Unplanned reoperation within 30 days of fusion surgery for spinal deformity.
No recent studies have analyzed the rates of or reasons for unanticipated revision surgery within 30 days of primary surgery in spinal deformity patients. Our aim was to examine the incidence, characteristics, reasons, and risk factors for unplanned revision surgery in spinal deformity patients trea...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2014-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0087172&type=printable |
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| author | Zheng Li Jianxiong Shen Guixing Qiu Haiquan Yu Yipeng Wang Jianguo Zhang Hong Zhao Yu Zhao Shugang Li Xisheng Weng Jinqian Liang Lijuan Zhao |
| author_facet | Zheng Li Jianxiong Shen Guixing Qiu Haiquan Yu Yipeng Wang Jianguo Zhang Hong Zhao Yu Zhao Shugang Li Xisheng Weng Jinqian Liang Lijuan Zhao |
| author_sort | Zheng Li |
| collection | DOAJ |
| description | No recent studies have analyzed the rates of or reasons for unanticipated revision surgery within 30 days of primary surgery in spinal deformity patients. Our aim was to examine the incidence, characteristics, reasons, and risk factors for unplanned revision surgery in spinal deformity patients treated at one institution. All patients with a diagnosis of spinal deformity presenting for primary instrumented spinal fusion at a single institution from 1998 to 2012 were reviewed. All unplanned reoperations performed within 30 days after primary surgery were analyzed in terms of demographics, surgical data, and complications. Statistical analyses were performed to obtain correlations and risk factors for anticipated revision. Of 2758 patients [aged 16.07 years (range, 2-71), 69.8% female] who underwent spinal fusion surgery, 59 (2.1%) required reoperation within 30 days after primary surgery. The length of follow up for each patient was more than 30 days. Of those that required reoperation, 87.0% had posterior surgery only, 5.7% had anterior surgery, and 7.3% underwent an anteroposterior approach. The reasons for reoperation included implant failure (n = 20), wound infection (n = 12), neurologic deficit (n = 9), pulmonary complications (n = 17), and coronal plane imbalance (n = 1). The risk factors for reoperation were age, diagnosis, and surgical procedure with osteotomy. |
| format | Article |
| id | doaj-art-7dbd58fcfa7d4c76868006670f4fb2da |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-7dbd58fcfa7d4c76868006670f4fb2da2025-08-20T03:01:11ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0193e8717210.1371/journal.pone.0087172Unplanned reoperation within 30 days of fusion surgery for spinal deformity.Zheng LiJianxiong ShenGuixing QiuHaiquan YuYipeng WangJianguo ZhangHong ZhaoYu ZhaoShugang LiXisheng WengJinqian LiangLijuan ZhaoNo recent studies have analyzed the rates of or reasons for unanticipated revision surgery within 30 days of primary surgery in spinal deformity patients. Our aim was to examine the incidence, characteristics, reasons, and risk factors for unplanned revision surgery in spinal deformity patients treated at one institution. All patients with a diagnosis of spinal deformity presenting for primary instrumented spinal fusion at a single institution from 1998 to 2012 were reviewed. All unplanned reoperations performed within 30 days after primary surgery were analyzed in terms of demographics, surgical data, and complications. Statistical analyses were performed to obtain correlations and risk factors for anticipated revision. Of 2758 patients [aged 16.07 years (range, 2-71), 69.8% female] who underwent spinal fusion surgery, 59 (2.1%) required reoperation within 30 days after primary surgery. The length of follow up for each patient was more than 30 days. Of those that required reoperation, 87.0% had posterior surgery only, 5.7% had anterior surgery, and 7.3% underwent an anteroposterior approach. The reasons for reoperation included implant failure (n = 20), wound infection (n = 12), neurologic deficit (n = 9), pulmonary complications (n = 17), and coronal plane imbalance (n = 1). The risk factors for reoperation were age, diagnosis, and surgical procedure with osteotomy.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0087172&type=printable |
| spellingShingle | Zheng Li Jianxiong Shen Guixing Qiu Haiquan Yu Yipeng Wang Jianguo Zhang Hong Zhao Yu Zhao Shugang Li Xisheng Weng Jinqian Liang Lijuan Zhao Unplanned reoperation within 30 days of fusion surgery for spinal deformity. PLoS ONE |
| title | Unplanned reoperation within 30 days of fusion surgery for spinal deformity. |
| title_full | Unplanned reoperation within 30 days of fusion surgery for spinal deformity. |
| title_fullStr | Unplanned reoperation within 30 days of fusion surgery for spinal deformity. |
| title_full_unstemmed | Unplanned reoperation within 30 days of fusion surgery for spinal deformity. |
| title_short | Unplanned reoperation within 30 days of fusion surgery for spinal deformity. |
| title_sort | unplanned reoperation within 30 days of fusion surgery for spinal deformity |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0087172&type=printable |
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