =0. Data on revision spine procedures were extracted from the California State Inpatient Database for years 2008 to 2011. 3–5 Development of neurological symptoms after spinal fusion surgery due to CSF collection is rare and difficult to diagnose. While in former times hardware exchange or hardware removal was common practise in the field of spine surgery this approach has changed over the last years. Additionally, we found patients undergoing a primary spine surgery reported greater improvement in their health compared with those undergoing revision surgery, likely because revisions are technically more challenging and complications are more common. Jan 1, 2009 · Complication rates for revision lumbar surgery in this series were 3 to 5 times higher than reported for primary lumbar exposures. Retrospective Study. This study aims to review the complication rates of adult spinal deformity surgery. In patients requiring revision surgery, the surgical site was located at the cervical spine in 2 cases (complication rate: 0. published a prospective observational study evaluating perioperative complications following posterior cervical spinal surgery and reported that 49. Revision surgery was required in 12% of cases within 30 postoperative days (median time to revision 11 days [IQR 5–15 days Mar 4, 2021 · Background: Previous studies have shown that the rates of complications associated with revision spine surgery are higher than those of primary spine surgery. PURPOSE OF THE STUDY Unplanned revision spinal surgeries constitute a complication in the treatment algorithm for the patient, surgeon and the entire treatment team. With this increased intervention, increasing numbers of patients experience persistent symptoms and require revision spinal surgery. However, the study did not cover all relevant aspects. 1–3 Complication rates have been reported to be as high as 60–70%, 4, 5 with approximately 20% requiring reoperation. Relative lumbar lordosis (RLL) and relative sagittal alignment (RSA) was measured. Mar 1, 2012 · Objective: To review the indications, operative strategy, and complications of revision cervical spine reconstruction. Unfortunately, the number of patients requiring revision Dec 17, 2024 · Furthermore, the presence of comorbidities and patient-specific factors may influence the risk of postoperative complications and subsequent revision surgery. However, the road to recovery is not always smooth, and understanding post-op spine surgery complications is crucial for patients and their caregivers. Aug 23, 2022 · The overall postoperative complication rate was 26%. 8% in the osteotomy group, and the revision rate was 21. [21,22] We found the overall complication rate 52. Revision spine surgery is more technically demanding than primary surgery with increased complication rates and variable clinical outcomes. g. Sep 15, 2003 · Surgical treatment for symptomatic cervical and lumbar spondylosis has become prevalent in recent years. Revision spine surgery includes several procedures. Durotomy and infection were the most common complications in … Minimally invasive spine surgery for adult spinal deformity also is an important subgroup with a different complication profile. While many potential complications overlap with those of the posterior approach, the distinct anatomy of the anterior neck also presents a unique set of … Spinal Fusion Complications: This surgery aims to stabilize the spine but carries risks. Chi-squared tests comparing demographic data, revision rates, and multiple revisions were conducted. 2 Vascular injury, Mar 1, 2022 · The rates of neurological complications following lumbar spine surgery have been reported to be between 0. Overall, 162 of 652 patients developed at least one complication (24%) and the most common intraoperative complication was vascular Dec 12, 2021 · [1,8–11] The current data regarding revision surgery related to material failure have not been adequately investigated. Primary Spine Surgery: Expectations vs. Despite the introduction of new spinal implants and surgical technology, reoperation rates have remained stable over recent years. Jul 21, 2024 · If your doctor has recommended revision spine surgery as a treatment option, you’ve probably experienced extended periods of dull or sharp pains. How big the surgery will be depends a lot on what kind of hardware failed, the health of the spine, and if there are any other health issues. Backgroud: The purpose of this study was to compare clinical outcomes and complications of primary and revision surgery in patients with adult spinal deformity (ASD) accompanied by sagittal imbalance. In some cases (up to 10 to 40 percent of patients), a back surgery may not yield the anticipated benefits. Traumatic or iatrogenic disruption of these layers results in extravasation of CSF and may produce spinal headaches, herniation of neurologic structures, fistulas, and meningitis. With careful planning and expert care, revision spine surgery can be an effective treatment for many patients. Revision spine surgery becomes a necessary consideration when the initial spinal procedure does not meet its intended goals or when new issues arise. Recurrent or continuing symptoms. 2 Yee TJ, Swong K, Park P. Nov 9, 2023 · Introduction. Secondary outcomes included changes in the following patient-reported outcome measures: Spinal Stenosis Measure (SSM) symptom severity (higher scores indicate more pain) and physical function (higher scores indicate more disability) subscale scores and the EuroQol Health-Related Quality of Life The risks of surgical complications, all-cause readmission, and revision surgery were also similar between neurosurgeons and orthopedic surgeons across all procedure types assessed, with several minor exceptions: neurosurgeons had marginally higher odds of any complication for lumbar fusions [odds ratio (OR) 1. These complications can vary in severity and duration and may require additional medical attention or interventions. 9 However, much of our current knowledge regarding spine surgery in this patient population is based on Oct 28, 2024 · Objective The purpose was to analyze how rod characteristics, screw density and cages influence the incidence of mechanical complications compared to patient-related factors and alignment in adult spinal deformity instrumented T9-T11 to pelvis. Jan 29, 2018 · Keywords: Adult spinal deformity, complications, limitations of minimally invasive spine (MIS), minimally invasive surgery, minimally invasive spine (MIS) Introduction Until recently, minimally invasive spine (MIS) techniques have been used mainly for the correction of coronal deformity due to an inability to impact the sagittal plane of Jan 10, 2020 · The meningeal layers, composed of the pia, arachnoid, and dura mater, provide an encapsulating outer barrier that allows cerebrospinal fluid (CSF) to protect the brain and spinal cord [1]. Background: Surgical treatment of adult lumbar spinal disorders is associated with a substantial risk of intraoperative and perioperative complications. They were followed up at 3, 12, and 18 months postoperatively. 5-17 % and vary based on the specific diagnosis, approach, patient comorbidities and surgical complexity. 8 Careful patient selection and meticulous surgical technique may decrease the need for revision surgery. Though adult spinal deformity surgery (ASD) has potential to provide major improvements in quality of life, 1 complications and healthcare costs surgery remain high. 7° per spinal segment and avoiding kyphosis correction at C4–C5, which is where the largest posterior shift of the spinal cord Therefore, postoperative complications may occur following surgical treatment of MM lesions. This study also discusses the treatment method for each complication, along with the thesis review. 3 Leckie et al. 7,8,21 There are numerous reported surgical approaches for revision surgery, 22–25 but there is scant literature on functional outcomes of revision fusion patients. The goal is to improve a patient’s quality of life by: Alleviating pain: Pain that persists or worsens after an initial surgery can be addressed with revision techniques. Surgical data Jul 4, 2024 · In patients undergoing cervical spine surgery for degenerative disease, osteoporosis is a significant risk factor for long-term postoperative complications-notably cage subsidence and pseudarthrosis. 26–29 Sep 15, 2024 · Pseudarthrosis complicates both anterior and posterior fusion procedures, but it is not always the cause of postoperative neck pain. Patients who developed postoperative neurological deficits were then subdivided into causative procedure: revision anterior cervical discectomy and fusion, revision posterior cervical fusion, and revision thoracolumbar fusion. Methods We retrospectively evaluated the clinical and radiological charts prospectively collected from patients who underwent a spinal surgery procedure from January 2010 to December 2012. Careful patient and technique selection is important in achieving satisfactory outcome in revision spinal surgery. These advanced methods, expertly utilized by specialists like Dr. Revision surgery. The biomechanical stability of the spine is reduced, and long‐term complications such as degeneration of adjacent vertebral bodies occur, and minimally invasive spine surgery emerges as the times require. Lumbar decompression surgery is generally effective in relieving symptoms such as leg pain and numbness. A Patient's Guide to Complications of Spine Surgery. Open surgery for adult scoliosis has been described as having very high complication rates, up to 66% [ 49 ]. Symptoms to Watch: Persistent pain, redness, swelling, and fever. The high accuracy of robot-assisted placement of thoracolumbar pedicle screws is documented in the literature. Dec 1, 2022 · Sairyo et al. Analysis of operative complications in a series of 471 anterior lumbar interbody fusion procedures. These findings have significant clinical implications for optimizing perioperative care in high-risk patient popula … There were significantly less complications and revisions in the robotic arm (P=0. The rate of complications is higher in the setting of revision anterior surgery than with initial anterior lumbar surgery. Especially, XLIF reduces the risk of nerve root lesions, postoperative radiculitis, and durotomies compared to posterior fusion … Several issues are becoming progressively clearer, such as complication rates in primary versus revision spinal surgery, complications in the elderly, the contribution of minimally invasive surgery to the reduction of complication rate. Feb 28, 2023 · Spinal fusion surgery is the most commonly performed orthopaedic surgical procedure. These complications may lead to severe or even permanent morbidity if left undiagnosed and untreated. Clinically significant complications related to spinal decompression and reconstruction consist primarily of neurologic injuries and graft- and device-related problems. Aug 1, 2020 · Background Postoperative neurological complications after spine surgery can result in increased mortality and morbidity. Jan 15, 2016 · Background The need for revision surgery after a spinal surgery can cause a variety of problems, including reduced quality of life for the patient, additional medical expenses, and patient-physician conflicts. [Google Scholar] 25. Revision spine surgery is defined as a secondary surgical procedure at the same site as a previous spine surgery. We also had 12 deaths of children who were scheduled for surgery but died before the spine surgery could be performed. Assess rates of complications, revision surgery, and radiation between Mazor robotic-guidance (RG) and fluoro-guidance (FG). Sep 8, 2019 · With the rise in elective lumbar fusion rates, it is expected that the rate for revision spinal surgery will also increase with time. With a body part as complex as the spine, it’s not uncommon for a surgical procedure to correct some, but not all, of the underlying pathologies. New neurologic deficits after surgery range from temporary paresthesiae to permanent quadriplegia , and these adverse events are associated with significant postoperative morbidity and mortality . Sep 1, 2013 · The rate of revision following primary adult revision spine surgery has been reported to be between 9% and 45%. Therefore, standardized strategies and protocols for treatment of PSII are urgently needed. Revision surgery has been associated with poor clinical outcomes and increased risk of complications. The patient developed acute conus medullaris syndrome at 10 days postoperatively. Epidural fibrosis and scarring can make a revi-sion surgery significantly more difficult and can increase the risk of durotomy. Dec 15, 2020 · This investigation examined matched cohorts of lumbar spinal fusion (LSF) patients undergoing robot-assisted and conventional LSF to compare risk of revision, 30-day readmission, 30-day complications, and postoperative opioid utilization. 22 In one retrospective study of 90 patients, revision surgery was found to be a significant risk factor for CSF leak Glassman et al 31 described a perioperative complication rate of 62% in revision spine surgery performed after previous operations for scoliosis. epidural abscess; spondylodiscitis; vertebral osteomyelitis; meningitis Nov 1, 2023 · Patients who undergo revision surgery primarily to address deformity, and/or to correct spinal coronal/sagittal balance, will most likely see some improvement. Potential postsurgical complications include: Non-union of the fused segments Abdominal complications have been reported. However, there is a lack of research exploring the difference in magnitude of risk of poor outcomes between primary and revision lumbar spine surgeries. As the surgical treatment of spinal degenerative conditions increases, more patients will ultimately require revision spine surgery. A few decades ago, spine surgery was only performed in a few specialized hospitals. A few examples of these risks include: Smoking. Common complications that warrant surgical revision include adjacent segment pathology, pseudarthrosis, implant failure, flatback syndrome, recurrent/residual stenosis or disc herniation, and wound complications. However, revision procedures that met EBM guidelines were associated with greater improvements in ODI scores, which indicates that the … Aug 23, 2022 · Complications in spine surgery can arise in the intraoperative or the immediate postoperative period or in a delayed manner. Dec 7, 2024 · When Revision Spinal Surgery May Be Necessary. In this paper the most common surgical complications in degenerative spinal surgery are outlined and discussed. The aim of this study was to compare the incidence Despite a high initial success rate, 10–15% of patients who undergo FESS will undergo revision surgery. The complexity of spinal surgery in particular adds to the associated risk. Materials and Methods: From 2003 to 2018, 48 patients with recurrent LBP after TDR underwent revision surgery. 5% chance of revision surgery 10 years after the procedure. Revision surgery may be a risk factor for neurological complications because of altered anatomy, requirement for osteotomies through fusion masses, scar tissue, and the existence of preoperative neurological deficits compared to primary surgery patients [21•]. Types of complications reported within our study population are presented in Table 2. XLIF is a reasonably safe and effective fusion technique in revision surgery that allows valid arthrodesis avoiding scarred tissue created by previous surgical approaches. When undertaking a revision spinal surgery, certain Research indicates that around 22% of patients with this complication develop some degree of spinal cord injury and require revision surgery. Feb 16, 2024 · Understanding the Need for Revision Spine Surgery. MRI showed a subdural, extra-arachnoid area Dec 1, 2010 · Study design: A review of issues and concerns associated with pediatric revision surgery. 19–21 Revision FESS is often considered to have an increased risk of complications due to altered anatomy and scarring. Anterior cervical discectomy (ACD), without fusion, relieves In the field of revision spine surgery, innovative surgical techniques have revolutionized patient outcomes, especially for those facing complications from previous spinal fusion surgeries. Reality Some risk factors may increase the likelihood of complications during or after lumbar laminectomy surgery. Complications of anterior cervical spine surgery: a systematic review of the literature. Summary of background data: With many surgeons expanding their indications for cervical spine surgery, the number of patients being treated operatively has increased. Yang, BS,a Neill Y. Incidental durotomies (also Lumbar Revision Surgery is a specialized procedure performed to address and correct issues that may have arisen following a previous lumbar surgery. There is no clearly defined medical literature on complication in lumbar spine surgery. The anatomy is distorted, and some of the regional landmarks are often missing or altered. 1% of their cohort developed either a minor or major complication. Literature-reported revision rates in adult spinal deformity patients vary, reaching up to 58% [3,4,5,6,7,8,9]. Li, MD,b Dominic T. , infection, blood loss, and incomplete Nov 6, 2019 · Purpose To investigate whether the World Health Organization Safety Surgical Checklist (SSC) is an effective tool to reduce complications in spinal surgery. The frequency of revision surgery reported by NORspine (0. There is often extensive scarring of bone to the nerve, even within the nerves themselves. Amongst the risk factors studied for increased rates of revision surgery were age, bony failure with a high degree of kyphosis, and comorbidities such as osteoporosis and obesity [3,4,6,7]. 51 A transforaminal endoscopic approach is advantageous in this population by approaching through untouched tissue and avoiding scar tissue. Sasso R C, Best N M, Mummaneni P V, Reilly T M, Hussain S M. May 16, 2024 · Its primary purpose is to correct complications, restore spinal stability, and alleviate symptoms that may have arisen or persisted after initial spine surgery. A prospective study by Hoogland and colleagues Pseudarthrosis is one of the most common complications of lumbar spine surgery. 7%) patients in our study underwent multilevel ALIF surgery and 240 (36. STUDY DESIGN Retrospective Study. Complications occurred more often in patients undergoing revision surgery or multilevel interbody fusion. Myelopathic complications are also known as perioperative spinal cord injuries. 12 Müller et al. Spinal complications that might be unrelated to spinal instrumentation include 1-6: spinal haematoma; pseudomeningocele/dural tear; spinal infection. Intraoperatively, scar tissue may complicate the procedure, and care must be taken to avoid incidental durotomy. The aim of this study was to analyse complication rates after spinal surgery in a representative consecutive cohort in a tertiary spine centre for a period of one year and critically report the risk factors associated with the surgery. 45 %, 14/572), and at the lumbar and sacral spine in 89 cases (0. With this increased intervention Abstract. Additionally, we sought to identify risk factors associated with complications and retreatments. The prognosis for a revision surgery can be predicted best by the patient's outcome after the primary surgery. This investigation examined matched cohorts of Feb 18, 2021 · Furthermore, associated medical conditions place patients at high risk for cardiac or pulmonary complications, with prior case series demonstrating complication rates as high as 61% after spine surgery in patients with achondroplasia. 6 Even after a successful perioperative recovery, the risk of longer-term complications such Nervous tissue injury. Aug 31, 2021 · In his chapter on revision lumbar spine surgery for the medical text entitled The Textbook of Spinal Surgery, 3rd Edition, Auerbach cites studies that show fusions performed without the implantation of hardware may increase your risk for pseudoarthrosis by 70%. In this study, the type of index operation for DLSS was not associated with the incidence of revision surgery after 3 years. Complications were classified as general, specific, or technical (Table 1), as described by Fritzell, Hagg, and Nordwall , and further divided into two categories: major (adverse events with sequelae in discharge or requiring revision surgery during hospitalization) and minor complications (adverse events with no sequelae in discharge and not Risk of Postoperative Complications and Revision Surgery Following Robot-assisted Posterior Lumbar Spinal Fusion Daniel S. 5). Complication rates were significantly higher for revision anterior lumbar fusions at the same segment, which were typically in the lower lumbar spine, compared with case … eral reports indicate that TDR revision surgery carries a major risk and that it should not be recommended. 23,24 Furthermore, patients that required a future revision surgery were more likely to be Nov 1, 2020 · In the present narrative review paper, the complications in thoracic spine surgery are categorized into approach-related complications, neurological complications, wound-related complications, mechanical and instrument-related complications, as well as medical complications along with pre-, intra- and post-operative considerations. When it comes to spine surgery, achieving the desired outcome is not always a one-time event. Revision surgery, when indicated, is more complicated than “virgin” or first-time around spinal surgery. Further research is required to fully elucidate the effects of bisphosphonates on outcomes and complications following spine surgery. Keywords: complication rate, intraoperative radiation, lumbar fusion, minimally invasive, prospective, revision rate, robotic- guided spine surgery Precise implant placement during spinal surgery is crucial to avoid neurologic and vascular damage, while providing proper fixation and stability to support the formation of bone fusion. The degree to which pain relief can be achieved with revision surgery is somewhat harder to anticipate. Sep 18, 2020 · Request PDF | Risk of Postoperative Complications and Revision Surgery Following Robot-assisted Posterior Lumbar Spinal Fusion | Study design: Retrospective Study. Alexander Taghva, focus on minimizing tissue damage, reducing recovery times, and Nov 29, 2023 · Purpose Main question The aim of this study is to describe and analyze the frequency of acute perioperative (intraoperatively and 30 days after) complications of open/MISS thoracolumbar spine surgery. The authors present the largest case series to date evaluating 90-day complication, revision, and readmission rates for robot-assisted spine surgery using the current generation of robotic guidance Mar 14, 2019 · The incidence of complications from cervical spine revision surgery is higher than in first-time procedures. Correction of adjacent segment failure may involve additional posterior dissection, revision of existing instrumentation, and negotiation of scar tissue which may lead to increased risk of infection and spinal fluid leak. The OP population is largely comprised of older Robotic-assisted posterior lumbar spinal fusion is independently associated with increased risk of revision surgery, infection, instrumentation complications, and post-operative opioid utilization compared to conventional fusion techniques. Objective: To analyze the indications, incidence of minor and major complications, and rate of subsequent spinal surgery or revision after spinal cord stimulator (SCS) placement for degenerative spine disease. 2, 3 At present, the most popular minimally invasive surgery is mainly the foraminal technique. It is also more difficult to relieve pain and restore nerve function in revision surgery. reported complications of endoscopic lumbar decompression surgery; in this article, the 11 cases of complications, such as 6 dural tears, 2 postsurgical hematomas, 2 neural complications, and one fracture of the inferior articular process, were reported. Overall, the best results from revision surgeries are usually seen in patients Aug 6, 2021 · The number of lumbar spine surgeries has progressively increased during recent years, 2,3 and the rate of revision procedures has also progressively increased. Sep 15, 2003 · Bearing potential complications in mind, re-decompression with fusion is a viable option with reasonable clinical outcomes for patients with recurrent symptoms after laminotomy for lumbar spinal stenosis and could have the potential benefit of lower complication rates in revision surgery. Jun 6, 2023 · Neurologic injury is a recognized complication of spine surgery, with an incidence of approximately 1% across a variety of spinal procedures (1,2). Methods Bisphosphonate usage did not significantly affect the rates of postoperative complications following posterior lumbar fusion. With any surgery, there is the risk of complications. OBJECTIVE This investigation examined matched cohorts of LSF patients undergoing robot-assisted and conventional LSF to Keywords: complication rate, intraoperative radiation, lumbar fusion, minimally invasive, prospective, revision rate, robotic- guided spine surgery Precise implant placement during spinal surgery is crucial to avoid neurologic and vascular damage, while providing proper fixation and stability to support the formation of bone fusion. Whilst the risk is extremely low, there are meticulous steps undertaken to mitigate the risks. 3,5 The rates of, and reasons for, repeat revision surgery following revision Feb 10, 2020 · PSII related complications and revision procedures pose an enormous socioeconomic burden. A well-planned postoperative rehabilitation program is crucial for a successful recovery following spinal fusion surgery. 98 %, 89/9,085). In his chapter on revision lumbar spine surgery for the medical text entitled The Textbook of Spinal Surgery, 3rd Edition, Auerbach cites studies that show fusions performed without the implantation of hardware may increase your risk for pseudoarthrosis by 70%. 001); proportion requiring intensive care unit ( P =0. Oct 1, 2003 · Request PDF | Complications of revision spinal surgery | Surgical treatment for symptomatic cervical and lumbar spondylosis has become prevalent in recent years. Your initial diagnosis and symptoms will determine your need for revision spine surgery after the first surgery. Any complication leading to an unplanned revision surgery is therefore undesirable. Rehabilitation helps patients regain strength, flexibility, and mobility, while also minimizing the risk of complications such as muscle weakness, joint stiffness, and chronic pain. Smoking has been discouraged both before and after any spinal surgery, including lumbar laminectomy. The clinical results of posterior instrumented fusion using the prosthesis like an interbody cage have not been well analyzed. The use of minimal invasive surgical techniques for revision spinal surgery is controversial. 2-4 Despite the use of modern instrumentation and bone graft extenders, the rates of revision following primary spinal fusion procedures are not improving. Objective Oct 24, 2023 · Neurosurgery One spine surgery teams include a spine neurosurgeon, physician assistants and certified nurse practitioners. Symptoms include: New or worsening nerve problems like shooting pain, numbness, or muscle weakness; Bladder or bowel dysfunction; Cauda equina syndrome; Increased spinal instability or pseudoarthrosis Neurological complications associated with spine surgery can occur following anterior cervical discectomy and fusion, posterior cervical fusion, and thoracolumbar fusion. Sep 30, 2021 · If you have a spinal fusion in which no plates, screws or other hardware are installed. 3 6 A subdural hygroma is a CSF Jan 29, 2018 · Adjacent segment failure is a common complication encountered in patients with prior lumbar fusions. 37% after lumbar fusion and as high as 30% after lumbar surgery without fusion. 3% [5, 26, 32]. However, subdural hygroma occurrence is a very rare complication after revision spinal fusion surgery. 1%. Even with the best surgeon, procedures and outcomes, surgery is no more than 95 percent effective. 32 %, 11/331), at the thoracolumbar spine in 14 cases (2. The overall postoperative complication rate was 26%. Objective. Patients reported quality of life at the 10-year mark that’s only slightly lower than healthy peers and notably higher than scoliosis patients who didn’t undergo spinal surgery. Ruling out infection before revision lumbar spine surgery, especially in the presence of instrumentation, is an important step to improve outcomes and decrease complications. Dec 24, 2024 · Reported complication types were logged and categorized into 9 groups based on how they have been hierarchized in the literature 32, 33: wound infection, epidural hematoma, spinal cord or nerve root injury (including cerebrospinal fluid leak), pedicle screw malposition or breach, postoperative neurological deficit, non-neurological medical Spinal fusion surgery is the most commonly performed orthopaedic surgical procedure. The time of onset of material failure which led to revision surgery was analyzed. The first case is a 51-year-old female patient who underwent a revision surgery at our institution following herniectomy and the positioning of an interspinous device performed at another hospital. Serious complications after an initial surgery may need immediate revision spinal surgery. No studies have analyzed the incidence of postoperative neurological complica-tions following revision spinal surgery, which occurs more commonly than anticipated given the sheer volume of spine procedures. The primary outcome was the cumulative incidence of revision operations. Within spine literature, OP has previously been associated with an increased hospital length of stay, likelihood of revision surgery, and post-surgical complications (8,36). The purpose of this study was to evaluate the causes of unplanned revision spinal surgery within a week after the initial surgery in order to identify the surgical issues most commonly Jul 1, 2020 · Our results show that within 90 days of SCS, 0. J Spinal Disord. 91 Decreases in rates of revision spine surgery may ultimately be the most effective means of cost savings in this patient population due to both the increased direct costs The revision surgery to correct paediatric spinal deformity will be determined by the nature of the initial procedure and of any complications, as well as the patient’s underlying medical conditions and clinical presentation. B) Perform a bibliographic search and compare the complications described and their frequency We retrospectively reviewed 124 consecutive patients who underwent revision lumbar spinal surgery and investigated the factors that affected the outcomes of their surgery. Again, this risk involves those children with the most severe neurologic disability. Smoking may 1 Schroeder GD, Kepler CK, Hilibrand AS. The association of OP and post-operative complications following ALIF/PSIF is consistent with previous literature (16,37). qjnz pcizi vnbmls tym gqti qrve goe gjlodww tdrr hlc