Anterior lumbar spine surgery: a systematic review and meta-analysis of associated complications

The Spine Journal : Official Journal of the North American Spine Society
Dexter K BatemanAlexander R Vaccaro

Abstract

The anterior approach to the lumbar spine is increasingly used to accomplish various surgical procedures. However, the incidence and risk factors for complications associated with anterior lumbar spine surgery (ALS) have not been fully elucidated. To identify and document types of complications and complication rates associated with ALS, determine risk factors for these events, and evaluate the effect of measures used to decrease complication rates. Systematic review and meta-analysis. A systematic review of the English-language literature was conducted for articles published between January 1992 and December 2013. A MEDLINE search was conducted to identify articles reporting complications associated with ALS. For each complication, the data were combined using a generalized linear mixed model with a binomial probability distribution and a random effect based on the study. Predictors used were the type of procedure (open, minimally invasive, or laparoscopic), the approach used (transperitoneal vs. retroperitoneal), use of recombinant bone morphogenetic protein-2, use of preoperative computed tomography angiography (CTA), and the utilization of an access surgeon. Open surgery was used as a reference category. Seventy-six article...Continue Reading

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Citations

Apr 3, 2016·Best Practice & Research. Clinical Anaesthesiology·Matthew C SwannDavid L McDonagh
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Aug 26, 2016·Asian Spine Journal·Yu Chao LeeOrso Lorenzo Osti
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Feb 10, 2021·Clinical Spine Surgery : a Spine Publication·Mark PlazierWim Duyvendak
Sep 1, 2021·Fertility and Sterility·Zhenyue Huang, William T Berg

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