Perioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age

Jun-zhe Ding,* Chao Kong,* Xiang-yao Sun, Shi-bao Lu Orthopaedic Department, Xuanwu Hospital, National Center for Clinical Research of Geriatric Diseases, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Shi-bao LuXuanwu Hospital of Capital...

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Autores principales:	Ding J, Kong C, Sun X, Lu S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	degenerative lumbar scoliosis elderly patients perioperative complication risk factor Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/1a7d9607a003427d88705b77ade81fde
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spelling	oai:doaj.org-article:1a7d9607a003427d88705b77ade81fde2021-12-02T10:40:30ZPerioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age1178-1998https://doaj.org/article/1a7d9607a003427d88705b77ade81fde2019-12-01T00:00:00Zhttps://www.dovepress.com/perioperative-complications-and-risk-factors-in-degenerative-lumbar-sc-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Jun-zhe Ding,* Chao Kong,* Xiang-yao Sun, Shi-bao Lu Orthopaedic Department, Xuanwu Hospital, National Center for Clinical Research of Geriatric Diseases, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Shi-bao LuXuanwu Hospital of Capital Medical University, No.45 Changchun Street, Beijing 100053, People’s Republic of ChinaTel +86 13910727070Fax +86 1083198641Email spinelu@163.comStudy design: Multivariate analysis of retrospective registry data.Objective: To report the perioperative complication in a large cohort of surgery for elderly degenerative lumbar scoliosis (DLS) patients and to analyze the risk factors.Summary of background data: The perioperative complication rate and risk factors for patients with DLS remain unclear, especially in elderly population.Methods: Between November 2015 and June 2018, 98 patients aged 70 or older with DLS received decompression and intervertebral fusion by one spine surgeon at Beijing Xuanwu Hospital. The medical history and comorbidities of all patients were recorded.Results: The perioperative complication rate was 34.7% in all patients, 11.2% of all patients had major complications, and 31.6% had minor complications. The major complication most commonly seen was wound infection, and the most common minor complication was hypoproteinemia. Elderly patients (>75) had longer hospital stays (17.5 ± 7.9) when compared to younger patients. Two risk factors of perioperative complications were chosen after binary logistic regression analysis: lower BMI and longer instrumented segments. The only risk factor for major complications was longer instrumented level (≥3), and the only risk factor for minor complications was lower BMI.Conclusion: Our findings indicate that in elderly patients with DLS, lower BMI is a risk factor for minor perioperative complication. Obesity is not a major problem in this population, on the contrary, BMI is a protective factor for perioperative complications. The risk factors for major perioperative complications in elderly patients with DLS are longer instrumented segments but not related to the number of decompression and intervertebral fusion levels. Preoperative comorbidities and advanced age were not associated to a higher perioperative complication rate in elderly patients. The perioperative complication rate in patients with DLS over 70 years of age is found to be acceptable with appropriate perioperative management.Keywords: degenerative lumbar scoliosis, elderly patients, perioperative complication, risk factorDing JKong CSun XLu SDove Medical Pressarticledegenerative lumbar scoliosiselderly patientsperioperative complicationrisk factorGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 2195-2203 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	degenerative lumbar scoliosis elderly patients perioperative complication risk factor Geriatrics RC952-954.6
spellingShingle	degenerative lumbar scoliosis elderly patients perioperative complication risk factor Geriatrics RC952-954.6 Ding J Kong C Sun X Lu S Perioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age
description	Jun-zhe Ding,* Chao Kong,* Xiang-yao Sun, Shi-bao Lu Orthopaedic Department, Xuanwu Hospital, National Center for Clinical Research of Geriatric Diseases, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Shi-bao LuXuanwu Hospital of Capital Medical University, No.45 Changchun Street, Beijing 100053, People’s Republic of ChinaTel +86 13910727070Fax +86 1083198641Email spinelu@163.comStudy design: Multivariate analysis of retrospective registry data.Objective: To report the perioperative complication in a large cohort of surgery for elderly degenerative lumbar scoliosis (DLS) patients and to analyze the risk factors.Summary of background data: The perioperative complication rate and risk factors for patients with DLS remain unclear, especially in elderly population.Methods: Between November 2015 and June 2018, 98 patients aged 70 or older with DLS received decompression and intervertebral fusion by one spine surgeon at Beijing Xuanwu Hospital. The medical history and comorbidities of all patients were recorded.Results: The perioperative complication rate was 34.7% in all patients, 11.2% of all patients had major complications, and 31.6% had minor complications. The major complication most commonly seen was wound infection, and the most common minor complication was hypoproteinemia. Elderly patients (>75) had longer hospital stays (17.5 ± 7.9) when compared to younger patients. Two risk factors of perioperative complications were chosen after binary logistic regression analysis: lower BMI and longer instrumented segments. The only risk factor for major complications was longer instrumented level (≥3), and the only risk factor for minor complications was lower BMI.Conclusion: Our findings indicate that in elderly patients with DLS, lower BMI is a risk factor for minor perioperative complication. Obesity is not a major problem in this population, on the contrary, BMI is a protective factor for perioperative complications. The risk factors for major perioperative complications in elderly patients with DLS are longer instrumented segments but not related to the number of decompression and intervertebral fusion levels. Preoperative comorbidities and advanced age were not associated to a higher perioperative complication rate in elderly patients. The perioperative complication rate in patients with DLS over 70 years of age is found to be acceptable with appropriate perioperative management.Keywords: degenerative lumbar scoliosis, elderly patients, perioperative complication, risk factor
format	article
author	Ding J Kong C Sun X Lu S
author_facet	Ding J Kong C Sun X Lu S
author_sort	Ding J
title	Perioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age
title_short	Perioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age
title_full	Perioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age
title_fullStr	Perioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age
title_full_unstemmed	Perioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age
title_sort	perioperative complications and risk factors in degenerative lumbar scoliosis surgery for patients older than 70 years of age
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/1a7d9607a003427d88705b77ade81fde
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Perioperative Complications And Risk Factors In Degenerative Lumbar Scoliosis Surgery For Patients Older Than 70 Years Of Age

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