| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-05-06 |
| タイトル |
|
|
タイトル |
Planned two-stage surgery using lateral lumbar interbody fusion and posterior corrective fusion: a retrospective study of perioperative complications |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
degenerative scoliosis |
| キーワード |
|
|
主題 |
adult spinal deformity |
| キーワード |
|
|
主題 |
two-stage surgery |
| キーワード |
|
|
主題 |
perioperative complication |
| キーワード |
|
|
主題 |
spinal corrective fusion |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
Yamato, Yu
Hasegawa, Tomohiko
Yoshida, Go
Yasuda, Tatsuya
Banno, Tomohiro
Oe, Shin
Arima, Hideyuki
Mihara, Yuki
Ushirozako, Hiroki
Yamada, Tomohiro
Ide, Koichiro
Watanabe, Yuh
Matsuyama, Yukihiro
|
| 書誌情報 |
European Spine Journal
巻 30,
号 8,
p. 2368-2376,
発行日 2021-08
|
| 出版者 |
|
|
出版者 |
Springer Nature |
| 権利 |
|
|
権利情報 |
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s00586-021-06879-0 |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Purpose: To determine the effect of planned two-stage surgery using lateral lumbar interbody fusion (LLIF) on the perioperative complication rate following corrective fusion surgery in patients with kyphoscoliosis.
Methods: Consecutive patients with degenerative scoliosis who underwent corrective fusion were divided into a control group that underwent single-stage posterior-only surgery and a group that underwent planned two-staged surgery with LLIF and posterior corrective fusion. We collected the patient background and surgical data and assessed the perioperative complication rates. We also investigated spinopelvic parameters and patient-reported outcome measurements (PROMs).
Results: One hundred and thirty-eight patients of mean age 69.8 (range, 50?84) years who met the study inclusion criteria were included. The two-stage group (n=75) underwent a staged anterior-posterior surgical procedure and the control group (n=63) underwent single-stage surgery. There was no significant between-group difference in the incidence of perioperative complications, except for deep wound infection (reoperation is necessary for surgical site infection). Revision surgery within 3 months of the initial surgery was more common in the control group (n=8, 12.7%) than in the two-stage group (n=3, 4.0%). Spinopelvic parameters and PROMs were significantly better in the two-stage group at 2 years postoperatively.
Conclusion: The complication rate for planned two-stage surgery was similar to that of previous posterior-only single-stage surgery. However, early reoperation was less common, and the degree of spinal correction and clinical results were significantly better after two-stage surgery. |
| ISSN |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0940-6719 |
| EISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1432-0932 |
| PubMed番号 |
|
|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
PMID |
|
|
関連識別子 |
34046729 |
| 出版社DOI |
|
|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
10.1007/s00586-021-06879-0 |
| 著者版フラグ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
Eur Spine J-30-2368.pdf (1.9 MB)
