ArticleGlobal spine journal2022
What Are Risk Factors for an Ileus After Posterior Spine Surgery?-A Case Control Study.
Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Machine learning-based risk prediction model for postoperative abdominal distension after spinal surgery under general anesthesia.Frontiers in medicine · 2026Article
- Effect of ultrasound-guided thoracolumbar interfascial plane block on postoperative recovery in patients undergoing posterior lumbar intervertebral fusion: a prospective observational study.BMC musculoskeletal disorders · 2025Observational
- Underestimation of postoperative ileus as a benign complication in spine surgery: a case-control study in a major spine surgery centre in Saudi Arabia.Journal of spine surgery (Hong Kong) · 2025Article
- Risk Factors for Postoperative Ileus Following Spine Surgery: A Systematic Review With Meta-Analysis.Global spine journal · 2024Article
- Gut feelings: gastrointestinal signs in French bulldogs undergoing spinal surgery.Frontiers in veterinary science · 2024Article
- A standardized postoperative bowel regimen protocol after spine surgery.Frontiers in surgery · 2023Article
- Cervical spine trauma: impact of different imaging classification systems in the clinical decision-making.Acta bio-medica : Atenei Parmensis · 2021Article
- Postoperative ileus and gastrointestinal complications following spine surgery: A systematic review of incidence, risk factors, prevention, and treatment.Journal of craniovertebral junction & spineReview
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designCase-Control Study.
objectiveThe purpose of this retrospective study is to evaluate risk factors for developing a postoperative ileus after posterior spine surgery.
methodsPatient charts, including radiographs were evaluated retrospectively. Diagnosis of an ileus was confirmed radiographically by a CT scan in all cases. The control group was retrieved by selecting a random sample of patients undergoing posterior spine surgery who did not develop bowel dysfunction postoperatively.
resultsA total of 40 patients had a postoperative ileus. The control group consisted of 80 patients. Both groups did not differ significantly in age, gender, BMI, tobacco use, comorbidities or status of previous abdominal surgery. Significant differences between the 2 groups was the length of stay (5.9 vs. 11.2; p = 0.001), surgery in the lumbar spine (47.5% vs. 87.5%; p < 0.001) and major spine surgery involving > 3 levels (35.0% vs. 57.5%; p = 0.019). Patients who suffered from an ileus were more likely to be treated in ICU (23.8% vs. 37.5%; p = 0.115), being re-admitted (0.0% vs 5.0%; p = 0.044) and having a delayed discharge (32.5% vs. 57.5%; p = 0.009). Multivariable analysis demonstrated that lumbar spine surgery compared to thoracic and/or cervical spine surgery (p = 0.00, OR 8.7 CI 2.9-25.4) and major spine surgery involving > 3 levels (p = 0.012; OR 3.0, CI 1.3-7.2) are associated with developing an ileus postoperatively.
conclusionSurgeries of the lumbar spine as well as those involving > 3 levels are associated with developing a postoperative ileus. Further studies are needed to expand on possible risk factors and to better understand the mechanism underlying postoperative ileus in spine surgery patients.
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