Abstract:Objectives: This study aims to investigate the prevalence of venous and arterial diseases in asymptomatic patients undergoing total knee arthroplasty (TKA) and to evaluate possible surgery-related vascular complications. Patients and methods: The data of a total of 96 extremities of 48 vascular asymptomatic patients (9 males, 39 females; mean age 65.7±51.8 years; range, 50 to 85 years) who underwent arterial and venous bilateral Doppler ultrasound examination between October 2017 and February 2018 were retrosp… Show more
“…This knowledge may help spine surgeons to better educate patients and caregivers and prevent future complications. Surgical procedures that involve the introduction of foreign materials into the body can increase the risk of postoperative thrombus formation and circulatory disorders (Atilla & Akdoğan, 2019; Fonnes et al, 2016; Taheriazam et al, 2018). For example, chronic hypertension, rather than short-term hypertension, is the most influential factor in the increasing prevalence of CVD.…”
This retrospective study investigated the long-term incidence and risk of postoperative complications following spinal fusion. This study included 640,366 participants from a National Health Examination cohort in the Republic of Korea. Among them, 11,699 individuals underwent spinal fusion, and 56,667 individuals who underwent non-fusion spinal procedures served as controls. Propensity score matching was used to account for patient characteristics including demographic factors, comorbidities, and other relevant variables. The participants were followed for 8 years to assess the occurrence of cerebrovascular disease (CVD), hemorrhagic infarction (HA), ischemic infarction (II), occlusion and stenosis, and ischemic heart disease (IHD). The incidence rates of CVD and IHD were found to be 27.58 and 31.45 per 1,000 person-years in the spinal fusion group compared to 18.68 and 25.73 per 1,000 person-years in the control group ( p < .001), respectively. Patients who underwent spinal fusion had a higher risk of CVD, HA, and IHD than those in the control group (all p < .001). In the subgroup analysis, thoracolumbar and noncervical spinal fusion were associated with a higher risk of CVD, II, and IHD (all p < .005). Patients undergoing thoracolumbar fusion may have an increased association with CVD, II in cerebral arteries, and IHD. This suggests a need for careful consideration of vascular risks in such patient populations.
“…This knowledge may help spine surgeons to better educate patients and caregivers and prevent future complications. Surgical procedures that involve the introduction of foreign materials into the body can increase the risk of postoperative thrombus formation and circulatory disorders (Atilla & Akdoğan, 2019; Fonnes et al, 2016; Taheriazam et al, 2018). For example, chronic hypertension, rather than short-term hypertension, is the most influential factor in the increasing prevalence of CVD.…”
This retrospective study investigated the long-term incidence and risk of postoperative complications following spinal fusion. This study included 640,366 participants from a National Health Examination cohort in the Republic of Korea. Among them, 11,699 individuals underwent spinal fusion, and 56,667 individuals who underwent non-fusion spinal procedures served as controls. Propensity score matching was used to account for patient characteristics including demographic factors, comorbidities, and other relevant variables. The participants were followed for 8 years to assess the occurrence of cerebrovascular disease (CVD), hemorrhagic infarction (HA), ischemic infarction (II), occlusion and stenosis, and ischemic heart disease (IHD). The incidence rates of CVD and IHD were found to be 27.58 and 31.45 per 1,000 person-years in the spinal fusion group compared to 18.68 and 25.73 per 1,000 person-years in the control group ( p < .001), respectively. Patients who underwent spinal fusion had a higher risk of CVD, HA, and IHD than those in the control group (all p < .001). In the subgroup analysis, thoracolumbar and noncervical spinal fusion were associated with a higher risk of CVD, II, and IHD (all p < .005). Patients undergoing thoracolumbar fusion may have an increased association with CVD, II in cerebral arteries, and IHD. This suggests a need for careful consideration of vascular risks in such patient populations.
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