2021
DOI: 10.1016/j.spinee.2020.10.002
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Risk factors for postoperative ileus after oblique lateral interbody fusion: a multivariate analysis

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Cited by 18 publications
(26 citation statements)
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“…Postoperative ileus (POI) is a relatively common complication that can adversely affect clinical outcomes following lumbar fusion surgery, with a rate of 0.6% to 22.0% [ 82 ]. The POI rate from previous studies on OLIF ranged from 0.9% to 3.9% [ 11 , 62 , 79 , 83 ]. A recent study by Park et al [ 83 ] analyzed 460 patients who underwent OLIF and percutaneous pedicle screw instrumentation and identified inadvertent endplate fracture as an independent risk factor for POI following OLIF.…”
Section: Complications Requiring Special Considerationsmentioning
confidence: 99%
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“…Postoperative ileus (POI) is a relatively common complication that can adversely affect clinical outcomes following lumbar fusion surgery, with a rate of 0.6% to 22.0% [ 82 ]. The POI rate from previous studies on OLIF ranged from 0.9% to 3.9% [ 11 , 62 , 79 , 83 ]. A recent study by Park et al [ 83 ] analyzed 460 patients who underwent OLIF and percutaneous pedicle screw instrumentation and identified inadvertent endplate fracture as an independent risk factor for POI following OLIF.…”
Section: Complications Requiring Special Considerationsmentioning
confidence: 99%
“…The POI rate from previous studies on OLIF ranged from 0.9% to 3.9% [ 11 , 62 , 79 , 83 ]. A recent study by Park et al [ 83 ] analyzed 460 patients who underwent OLIF and percutaneous pedicle screw instrumentation and identified inadvertent endplate fracture as an independent risk factor for POI following OLIF. Suggested explanations for the association between POI and endplate fracture are as follows: (1) endplate fracture inducing the release of inflammatory mediators, leading to abnormal intestinal motility; and (2) nociceptive stimulus caused by endplate fracture stimulating inhibitory neural reflexes, leading to postoperative hypomotility [ 83 ].…”
Section: Complications Requiring Special Considerationsmentioning
confidence: 99%
“… 14 Multimodal analgesics have been proposed to effectively reduce postoperative pain, but these agents can prolong gastric emptying time and possibly contribute to abdominal complications, such as emesis, after spinal surgery. 20 Certain types of surgeries (eg, neurosurgery, abdominal, ophthalmic, oral, and maxillofacial surgeries) have a higher incidence of PONV, possibly due to prolonged exposure to general anesthesia and higher opioid use. 21 , 22 Multimodal analgesics have become increasingly popular to prevent postoperative pain, but these analgesics are frequently accompanied by critical complications, such as PONV, during the postoperative period.…”
Section: Discussionmentioning
confidence: 99%
“…The comparatively low risk of lumbar plexopathy from an oblique lumbar exposure is likely lower in the above exposure due to the limited need for retraction of the psoas [ 18 ]. Additionally, peritoneal manipulation carries with it a risk of postoperative ileus, not experienced in our patient [ 19 ].…”
Section: Discussionmentioning
confidence: 99%