Unplanned revision spinal surgery within a week: a retrospective analysis of surgical causes

BMC Musculoskeletal Disorders
Tsung-Ting TsaiWen-Jer Chen

Abstract

The need for revision surgery after a spinal surgery can cause a variety of problems, including reduced quality of life for the patient, additional medical expenses, and patient-physician conflicts. The purpose of this study was to evaluate the causes of unplanned revision spinal surgery within a week after the initial surgery in order to identify the surgical issues most commonly associated with unplanned revision surgery. We retrospectively reviewed the medical records of all patients at who received a spinal surgery at a regional medical center from July 2004 to April 2011 in order to identify those who required a revision surgery within one week of their initial surgery. Patients were excluded if they received a vertebroplasty, kyphoplasty, or nerve block surgery, because those surgeries are one-day surgeries that do not require hospital admission. In addition, patients with a primary diagnosis of wound infection were also excluded since reoperations for infection control can be expected. The overall incidence of unplanned revision spinal surgery during the time period covered by this review was 1.12% (116/10,350 patients). The most common surgical causes of reoperation were screw malposition (41 patients), symptomatic epid...Continue Reading

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Citations

Feb 25, 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·Xavier PlanoFerran Pellisé
Jun 1, 2017·BMC Musculoskeletal Disorders·Arun-Kumar Kaliya-PerumalWen-Jer Chen

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