THE SURGICAL AND MEDICAL PERIOPERATIVE COMPLICATIONS OF ANTERIOR SPINAL-FUSION SURGERY IN THE THORACIC AND LUMBAR SPINE IN ADULTS - A REVIEW OF 1223 PROCEDURES
T. Faciszewski et al., THE SURGICAL AND MEDICAL PERIOPERATIVE COMPLICATIONS OF ANTERIOR SPINAL-FUSION SURGERY IN THE THORACIC AND LUMBAR SPINE IN ADULTS - A REVIEW OF 1223 PROCEDURES, Spine (Philadelphia, Pa. 1976), 20(14), 1995, pp. 1592-1599
Study Design. A retrospective review of 1223 thoracic and lumbar anter
ior spinal fusions was performed from 1969 through 1992. Objectives. T
o document the incidence and specific types of perspective complicatio
ns related to anterior spinal fusions. Summary of Background Data. Des
pite the increased use of anterior spinal surgery, there has been litt
le documentation of the specific types and frequencies of the complica
tions associated with its use. Methods. All Minnesota Spine Center pat
ients age 18 years or older who had anterior spinal fusions between th
e levels of T1 and S1 from August 1969 to June 1992 were reviewed for
the occurrence of perioperative complications. Surgical approach and t
echnique and associated comorbidity was recorded. Results. The risk of
a complication was increased for patients over age 60 years, for wome
n, and for patients with multiple preexisting health problems. Serious
complications, such as death (0.3%), paraplegia (0.2%), and deep woun
d infection (0.6%) were rare. The complication rate for complications
that were directly attributed to the anterior spinal surgery was 11.5%
. Conclusions. Anterior spinal fusion surgery is a safe procedure and
can be used with confidence when the nature of a patient's spinal diso
rder dictates its use. Complications are often approach specific.