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A Comprehensive Review of Complication Rates After Surgery for Adult Deformity: A Reference for Informed Consent.

Publication ,  Journal Article
Sciubba, DM; Yurter, A; Smith, JS; Kelly, MP; Scheer, JK; Goodwin, CR; Lafage, V; Hart, RA; Bess, S; Kebaish, K; Schwab, F; Shaffrey, CI ...
Published in: Spine Deform
November 2015

OBJECTIVE: An up-to-date review of recent literatures and a comprehensive reference for informed consent specific to ASD complications is lacking. The goal of the present study was to determine current complication rates after ASD surgery, in order to provide a reference for informed consent as well as to determine differences between three-column and non-three-column osteotomy procedures to aid in shared decision making. METHODS: A review of the literature was conducted using the PubMed database. Randomized controlled trials, nonrandomized trials, cohort studies, case-control studies, and case series providing postoperative complications published in 2000 or later were included. Complication rates were recorded and calculated for perioperative (both major and minor) and long-term complication rates. Postoperative outcomes were all stratified by surgical procedure (ie, three-column osteotomy and non-three-column osteotomy). RESULTS: Ninety-three articles were ultimately eligible for analysis. The data of 11,692 patients were extracted; there were 3,646 complications, mean age at surgery was 53.3 years (range: 25-77 years), mean follow-up was 3.49 years (range: 6 weeks-9.7 years), estimated blood loss was 2,161 mL (range: 717-7,034 mL), and the overall mean complication rate was 55%. Specifically, major perioperative complications occurred at a mean rate of 18.5%, minor perioperative complications occurred at a mean rate of 15.7%, and long-term complications occurred at a mean rate of 20.5%. Furthermore, three-column osteotomy resulted in a higher overall complication rate and estimated blood loss than non-three-column osteotomy. CONCLUSIONS: A review of recent literatures providing complication rates for ASD surgery was performed, providing the most up-to-date incidence of early and late complications. Providers may use such data in helping to counsel patients of the literature-supported complication rates of such procedures despite the planned benefits, thus obtaining a more thorough informed consent.

Duke Scholars

Published In

Spine Deform

DOI

EISSN

2212-1358

Publication Date

November 2015

Volume

3

Issue

6

Start / End Page

575 / 594

Location

England

Related Subject Headings

  • 4201 Allied health and rehabilitation science
  • 1103 Clinical Sciences
  • 0903 Biomedical Engineering
 

Citation

APA
Chicago
ICMJE
MLA
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Sciubba, D. M., Yurter, A., Smith, J. S., Kelly, M. P., Scheer, J. K., Goodwin, C. R., … International Spine Study Group (ISSG), . (2015). A Comprehensive Review of Complication Rates After Surgery for Adult Deformity: A Reference for Informed Consent. Spine Deform, 3(6), 575–594. https://doi.org/10.1016/j.jspd.2015.04.005
Sciubba, Daniel M., Alp Yurter, Justin S. Smith, Michael P. Kelly, Justin K. Scheer, C Rory Goodwin, Virginie Lafage, et al. “A Comprehensive Review of Complication Rates After Surgery for Adult Deformity: A Reference for Informed Consent.Spine Deform 3, no. 6 (November 2015): 575–94. https://doi.org/10.1016/j.jspd.2015.04.005.
Sciubba DM, Yurter A, Smith JS, Kelly MP, Scheer JK, Goodwin CR, et al. A Comprehensive Review of Complication Rates After Surgery for Adult Deformity: A Reference for Informed Consent. Spine Deform. 2015 Nov;3(6):575–94.
Sciubba, Daniel M., et al. “A Comprehensive Review of Complication Rates After Surgery for Adult Deformity: A Reference for Informed Consent.Spine Deform, vol. 3, no. 6, Nov. 2015, pp. 575–94. Pubmed, doi:10.1016/j.jspd.2015.04.005.
Sciubba DM, Yurter A, Smith JS, Kelly MP, Scheer JK, Goodwin CR, Lafage V, Hart RA, Bess S, Kebaish K, Schwab F, Shaffrey CI, Ames CP, International Spine Study Group (ISSG). A Comprehensive Review of Complication Rates After Surgery for Adult Deformity: A Reference for Informed Consent. Spine Deform. 2015 Nov;3(6):575–594.
Journal cover image

Published In

Spine Deform

DOI

EISSN

2212-1358

Publication Date

November 2015

Volume

3

Issue

6

Start / End Page

575 / 594

Location

England

Related Subject Headings

  • 4201 Allied health and rehabilitation science
  • 1103 Clinical Sciences
  • 0903 Biomedical Engineering