Complications in adult spine deformity surgery: a systematic review of the recent literature with reporting of aggregated incidences

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Andrea ZaniratoPedro Berjano

Abstract

To review the incidence of perioperative and late complications of surgery for spinal deformity (ASD). Review of the literature. We reviewed recent literature in English to investigate the incidence of complications in ASD surgery in the perioperative (≤ 3 months post-operative) and late (> 3 months post-operative) periods. Randomized-controlled trials, non-randomized trials, cohort studies, case-control studies, and case series published in 2005 or later were included. We divided articles according to surgical technique: open procedures (OP), minimally invasive surgery (MIS), and hybrid procedures (HP). Complications were recorded, grouped by surgical technique, and then classified according to a proposed Grading of Incidence of Complications (IOC). Ninety-six publications reporting on 12,168 patients were included; 68 were level IV of evidence studies, 24 were level III, and 4 level II. Perioperative IOC was 26.5% in OP, 36.4% in HP, and 24.2% in MIS. Late IOC was 11.1% in OP, 15.4% in HP, and 14.0% in MIS. IOC was significantly higher for hybrid procedures compared to both open and MIS procedures. Reported complications of surgery for ASD in the recent literature are frequent (24-36% perioperative plus 11-15% late). Open pro...Continue Reading

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Citations

Jul 18, 2019·Current Reviews in Musculoskeletal Medicine·Francis Lovecchio, Sheeraz A Qureshi
Sep 2, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Vasilios G IgoumenouPietro Ruggieri
Sep 16, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M FormicaL Felli
Jan 4, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Robert C Mulholland
Feb 13, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sherif Sherif, Vincent Arlet
Jan 22, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pedro BerjanoStefano Boriani
Apr 18, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Matteo FormicaCarlo Formica
Nov 18, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Kazuyoshi KobayashiShiro Imagama
Jun 12, 2020·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Matteo FormicaLamberto Felli
May 28, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pedro BerjanoFabio Galbusera
Jan 30, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pedro BerjanoClaudio Lamartina
Nov 23, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Kazuyuki WatanabeShin-Ichi Konno
Jan 13, 2021·The Spine Journal : Official Journal of the North American Spine Society·Han Jo KimFrancis Lovecchio
Jun 23, 2020·Computers in Biology and Medicine·Andrea CampagnerFederico Cabitza
May 11, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Francesco LangellaPedro Berjano
Jun 4, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pedro BerjanoClaudio Lamartina
Dec 24, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Philipp PoppenborgTobias Lange
Jun 8, 2021·World Neurosurgery·Timothy ChryssikosKenneth Crandall
Aug 1, 2021·The Spine Journal : Official Journal of the North American Spine Society·Nikita LakomkinScott L Zuckerman
Aug 21, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Quarto EFormica M
Oct 6, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sho MasudaHiroaki Nakamura
Jul 8, 2021·Clinical Spine Surgery : a Spine Publication·Jake M McDonnellJoseph S Butler
Nov 27, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Luca RicciardiCarmelo Lucio Sturiale
May 15, 2021·Journal of Neurosurgery. Spine·Joshua T WewelJuan S Uribe

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