A Comprehensive Review of Complication Rates After Surgery for Adult Deformity: A Reference for Informed Consent.
| dc.contributor.author | Sciubba, Daniel M | |
| dc.contributor.author | Yurter, Alp | |
| dc.contributor.author | Smith, Justin S | |
| dc.contributor.author | Kelly, Michael P | |
| dc.contributor.author | Scheer, Justin K | |
| dc.contributor.author | Goodwin, C Rory | |
| dc.contributor.author | Lafage, Virginie | |
| dc.contributor.author | Hart, Robert A | |
| dc.contributor.author | Bess, Shay | |
| dc.contributor.author | Kebaish, Khaled | |
| dc.contributor.author | Schwab, Frank | |
| dc.contributor.author | Shaffrey, Christopher I | |
| dc.contributor.author | Ames, Christopher P | |
| dc.contributor.author | International Spine Study Group (ISSG) | |
| dc.date.accessioned | 2023-07-20T19:39:11Z | |
| dc.date.available | 2023-07-20T19:39:11Z | |
| dc.date.issued | 2015-11 | |
| dc.date.updated | 2023-07-20T19:38:47Z | |
| dc.description.abstract | ObjectiveAn up-to-date review of recent literatures and a comprehensive reference for informed consent specific to ASD complications is lacking. The goal of the present study was to determine current complication rates after ASD surgery, in order to provide a reference for informed consent as well as to determine differences between three-column and non-three-column osteotomy procedures to aid in shared decision making.MethodsA review of the literature was conducted using the PubMed database. Randomized controlled trials, nonrandomized trials, cohort studies, case-control studies, and case series providing postoperative complications published in 2000 or later were included. Complication rates were recorded and calculated for perioperative (both major and minor) and long-term complication rates. Postoperative outcomes were all stratified by surgical procedure (ie, three-column osteotomy and non-three-column osteotomy).ResultsNinety-three articles were ultimately eligible for analysis. The data of 11,692 patients were extracted; there were 3,646 complications, mean age at surgery was 53.3 years (range: 25-77 years), mean follow-up was 3.49 years (range: 6 weeks-9.7 years), estimated blood loss was 2,161 mL (range: 717-7,034 mL), and the overall mean complication rate was 55%. Specifically, major perioperative complications occurred at a mean rate of 18.5%, minor perioperative complications occurred at a mean rate of 15.7%, and long-term complications occurred at a mean rate of 20.5%. Furthermore, three-column osteotomy resulted in a higher overall complication rate and estimated blood loss than non-three-column osteotomy.ConclusionsA review of recent literatures providing complication rates for ASD surgery was performed, providing the most up-to-date incidence of early and late complications. Providers may use such data in helping to counsel patients of the literature-supported complication rates of such procedures despite the planned benefits, thus obtaining a more thorough informed consent. | |
| dc.identifier | S2212-134X(15)00100-8 | |
| dc.identifier.issn | 2212-134X | |
| dc.identifier.issn | 2212-1358 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Springer Science and Business Media LLC | |
| dc.relation.ispartof | Spine deformity | |
| dc.relation.isversionof | 10.1016/j.jspd.2015.04.005 | |
| dc.subject | International Spine Study Group (ISSG) | |
| dc.title | A Comprehensive Review of Complication Rates After Surgery for Adult Deformity: A Reference for Informed Consent. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Goodwin, C Rory|0000-0002-6540-2751 | |
| duke.contributor.orcid | Shaffrey, Christopher I|0000-0001-9760-8386 | |
| pubs.begin-page | 575 | |
| pubs.end-page | 594 | |
| pubs.issue | 6 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Orthopaedic Surgery | |
| pubs.organisational-group | Radiation Oncology | |
| pubs.organisational-group | Duke Cancer Institute | |
| pubs.organisational-group | Neurosurgery | |
| pubs.publication-status | Published | |
| pubs.volume | 3 |
Files
Original bundle
- Name:
- A Comprehensive Review of Complication Rates After Surgery for Adult Deformity A Reference for Informed Consent..pdf
- Size:
- 252.36 KB
- Format:
- Adobe Portable Document Format