Complication rates of three common spine procedures and rates of thromboembolism following spine surgery based on 108,419 procedures: a report from the Scoliosis Research Society Morbidity and Mortality Committee.

dc.contributor.author

Smith, Justin S

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Fu, Kai-Ming G

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Polly, David W

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Sansur, Charles A

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Berven, Sigurd H

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Broadstone, Paul A

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Choma, Theodore J

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Goytan, Michael J

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Noordeen, Hilali H

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Knapp, Dennis Raymond

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Hart, Robert A

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Donaldson, William F

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Perra, Joseph H

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Boachie-Adjei, Oheneba

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Shaffrey, Christopher I

dc.date.accessioned

2023-10-11T18:52:50Z

dc.date.available

2023-10-11T18:52:50Z

dc.date.issued

2010-11

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2023-10-11T18:52:49Z

dc.description.abstract

Study design

Retrospective review of a prospectively collected database.

Objective

The Scoliosis Research Society (SRS) collects morbidity and mortality (M and M) data from its members. Our objectives were to assess complication rates for 3 common spine procedures, compare these results with prior literature as a means of validating the database, and to assess rates of pulmonary embolism (PE) and deep venous thrombosis (DVT) in all cases reported to the SRS over 4 years.

Summary of background data

Few modern series document complication rates of spinal surgery as routinely practiced across academic and community settings. Those available are typically based on relatively low numbers of procedures or confined to single-surgeon experiences.

Methods

The SRS M and M database was queried for lumbar microdiscectomy (LD), anterior cervical discectomy and fusion (ACDF), and lumbar stenosis decompression (LSD) cases from 2004 to 2007. Revisions were excluded. The database was also queried for occurrence of clinically evident PE and DVT in all cases from 2004 to 2007.

Results

A total of 9692 LDs, 6735 ACDFs, and 10,329 LSDs were identified, with overall complication rates of 3.6%, 2.4%, and 7.0%, respectively. These rates are comparable to previously published smaller series. For assessment of PE and DVT, 108,419 cases were identified and rates were calculated per 1000 cases based on diagnosis, age group, and implant use. Overall rates of PE, death due to PE, and DVT were 1.38, 0.34, and 1.18, respectively. Among 82,082 adults, the rate of PE ranged from 0.47 for LD to 12.4 for metastatic tumor. Similar variations were noted for DVT and deaths due to PE.

Conclusion

Overall major complication rates for LD, ACDF, and LSD based on the SRS M and M database are comparable to those in previously reported smaller series, supporting the validity of this database for study of other less common spinal disorders. In addition, our data provide general benchmarks of clinically evident PE and DVT rates as a basis for ongoing efforts to improve care.
dc.identifier.issn

0362-2436

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1528-1159

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https://hdl.handle.net/10161/29252

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eng

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Ovid Technologies (Wolters Kluwer Health)

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Spine

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10.1097/brs.0b013e3181cbc8e7

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Cervical Vertebrae

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Lumbar Vertebrae

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Humans

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Scoliosis

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Pulmonary Embolism

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Venous Thrombosis

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Treatment Outcome

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Decompression, Surgical

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Spinal Fusion

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Diskectomy

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Risk Assessment

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Risk Factors

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Retrospective Studies

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Reproducibility of Results

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Adolescent

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Adult

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Aged

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Aged, 80 and over

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Middle Aged

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Child

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Child, Preschool

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Infant

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Societies, Medical

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Databases as Topic

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Young Adult

dc.title

Complication rates of three common spine procedures and rates of thromboembolism following spine surgery based on 108,419 procedures: a report from the Scoliosis Research Society Morbidity and Mortality Committee.

dc.type

Journal article

duke.contributor.orcid

Shaffrey, Christopher I|0000-0001-9760-8386

pubs.begin-page

2140

pubs.end-page

2149

pubs.issue

24

pubs.organisational-group

Duke

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School of Medicine

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Clinical Science Departments

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Orthopaedic Surgery

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Neurosurgery

pubs.publication-status

Published

pubs.volume

35

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