Incidence and risk factors for early and late reoperation following lumbar fusion surgery
Abstract Study design Retrospective cohort study. Purpose The aim of our study was to determine the rates and indications of reoperations following primary lumbar fusion, as well as the independent risk factors for early and late reoperation. Methods We retrospectively reviewed patients who underwen...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-022-03273-4 |
| _version_ | 1798037768894414848 |
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| author | Shuai-Kang Wang Peng Wang Xiang-Yu Li Chao Kong Jia-Yin Niu Shi-Bao Lu |
| author_facet | Shuai-Kang Wang Peng Wang Xiang-Yu Li Chao Kong Jia-Yin Niu Shi-Bao Lu |
| author_sort | Shuai-Kang Wang |
| collection | DOAJ |
| description | Abstract Study design Retrospective cohort study. Purpose The aim of our study was to determine the rates and indications of reoperations following primary lumbar fusion, as well as the independent risk factors for early and late reoperation. Methods We retrospectively reviewed patients who underwent lumbar fusion surgery between January 2017 and March 2020. All patients were followed up for more than 2 years. Characteristics, laboratory tests, primary diagnosis and surgery-related variables were compared among the early reoperation (< 3 months), the late reoperation (> 3 months) and the non-reoperation groups. Multivariable logistic regression analysis was used to identify independent risk factors for early and late reoperations. Results Of 821 patients included in our studies, 34 patients underwent early reoperation, and 36 patients underwent late reoperation. The cumulative reoperation rate was about 4.1% (95% CI 3.8–4.5%) at 3 months, 6.2% (95% CI 5.9–6.5%) at 1 year and 8.2% (95% CI 8.0–8.5%) at 3 years. Multivariable analysis indicated that osteoporosis (odds ratio [OR] 3.6, 95% CI 1.2–10.5, p = 0.02) and diabetes (OR 2.1, 95% CI 1.1–4.5, p = 0.04) were independently associated with early reoperation and multilevel fusion (OR 2.4, 95% CI 1.1–5.4, p = 0.03) was independently associated with late reoperation. Conclusions The most common reasons for early reoperation and late operation were surgical site infection and adjacent segment diseases, respectively. Osteoporosis and diabetes were independent risk factors for early reoperation, and multilevel fusion was independent risk factor for late reoperation. Surgeons should pay more attention to these patients, and future studies should consider the effects of follow-up periods on results. |
| first_indexed | 2024-04-11T21:31:04Z |
| format | Article |
| id | doaj.art-492f905f184a48dd8deed274df1fff55 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T21:31:04Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-492f905f184a48dd8deed274df1fff552022-12-22T04:02:00ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-08-011711910.1186/s13018-022-03273-4Incidence and risk factors for early and late reoperation following lumbar fusion surgeryShuai-Kang Wang0Peng Wang1Xiang-Yu Li2Chao Kong3Jia-Yin Niu4Shi-Bao Lu5Department of Orthopedics, Xuanwu Hospital, Capital Medical UniversityDepartment of Orthopedics, Xuanwu Hospital, Capital Medical UniversityDepartment of Orthopedics, Xuanwu Hospital, Capital Medical UniversityDepartment of Orthopedics, Xuanwu Hospital, Capital Medical UniversityCapital Med Univ, Ctr Heart, Beijing Chaoyang HospDepartment of Orthopedics, Xuanwu Hospital, Capital Medical UniversityAbstract Study design Retrospective cohort study. Purpose The aim of our study was to determine the rates and indications of reoperations following primary lumbar fusion, as well as the independent risk factors for early and late reoperation. Methods We retrospectively reviewed patients who underwent lumbar fusion surgery between January 2017 and March 2020. All patients were followed up for more than 2 years. Characteristics, laboratory tests, primary diagnosis and surgery-related variables were compared among the early reoperation (< 3 months), the late reoperation (> 3 months) and the non-reoperation groups. Multivariable logistic regression analysis was used to identify independent risk factors for early and late reoperations. Results Of 821 patients included in our studies, 34 patients underwent early reoperation, and 36 patients underwent late reoperation. The cumulative reoperation rate was about 4.1% (95% CI 3.8–4.5%) at 3 months, 6.2% (95% CI 5.9–6.5%) at 1 year and 8.2% (95% CI 8.0–8.5%) at 3 years. Multivariable analysis indicated that osteoporosis (odds ratio [OR] 3.6, 95% CI 1.2–10.5, p = 0.02) and diabetes (OR 2.1, 95% CI 1.1–4.5, p = 0.04) were independently associated with early reoperation and multilevel fusion (OR 2.4, 95% CI 1.1–5.4, p = 0.03) was independently associated with late reoperation. Conclusions The most common reasons for early reoperation and late operation were surgical site infection and adjacent segment diseases, respectively. Osteoporosis and diabetes were independent risk factors for early reoperation, and multilevel fusion was independent risk factor for late reoperation. Surgeons should pay more attention to these patients, and future studies should consider the effects of follow-up periods on results.https://doi.org/10.1186/s13018-022-03273-4ReoperationLumbar fusionComplicationsRisk factors |
| spellingShingle | Shuai-Kang Wang Peng Wang Xiang-Yu Li Chao Kong Jia-Yin Niu Shi-Bao Lu Incidence and risk factors for early and late reoperation following lumbar fusion surgery Journal of Orthopaedic Surgery and Research Reoperation Lumbar fusion Complications Risk factors |
| title | Incidence and risk factors for early and late reoperation following lumbar fusion surgery |
| title_full | Incidence and risk factors for early and late reoperation following lumbar fusion surgery |
| title_fullStr | Incidence and risk factors for early and late reoperation following lumbar fusion surgery |
| title_full_unstemmed | Incidence and risk factors for early and late reoperation following lumbar fusion surgery |
| title_short | Incidence and risk factors for early and late reoperation following lumbar fusion surgery |
| title_sort | incidence and risk factors for early and late reoperation following lumbar fusion surgery |
| topic | Reoperation Lumbar fusion Complications Risk factors |
| url | https://doi.org/10.1186/s13018-022-03273-4 |
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