Operative Risk Assessment of Degenerative Spinal Disorder Comparing with Total Hip Replacement
Journal of Korean Society of Spine Surgery
;
: 107-112, 2013.
Article
Dans Coréen
| WPRIM
| ID: wpr-21537
ABSTRACT
STUDY DESIGN:
Retrospective study.OBJECTIVES:
To assess the operative risks and complications of posterior decompression and fusion for degenerative spine disorders, we compared single level posterior decompression and posterolateral fusion of lumbar spine with total hip arthroplasty which have been evaluated in many reports and articles on complications and operative risks. SUMMARY OF LITERATURE REVIEW There has been no study comparing the relative risks of spinal surgery with total hip arthroplasty. MATERIALS ANDMETHODS:
One hundred and thirty-six subjects (mean age 69.6 years) who received single level posterior decompression and posterolateral fusion for degenerative lumbar disorders from February 2000 to May 2010 were selected as group A, and 136 subjects (mean age 67.2 years) who received total hip arthroplasty during the same period were selected as group B. A comparative analysis was performed according to age, gender, pre-operative ASA status based on their underlying medical conditions, total operative time, blood loss, hospitalization period, incidence of major and minor complications and functional recovery at the time of final follow up using retrospective and statistical manners from medical records and radiologic evaluations.RESULTS:
The total operative time and blood loss were longer in group A with statistical significance (P<0.01). Major complications were frequent in group B with 16 cases and in group A with 6 cases (P<0.05). There were no significant differences in the total hospitalization period, incidence of minor complications and post-operative functional recovery.CONCLUSIONS:
The present study revealed no increased operative risks for surgery for degenerative lumbar disorders compared with total hip arthroplasty in similar age groups.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Arthroplastie
/
Rachis
/
Dossiers médicaux
/
Incidence
/
Études rétrospectives
/
Études de suivi
/
Appréciation des risques
/
Arthroplastie prothétique de hanche
/
Décompression
/
Durée opératoire
Type d'étude:
Etude d'étiologie
/
Etude d'incidence
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Journal of Korean Society of Spine Surgery
Année:
2013
Type:
Article
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