Burden of disease of reoperations in instrumental spinal surgeries in Germany

Jacob, Christian; Annoni, E.; Haas, Jennifer S.; Braun, Sebastian; Winking, Michael; Franke, Jörg

doi:10.1007/s00586-015-4073-0

Cited by 3 publications

(2 citation statements)

References 32 publications

(33 reference statements)

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“…Lumbar fusion surgery is a standard procedure for treating degenerative lumbar disease. Despite advances in surgical technique and implants over the past two decades, the rate of unplanned reoperation did not decrease with the increase in lumbar fusion volume [2,6,13]. In the present study, we found that the cumulative incidence of unplanned reoperation was about 4.1% at 3 months, 6.2% at 1 year and 8.2% at 3 years.…”

Section: Discussioncontrasting

confidence: 63%

“…Unplanned reoperations after lumbar fusion are defined as any indications resulting in an unplanned return to the operating room. Previous studies demonstrated the associations between reoperation and worse outcomes, including higher rates of complications and lower satisfaction [6,7]. In a retrospective cohort study of 5022 patients, Weir et al [8] found that mean costs in the 2 years following reoperation were £1889 higher than patients who did not undergo repeat surgery over an equivalent follow-up period.…”

Section: Introductionmentioning

confidence: 99%

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Incidence and risk factors for early and late reoperation following lumbar fusion surgery

Wang

Wang²,

Li³

et al. 2022

J Orthop Surg Res

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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.

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Section: Discussioncontrasting

confidence: 63%