Journal of Isfahan Medical School

Journal of Isfahan Medical School

Prevalence and Incidence of Early and Late Complications of Lumbar Spine Fusion Surgery in Alzahra and Kashani Hospitals in Isfahan City, Iran, during 2011-2015

Document Type : Original Article (s)

Authors
Saeid Abrishamkar 1
Javad Hashemi 2
1 Professor, Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Resident, Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: This study aimed to determine the prevalence and incidence of early and late complications of lumbar spine fusion surgery in Alzahra and Kashani hospitals, Isfahan city, Iran, during 2011-2015.Methods: In a cross-sectional study, all the patients undergoing lumbar spine fusion surgery from the early 2011 until the end of 2015 were studied for the early and late complications caused by spine fusion.Findings: In this study, 326 patients were evaluated where 51 patients (15.6%) had postoperative complications. Type of complications included 4 cases (7.8%) of symptomatic hematoma, 9 cases (17.6%) of techal injury, 6 cases (11.8%) of decrease in muscle strength, 7 cases (13.7%) of fractures or displacement on instrument, 15 cases (29.4%) of superficial and deep infection, 2 cases (9.3%) of deep vein thrombosis, 2 cases (3.9%) of problem in screw place, 1 case (2%) of root damage and 5 cases of other complications.Conclusion: The incidence of postoperative complications in patients undergoing spine fusion is high and among the complications, infection was the most common early complication and force reduction is the highest late complication. Therefore, care is required after surgery and lifestyle modification and control of the underlying disease such as diabetes is a priority.
Keywords
Spine fusion
Postoperative complications
Inter-body fusion
  1. Jordan J, Konstantinou K, O'Dowd J. Herniated lumbar disc. BMJ Clin Evid 2009; 2009.
  2. Glassman SD, Alegre G, Carreon L, Dimar JR, Johnson JR. Perioperative complications of lumbar instrumentation and fusion in patients with diabetes mellitus. Spine J 2003; 3(6): 496-501.
  3. Fineberg SJ, Nandyala SV, Kurd MF, Marquez-Lara A, Noureldin M, Sankaranarayanan S, et al. Incidence and risk factors for postoperative ileus following anterior, posterior, and circumferential lumbar fusion. Spine J 2014; 14(8): 1680-5.
  4. Fardon DF, Milette PC. Nomenclature and classification of lumbar disc pathology. Recommendations of the Combined task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology. Spine (Phila Pa 1976) 2001; 26(5): E93-E113.
  5. Ng L, Chaudhary N, Sell P. The efficacy of corticosteroids in periradicular infiltration for chronic radicular pain: a randomized, double-blind, controlled trial. Spine (Phila Pa 1976) 2005; 30(8): 857-62.
  6. Park P, Garton HJ, Gala VC, Hoff JT, McGillicuddy JE. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine (Phila Pa 1976) 2004; 29(17): 1938-44.
  7. Gibson JN, Waddell G. Surgical interventions for lumbar disc prolapse. Cochrane Database Syst Rev 2007; (2): CD001350.
  8. Fritzell P, Hagg O, Wessberg P, Nordwall A. 2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group. Spine (Phila Pa 1976) 2001; 26(23): 2521-32.
  9. Korhonen T, Karppinen J, Paimela L, Malmivaara A, Lindgren KA, Jarvinen S, et al. The treatment of disc herniation-induced sciatica with infliximab: results of a randomized, controlled, 3-month follow-up study. Spine (Phila Pa 1976) 2005; 30(24): 2724-8.
  10. Schwender JD, Holly LT, Rouben DP, Foley KT. Minimally invasive transforaminal lumbar interbody fusion (TLIF): technical feasibility and initial results. J Spinal Disord Tech 2005; 18 Suppl: S1-S6.
  11. Wang BX, La JL. Therapeutic effects of electroacupuncture and diclofenac on herniation of lumbar intervertebral disc. Chin J Clin Rehabil 2004; 8(17): 3413-5.
  12. Kurtz SM, Lau E, Ong KL, Carreon L, Watson H, Albert T, et al. Infection risk for primary and revision instrumented lumbar spine fusion in the Medicare population. J Neurosurg Spine 2012; 17(4): 342-7.
  13. Petilon JM, Glassman SD, Dimar JR, Carreon LY. Clinical outcomes after lumbar fusion complicated by deep wound infection: a case-control study. Spine (Phila Pa 1976) 2012; 37(16): 1370-4.
  14. Kalanithi PA, Arrigo R, Boakye M. Morbid obesity increases cost and complication rates in spinal arthrodesis. Spine (Phila Pa 1976) 2012; 37(11): 982-8.
  15. Jo DJ, Jun JK, Kim KT, Kim SM. Lumbar Interbody Fusion Outcomes in Degenerative Lumbar Disease : Comparison of Results between Patients Over and Under 65 Years of Age. J Korean Neurosurg Soc 2010; 48(5): 412-8.
  16. Kalanithi PS, Patil CG, Boakye M. National complication rates and disposition after posterior lumbar fusion for acquired spondylolisthesis. Spine (Phila Pa 1976) 2009; 34(18): 1963-9.
  17. Djurasovic M, Bratcher KR, Glassman SD, Dimar JR, Carreon LY. The effect of obesity on clinical outcomes after lumbar fusion. Spine (Phila Pa 1976 ) 2008; 33(16): 1789-92.
  18. Browne JA, Cook C, Pietrobon R, Bethel MA, Richardson WJ. Diabetes and early postoperative outcomes following lumbar fusion. Spine (Phila Pa 1976) 2007; 32(20): 2214-9.
Journal of Isfahan Medical School
Volume 34, Issue 390 - Serial Number 390
May and June 2016
Pages 799-804

  • Receive Date 25 April 2016
  • Accept Date 06 April 2022