Risk factors for unintended durotomy during spine surgery: a multivariate analysis.

The Spine Journal : Official Journal of the North American Spine Society
Geoff A BakerMichael J Lee

Abstract

Incidental durotomy during spine surgery is a common occurrence, with a reported incidence ranging from 3% to 16%. Risk factors identified by prior studies include age, type of procedure, revision surgery, ossification of the posterior longitudinal ligament, gender, osteoporosis, and arthritis. However, these studies are largely univariate analyses using retrospectively recorded data. To identify and quantify statistically significant risk factors for inadvertent durotomy during spine surgery. Multivariate analysis of prospectively collected registry data. The University of Washington Spine End Results Registry 2003 and 2004 is a compilation of prospectively collected detailed data on 1,745 patients who underwent spine surgery during 2003 to 2004. One thousand seven hundred forty-five patients underwent spine surgery from 2003 to 2004 at our two institutions. Cardiac, pulmonary, gastrointestinal, neurologic, renal, and urologic complications defined a priori data collection. Using these data, univariate and multivariate statistical analyses were performed to identify and quantify risk factors for incidental durotomy during spine surgery. Relative risk (RR) values with valid confidence intervals and p values were determined usin...Continue Reading

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Citations

Nov 12, 2013·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·Hiroyuki Yoshihara, Daisuke Yoneoka
Jul 23, 2014·Acta neurochirurgica·Oliver P GautschiKarl Schaller
Sep 27, 2014·The Spine Journal : Official Journal of the North American Spine Society·Oliver P GautschiKarl Schaller
Jan 25, 2014·The Spine Journal : Official Journal of the North American Spine Society·Michael J LeeJens R Chapman
Mar 14, 2014·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·N J MurrayC Nnadi
Sep 5, 2013·Archives of Orthopaedic and Trauma Surgery·Hiroyuki Yoshihara, Daisuke Yoneoka
Mar 5, 2015·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·Luca PapaveroRalph Kothe
Feb 24, 2015·Journal of Neurosurgery. Spine·Yossi SmorgickJeffrey S Fischgrund
Jan 21, 2015·Clinical Neurology and Neurosurgery·Zhixiang ChenDong Zhao
Nov 19, 2013·The Spine Journal : Official Journal of the North American Spine Society·Michael J LeeJens R Chapman
Aug 26, 2014·The Spine Journal : Official Journal of the North American Spine Society·Xavier BuyJean Palussière
Nov 28, 2014·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·Vincent Arlet
Apr 30, 2016·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·Ralph KotheC Siepe
Nov 2, 2015·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·David T EndrigaLeah Y Carreon
Aug 10, 2016·Chinese Medical Journal·Pan-Pan HuMiao Yu
Dec 3, 2016·Neurological Research·Meghan E MurphyMohamad Bydon
Jul 28, 2015·PloS One·Noriaki YokogawaHiroyuki Tsuchiya
Mar 25, 2017·Journal of Neurosurgery. Spine·Justin K ScheerUNKNOWN International Spine Study Group
Apr 1, 2016·Spine·Gregory D SchroederAlexander R Vaccaro
Dec 12, 2013·Journal of Spinal Disorders & Techniques·Hiroyuki Yoshihara, Daisuke Yoneoka
Apr 5, 2017·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·Chris Yuk Kwan TangKenneth Man Chee Cheung
Jul 1, 2017·Global Spine Journal·Brandon L RaudenbushRobert W Molinari
Sep 1, 2017·Clinical Spine Surgery : a Spine Publication·Frederik EndersBerk Orakcioglu
May 4, 2017·EFORT Open Reviews·Emre Acaroglu, UNKNOWN European Spine Study Group
Aug 5, 2015·Asian Spine Journal·Faizan Imran BawanyMuhammad Shahzeb Khan
Jun 25, 2016·Asian Spine Journal·Panpan HuZhongqiang Chen
Mar 6, 2018·Asian Spine Journal·Taku InadaJunya Hanakita
Dec 23, 2017·Journal of Neurosurgery. Spine·Carlos M AlvarezSteven Vanni
Apr 4, 2020·The International Journal of Neuroscience·Jason GandhiSardar Ali Khan
Nov 15, 2019·Journal of Surgical Case Reports·Michelle J NentwigShang-You Yang
Feb 20, 2018·Global Spine Journal·Sravisht IyerUNKNOWN International Spine Study Group (ISSG)
Apr 30, 2017·Acta orthopaedica et traumatologica turcica·Emre AcarogluUNKNOWN European Spine Study Group
Dec 12, 2018·Neurospine·Alexander E RopperJohn H Chi

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