ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2017
Influence of perioperative complication severity on 1- and 2-year outcomes of low back surgery.
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Review
- Back Pain: Pathophysiology, Diagnosis, and Treatment.Healthcare (Basel, Switzerland) · 2023Article
- Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Article
- Short-term complication rate following orthopedic surgery in a tertiary care center in Argentina.SICOT-J · 2018Article
- Traumatic L7 articular processes fracture and spondylolisthesis following dorsal lumbosacral laminectomy in a cat.JFMS open reportsArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral factors potentially influence outcomes of surgery, including perioperative complications. Complications may take many forms and the Clavien-Dindo (CD) classification is designed to categorize them by degree of severity. The aim of this study was to evaluate the influence of perioperative complications by severity categorization on the 1-and 2-year pain and disability outcomes for patients who received low back surgery. MATERIALS AND
methodsData used for the study involved a purposive sample (N = 477; 8.1%) from a spine outcomes registry of 5876 patients who received spine surgery and encountered complications. All complications were categorized using the CD classification and were collapsed according to distribution frequencies, i.e., Grade I-II and Grade III-V. Adjusted and unadjusted regression analyses were used to determine the association between CD classification and 1- and 2-year outcomes.
resultsThe majority of surgical complications were Grade III-V (N = 358; 75.1%), with two incidences in which death occurred. For the unadjusted models, there were no significant associations between CD classification categorizations for 1-year outcomes; however, 2-year outcomes were significantly worse (P <0.05) for those with Grade III-V categorization. When adjusted and controlled for baseline characteristics, CD classification did not influence 1-or 2-year pain and disability outcomes.
conclusionsWhen control variables are considered, the severity of perioperative surgical complications does not appear to influence 1- or 2-year pain and disability outcomes. LEVEL OF EVIDENCE: Level 4.
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