The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression

The aim. To analyze the role of the spine adipose index (SAI) in predicting the risk of septic spondylodiscitis after lumbar percutaneous laser disk decompression (PLDD).Material and methods. A retrospective observational single-center study was performed. Various clinical and instrumental parameter...

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Main Authors: I. A. Stepanov, V. A. Beloborodov
Format: Article
Language:Russian
Published: Scientific Сentre for Family Health and Human Reproduction Problems 2023-03-01
Series:Acta Biomedica Scientifica
Subjects:
Online Access:https://www.actabiomedica.ru/jour/article/view/3993
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author I. A. Stepanov
V. A. Beloborodov
author_facet I. A. Stepanov
V. A. Beloborodov
author_sort I. A. Stepanov
collection DOAJ
description The aim. To analyze the role of the spine adipose index (SAI) in predicting the risk of septic spondylodiscitis after lumbar percutaneous laser disk decompression (PLDD).Material and methods. A retrospective observational single-center study was performed. Various clinical and instrumental parameters have been studied, including the spine adipose index, which are potential risk factors for the development of postprocedural septic spondylodiscitis.Results. The study included 219  patients who underwent PLDD for degenerative lumbar disk disease. The average period of postoperative observation was  30.8  ±  13.3  months. Signs of septic spondylodiscitis were detected in 5 (2.28%) cases. Multivariate analysis showed that III degree of anesthesiological risk by the American Society of Anesthesiologists (ASA) scale (p = 0.021), a high value of body mass index (more than 25 kg/m2) (p = 0.043) and a high value of SAI (over 0.7) (p = 0.037) are statistically significantly associated with the development of septic spondylodiscitis in patients who underwent lumbar PLDD.Conclusion. The value of SAI is statistically significantly associated with the development of spondylodiscitis in patients who underwent PLDD for degenerative lumbar disk disease.
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spelling doaj.art-4094e9043cb841c296430af9e8232e0f2024-03-28T07:49:28ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962023-03-018110811610.29413/ABS.2023-8.1.122509The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompressionI. A. Stepanov0V. A. Beloborodov1Irkutsk State Medical UniversityKharlampievskaya ClinicThe aim. To analyze the role of the spine adipose index (SAI) in predicting the risk of septic spondylodiscitis after lumbar percutaneous laser disk decompression (PLDD).Material and methods. A retrospective observational single-center study was performed. Various clinical and instrumental parameters have been studied, including the spine adipose index, which are potential risk factors for the development of postprocedural septic spondylodiscitis.Results. The study included 219  patients who underwent PLDD for degenerative lumbar disk disease. The average period of postoperative observation was  30.8  ±  13.3  months. Signs of septic spondylodiscitis were detected in 5 (2.28%) cases. Multivariate analysis showed that III degree of anesthesiological risk by the American Society of Anesthesiologists (ASA) scale (p = 0.021), a high value of body mass index (more than 25 kg/m2) (p = 0.043) and a high value of SAI (over 0.7) (p = 0.037) are statistically significantly associated with the development of septic spondylodiscitis in patients who underwent lumbar PLDD.Conclusion. The value of SAI is statistically significantly associated with the development of spondylodiscitis in patients who underwent PLDD for degenerative lumbar disk disease.https://www.actabiomedica.ru/jour/article/view/3993septic spondylodiscitisspine adipose indexrisk factorspercutaneous laser disk decompression
spellingShingle I. A. Stepanov
V. A. Beloborodov
The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression
Acta Biomedica Scientifica
septic spondylodiscitis
spine adipose index
risk factors
percutaneous laser disk decompression
title The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression
title_full The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression
title_fullStr The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression
title_full_unstemmed The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression
title_short The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression
title_sort role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression
topic septic spondylodiscitis
spine adipose index
risk factors
percutaneous laser disk decompression
url https://www.actabiomedica.ru/jour/article/view/3993
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