Spinal surgery following renal transplantation

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
Keiji WadaYoshiharu Kato

Abstract

With the improvement in postoperative care for renal transplant patients, the number of patients requiring spinal surgery after renal transplantation has been increasing. However, there have been only a few reports describing the results of spinal surgery in renal transplant recipients. In this study, we investigated the results of spine surgery in renal transplant recipients. A total of 37 renal transplant recipients who underwent spinal surgery in our hospital between April 2003 and July 2012 were included in this study. Perioperative complications were observed in 6 cases (16.2%). Two of them (5.3%) were general complications including duodenal ulcer and acute renal failure. The other four complications (10.8%) were directly related to surgery, namely, epidural hematoma, neurological deterioration and two surgical site infections. No patient required permanent hemodialysis postoperatively. Twenty-five fusion surgeries were performed and pseudoarthrosis was observed in 3 cases (12.0%). Spinal surgery in renal transplant recipients can be performed without major complications or requirement for permanent hemodialysis postoperatively. Our data also showed a high rate of surgical site infection and pseudoarthrosis after fusion s...Continue Reading

References

Sep 6, 2000·Kidney International·H U Meier-KriescheB Kaplan
Sep 9, 2005·Clinical Transplantation·Do Heum YoonSun Il Kim
Oct 20, 2006·Journal of Neurosurgery. Spine·Hideki SudoAkio Minami
Apr 18, 2007·Journal of Neurosurgery. Spine·Justin F Fraser, Roger Härtl
Jan 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Margaret A OlsenVictoria J Fraser
Mar 29, 2011·Journal of Neurosurgery. Spine·Kashif A ShaikhEric M Horn
May 2, 2015·Clinical and Experimental Nephrology·Takashi HirukawaMasafumi Fukagawa

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Citations

Nov 7, 2019·The Cochrane Database of Systematic Reviews·Lelia DuleyLisa M Askie

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