Risk factors for pulmonary complication following fixation of spine fractures

The Spine Journal : Official Journal of the North American Spine Society
Douglas S WeinbergHeather A Vallier

Abstract

Previous studies have suggested pulmonary complications are common among patients undergoing fixation for traumatic spine fractures. This leads to prolonged hospital stay, worse functional outcomes, and increased economic burden. However, only limited prognostic information exists regarding which patients are at greatest risk for pulmonary complications. This study aimed to identify factors predictive of perioperative pulmonary complications in patients undergoing fixation of spine fractures. A retrospective review in a level 1 trauma center was carried out. The patient sample comprised 302 patients with spinal fractures who underwent operative fixation. The outcome measures were postoperative pulmonary complications (physiological and functional measures). Demographic and injury features were recorded, including age, gender, body mass index (BMI), American Society of Anesthesiologists (ASA) classification, mechanism of injury, injury characteristics, and neurologic status. Treatment details, including surgery length, timing, and approach were reviewed. Postoperative pulmonary complications were recorded after a minimum of 6 months' follow-up. Forty-seven pulmonary complications occurred in 42 patients (14%), including pneumoni...Continue Reading

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Citations

Jan 24, 2020·Journal of Orthopaedic Trauma·Jerry Y DuHeather A Vallier

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