ENFERMEDAD LINFOPROLIFERATIVA EN LA COLUMNA: FACTORES PREDICTIVOS DE COMPLICACIÓN POSTOPERATORIA

ABSTRACT Objectives: This study aimed to analyze predictive factors for postoperative complications in patients with lymphoproliferative disease in the spine. Materials and Methods: An observational retrospective study was conducted at a quaternary service between 2017 and 2021. Postoperative comp...

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Main Authors: RAFAEL MORAES TRINCADO, JORGE RAFAEL DURIGAN, FELIPE NEVES SIMÕES MONTEIRO, JOÃO TOMÁS FERNANDES CASTILHO GARCIA, MURILO ALEXANDRE, RODRIGO GÓES MEDEA DE MENDONÇA, ALBERTO OFENHEJM GOTFRYD, MARIA FERNANDA SILBER CAFFARO, ROBERT MEVES
Format: Article
Language:English
Published: Sociedade Brasileira de Coluna (SBC) 2025-02-01
Series:Coluna/Columna
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512025000101500&lng=en&tlng=en
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author RAFAEL MORAES TRINCADO
JORGE RAFAEL DURIGAN
FELIPE NEVES SIMÕES MONTEIRO
JOÃO TOMÁS FERNANDES CASTILHO GARCIA
MURILO ALEXANDRE
RODRIGO GÓES MEDEA DE MENDONÇA
ALBERTO OFENHEJM GOTFRYD
MARIA FERNANDA SILBER CAFFARO
ROBERT MEVES
author_facet RAFAEL MORAES TRINCADO
JORGE RAFAEL DURIGAN
FELIPE NEVES SIMÕES MONTEIRO
JOÃO TOMÁS FERNANDES CASTILHO GARCIA
MURILO ALEXANDRE
RODRIGO GÓES MEDEA DE MENDONÇA
ALBERTO OFENHEJM GOTFRYD
MARIA FERNANDA SILBER CAFFARO
ROBERT MEVES
author_sort RAFAEL MORAES TRINCADO
collection DOAJ
description ABSTRACT Objectives: This study aimed to analyze predictive factors for postoperative complications in patients with lymphoproliferative disease in the spine. Materials and Methods: An observational retrospective study was conducted at a quaternary service between 2017 and 2021. Postoperative complications, 1-year survival, and correlations with Karnofsky, SINS, and ASIA scales were evaluated. Results and Discussion: Of the 23 participants, 21.7% experienced postoperative complications, with laminectomy + arthrodesis being the most common procedure. Patients with lower Karnofsky scores showed a higher incidence of complications, while 1-year survival was 60%, which is correlated with preoperative functionality. Factors such as Karnofsky and ASIA are relevant for predicting complications and survival. Patients with preoperative functional impairment had worse outcomes, corroborating previous studies. Conclusion: Multifactorial evaluation, including Karnofsky and ASIA, is essential for planning the treatment of patients with lymphoproliferative disease in the spine, aiming to reduce postoperative complications and improve survival. Level of Evidence IV; Observational Retrospective Study.
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publishDate 2025-02-01
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spelling doaj-art-d36f4e6bfaf74ba699924e3e9c4d6d112025-02-11T07:42:06ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2025-02-0124110.1590/s1808-185120252401284944ENFERMEDAD LINFOPROLIFERATIVA EN LA COLUMNA: FACTORES PREDICTIVOS DE COMPLICACIÓN POSTOPERATORIARAFAEL MORAES TRINCADOhttps://orcid.org/0000-0001-8132-6923JORGE RAFAEL DURIGANhttps://orcid.org/0000-0003-2805-2948FELIPE NEVES SIMÕES MONTEIROhttps://orcid.org/0009-0009-6902-7598JOÃO TOMÁS FERNANDES CASTILHO GARCIAhttps://orcid.org/0000-0001-8282-7295MURILO ALEXANDREhttps://orcid.org/0000-0002-4838-4539RODRIGO GÓES MEDEA DE MENDONÇAhttps://orcid.org/0000-0002-6118-9826ALBERTO OFENHEJM GOTFRYDhttps://orcid.org/0000-0003-3143-2845MARIA FERNANDA SILBER CAFFAROhttps://orcid.org/0000-0002-2823-8534ROBERT MEVEShttps://orcid.org/0000-0002-8695-3982ABSTRACT Objectives: This study aimed to analyze predictive factors for postoperative complications in patients with lymphoproliferative disease in the spine. Materials and Methods: An observational retrospective study was conducted at a quaternary service between 2017 and 2021. Postoperative complications, 1-year survival, and correlations with Karnofsky, SINS, and ASIA scales were evaluated. Results and Discussion: Of the 23 participants, 21.7% experienced postoperative complications, with laminectomy + arthrodesis being the most common procedure. Patients with lower Karnofsky scores showed a higher incidence of complications, while 1-year survival was 60%, which is correlated with preoperative functionality. Factors such as Karnofsky and ASIA are relevant for predicting complications and survival. Patients with preoperative functional impairment had worse outcomes, corroborating previous studies. Conclusion: Multifactorial evaluation, including Karnofsky and ASIA, is essential for planning the treatment of patients with lymphoproliferative disease in the spine, aiming to reduce postoperative complications and improve survival. Level of Evidence IV; Observational Retrospective Study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512025000101500&lng=en&tlng=enSpinal NeoplasmsPostoperative ComplicationsSurvival
spellingShingle RAFAEL MORAES TRINCADO
JORGE RAFAEL DURIGAN
FELIPE NEVES SIMÕES MONTEIRO
JOÃO TOMÁS FERNANDES CASTILHO GARCIA
MURILO ALEXANDRE
RODRIGO GÓES MEDEA DE MENDONÇA
ALBERTO OFENHEJM GOTFRYD
MARIA FERNANDA SILBER CAFFARO
ROBERT MEVES
ENFERMEDAD LINFOPROLIFERATIVA EN LA COLUMNA: FACTORES PREDICTIVOS DE COMPLICACIÓN POSTOPERATORIA
Coluna/Columna
Spinal Neoplasms
Postoperative Complications
Survival
title ENFERMEDAD LINFOPROLIFERATIVA EN LA COLUMNA: FACTORES PREDICTIVOS DE COMPLICACIÓN POSTOPERATORIA
title_full ENFERMEDAD LINFOPROLIFERATIVA EN LA COLUMNA: FACTORES PREDICTIVOS DE COMPLICACIÓN POSTOPERATORIA
title_fullStr ENFERMEDAD LINFOPROLIFERATIVA EN LA COLUMNA: FACTORES PREDICTIVOS DE COMPLICACIÓN POSTOPERATORIA
title_full_unstemmed ENFERMEDAD LINFOPROLIFERATIVA EN LA COLUMNA: FACTORES PREDICTIVOS DE COMPLICACIÓN POSTOPERATORIA
title_short ENFERMEDAD LINFOPROLIFERATIVA EN LA COLUMNA: FACTORES PREDICTIVOS DE COMPLICACIÓN POSTOPERATORIA
title_sort enfermedad linfoproliferativa en la columna factores predictivos de complicacion postoperatoria
topic Spinal Neoplasms
Postoperative Complications
Survival
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512025000101500&lng=en&tlng=en
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