Risk Factors for Medical Complication After Cervical Spine Surgery

• DOI: 10.1097/brs.0b013e318268ffc9
• Publication Date: 2012-07-17T13:56:10Z
• Authors: Michael J. Lee; Mark A. Konodi; Amy M. Cizik; Mark A. Weinreich; Richard J. Bransford; Carlo Bellabarba; Jens Chapman
• Keywords: Univariate analysis; Medical record

In Brief Study Design. Multivariate analysis of prospectively collected registry data. Objective. Using multivariate to determine significant risk factors for medical complication after cervical spine surgery. Summary Background Data. Several studies have examined the occurrence However, many these been done using large national databases. While allow thousands patients, potentially influential covariates are not accounted in retrospective studies. Furthermore, accuracy data collection databases has called into question. Methods. The Spine End Results Registry (2003–2004) is a repository on all patients who underwent surgery at our 2 institutions. Extensive demographic and information was recorded. Complications were defined detail priori recorded least years We analyzed lumbar surgery, univariate analyses. Results. from 582 met inclusion criteria. cumulative incidences per organ system as follows: cardiac, 8.4%; pulmonary, 13%; gastrointestinal, 3.9%; neurological, 7.4%; hematological, 10.8%; urologic complications, 9.2%. cardiac or respiratory significantly associated with death within (relative risk, 4.32, 6.43, respectively). Relative values 95% confidence intervals P reported. Conclusion. Risk identified this study can be beneficial clinicians alike when considering surgical treatment spine. Future analyses models that predict may further benefit decision making. Utilizing Registry, performed an exhaustive relative determined numerous potential factors. These