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--- lumbar_decompression_surgery_for_spinal_canal_stenosis_outcome [2024/06/07 02:57] – created - external edit 127.0.0.1
+++ lumbar_decompression_surgery_for_spinal_canal_stenosis_outcome [2025/07/16 16:04] (current) – [Complications] administrador
@@ Line 105: / Line 105: @@
 ===== Complications =====
-Apart from acute complications such as hematoma and infections, same-level recurrent lumbar stenosis and adjacent-segment disease (ASD) are factors that can occur after index lumbar spine surgery.
+[[Lumbar spinal stenosis surgery complications]]
-While looking for predictors of revision surgery due to re-stenosis, instability or same/adjacent segment disease none of these were found. Within our cohort no significant differences concerning demographic, peri-operative and radiographic data of patients with or without revision wer noted. Patients, who needed revision surgery were older but slightly healthier while more likely to be male and smoking. Surprisingly, significant differences were noted regarding the distribution of intraoperative and early postoperative complications among the 6 main surgeons while these weren't obious within the intial index group of late revisions
-((Melcher C, Paulus AC, Roßbach BP, Gülecyüz MF, Birkenmaier C, Schulze-Pellengahr CV, Teske W, Wegener B. Lumbar spinal stenosis - surgical outcome and the odds of revision-surgery: Is it all due to the surgeon? Technol Health Care. 2022 Jun 10. doi: 10.3233/THC-223389. Epub ahead of print. PMID: 35754243.)).
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-A [[systematic review]] was conducted using [[MEDLINE]] for [[literature]] published through December 2014. The first question focused on the effectiveness of [[lumbar spine surgery]] for symptomatic lumbar [[spinal stenosis]] in [[elderly patient]]s. The second question focused on safety of surgical intervention on this elderly population with emphasis on perioperative [[complication]] rates.
-[[Review]] of 11 studies reveals that the majority of elderly patients exhibit significant symptomatic improvement, with overall benefits observed for [[pain]] (change [[visual analog scale]] 4.4 points) and disability (change [[Oswestry Disability Index]] 23 points). Review of 11 studies reveals that perioperative complications were infrequent and acceptable with pooled estimates of [[mortality]] (0.5%), [[inadvertent durotomy]] (5%), and [[wound infection]] (2%). [[Outcome]]s seem less favorable with greater complication rates among patients with [[diabetes]] or [[obesity]].
-Based on largely low-quality, retrospective evidence, Shamji et al. recommend that elderly patients should not be excluded from surgical intervention for symptomatic lumbar spinal stenosis
-((Shamji MF, Mroz T, Hsu W, Chutkan N. Management of Degenerative Lumbar Spinal
-Stenosis in the Elderly. Neurosurgery. 2015 Oct;77 Suppl 4:S68-74. doi:
-.1227/NEU.0000000000000943. PubMed PMID: 26378360.)).