Incidence and Risk Factors of Postoperative Ileus in Oblique Lumbar Interbody Fusion Surgery: A Retrospective Study
Purpose Postoperative ileus (POI) typically occurs after abdominal surgery but can also affect patients undergoing spinal surgery via the lateral retroperitoneal approach, such as oblique lumbar interbody fusion (OLIF). Therefore, this study aimed to investigate the incidence and risk factors associ...
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Korean Spinal Neurosurgery Society
2025-03-01
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| Series: | Neurospine |
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| Online Access: | http://e-neurospine.org/upload/pdf/ns-2449070-535.pdf |
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| author | Young-Seok Lee Myeong Jin Ko Seung Won Park |
| author_facet | Young-Seok Lee Myeong Jin Ko Seung Won Park |
| author_sort | Young-Seok Lee |
| collection | DOAJ |
| description | Purpose Postoperative ileus (POI) typically occurs after abdominal surgery but can also affect patients undergoing spinal surgery via the lateral retroperitoneal approach, such as oblique lumbar interbody fusion (OLIF). Therefore, this study aimed to investigate the incidence and risk factors associated with POI in OLIF. Methods This retrospective study examined a cohort of 465 patients who underwent OLIF from 2015 to 2023. Patient demographics, comorbidities, pre- and postoperative laboratory test results, and perioperative status were assessed. General condition of patients was assessed using the modified frailty index-11 (mFI-11), prognostic nutrition index, and geriatric nutrition risk index. In OLIF, the size and location of the psoas muscle involved in retraction and its relationship with the vertebral body were also investigated. Results POI occurred in 19 patients (4%). Lower mFI-11 was linked to a higher risk of POI. While psoas muscle size had no significant effect on the risk of POI, the anterior location of the psoas muscle relative to the vertebral body was associated with a higher occurrence of POI. Multivariate logistic regression analysis of POI identified mFI-11 as the most significant risk factor (p=0.003). Conclusion This study demonstrated that frailty and nutritional status can influence the occurrence of POI after OLIF. Additionally, bowel manipulation associated with the location of psoas muscle and vertebral body was identified as a risk factor. Proper assessment and improvement in patient frailty and nutritional status before surgery can help predict and prevent the occurrence of postoperative POI. |
| format | Article |
| id | doaj-art-e367e5cab401413ab2ddef9d5f9a5d6b |
| institution | DOAJ |
| issn | 2586-6583 2586-6591 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj-art-e367e5cab401413ab2ddef9d5f9a5d6b2025-08-20T03:04:38ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912025-03-0122122223010.14245/ns.2449070.5351675Incidence and Risk Factors of Postoperative Ileus in Oblique Lumbar Interbody Fusion Surgery: A Retrospective StudyYoung-Seok Lee0Myeong Jin Ko1Seung Won Park2 Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, KoreaPurpose Postoperative ileus (POI) typically occurs after abdominal surgery but can also affect patients undergoing spinal surgery via the lateral retroperitoneal approach, such as oblique lumbar interbody fusion (OLIF). Therefore, this study aimed to investigate the incidence and risk factors associated with POI in OLIF. Methods This retrospective study examined a cohort of 465 patients who underwent OLIF from 2015 to 2023. Patient demographics, comorbidities, pre- and postoperative laboratory test results, and perioperative status were assessed. General condition of patients was assessed using the modified frailty index-11 (mFI-11), prognostic nutrition index, and geriatric nutrition risk index. In OLIF, the size and location of the psoas muscle involved in retraction and its relationship with the vertebral body were also investigated. Results POI occurred in 19 patients (4%). Lower mFI-11 was linked to a higher risk of POI. While psoas muscle size had no significant effect on the risk of POI, the anterior location of the psoas muscle relative to the vertebral body was associated with a higher occurrence of POI. Multivariate logistic regression analysis of POI identified mFI-11 as the most significant risk factor (p=0.003). Conclusion This study demonstrated that frailty and nutritional status can influence the occurrence of POI after OLIF. Additionally, bowel manipulation associated with the location of psoas muscle and vertebral body was identified as a risk factor. Proper assessment and improvement in patient frailty and nutritional status before surgery can help predict and prevent the occurrence of postoperative POI.http://e-neurospine.org/upload/pdf/ns-2449070-535.pdfparalytic ileusfrailtynutrition assessmentpsoas musclesoblique lumbar interbody fusion |
| spellingShingle | Young-Seok Lee Myeong Jin Ko Seung Won Park Incidence and Risk Factors of Postoperative Ileus in Oblique Lumbar Interbody Fusion Surgery: A Retrospective Study Neurospine paralytic ileus frailty nutrition assessment psoas muscles oblique lumbar interbody fusion |
| title | Incidence and Risk Factors of Postoperative Ileus in Oblique Lumbar Interbody Fusion Surgery: A Retrospective Study |
| title_full | Incidence and Risk Factors of Postoperative Ileus in Oblique Lumbar Interbody Fusion Surgery: A Retrospective Study |
| title_fullStr | Incidence and Risk Factors of Postoperative Ileus in Oblique Lumbar Interbody Fusion Surgery: A Retrospective Study |
| title_full_unstemmed | Incidence and Risk Factors of Postoperative Ileus in Oblique Lumbar Interbody Fusion Surgery: A Retrospective Study |
| title_short | Incidence and Risk Factors of Postoperative Ileus in Oblique Lumbar Interbody Fusion Surgery: A Retrospective Study |
| title_sort | incidence and risk factors of postoperative ileus in oblique lumbar interbody fusion surgery a retrospective study |
| topic | paralytic ileus frailty nutrition assessment psoas muscles oblique lumbar interbody fusion |
| url | http://e-neurospine.org/upload/pdf/ns-2449070-535.pdf |
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