ArticleScientific reports2022
Analysis of risk factors for perioperative complications in spine surgery.
Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Surgical management and outcomes of ankylosing spondylitis fractures in adults: a systematic review and meta-analysis.Neurosurgical review · 2025Pooled it
- Accuracy and Safety Between Robot-Assisted and Conventional Freehand Fluoroscope-Assisted Placement of Pedicle Screws in Thoracolumbar Spine: Meta-Analysis.Medicina (Kaunas, Lithuania) · 2025Pooled it
- Barbed sutures versus conventional sutures for wound closure in spine surgeries: a systematic review and meta-analysis.Neurosurgical review · 2024Pooled it
- Comparative efficacy of robotic-assisted and freehand techniques for pedicle screw placement in spinal disorders: a meta-analysis and systematic review.Journal of robotic surgery · 2024Pooled it
- Association of Combined Nutritional Risk and Oral Frailty Assessment with Postoperative Complications in Older Surgical Patients: A Pilot Cohort Study.JMA journal · 2026Article
- The impact of morbid obesity and metabolic syndrome in elective spine surgery outcomes: A systematic review.North American Spine Society journal · 2026Review
- AI parameters for enhancing spine surgery outcomes: a narrative review.Journal of spine surgery (Hong Kong) · 2026Review
- Does pre-operative psoas muscle cross-sectional area predict post-operative outcomes following lumbar spine fusion surgery?-a systematic review and narrative synthesis.Journal of spine surgery (Hong Kong) · 2026Review
- Late-onset Spinal Infection Caused byPlastic and reconstructive surgery. Global open · 2026Article
- Prediction of Clinically Significant Improvement after Lumbar Fusion Surgery Based on Machine Learning.Yonsei medical journal · 2026Article
- Perioperative Outcomes Following Single-Stage Surgery for Tandem Spinal Stenosis-A Single-Center Retrospective Cohort.Journal of personalized medicine · 2026Article
- Multi-level posterior cervical-only fusion and instrumentation with versus without extension to C1: A short-term outcomes analysis using a large database.North American Spine Society journal · 2026Article
- Association Between Surgical Timing and Perioperative Outcomes in Lumbar Spine Surgery: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Disparities in quality of life and health literacy among patients with degenerative cervical myelopathy: the influence of racial and ethnic factors in the All of Us Research Program.Journal of neurosurgery. Spine · 2026Article
- Management of PErioperative Anemia in EmeRgency Laparotomy Patients (PEARL Study).World journal of surgery · 2026Article
- Predictors and Early Outcomes of Hidden Blood Loss Following Surgery for Spinal Metastases: A Retrospective Study Focusing on Tomita Type 1-5 Lesions.Journal of clinical medicine · 2026Article
- From Open to MIS, evolving practice for posterior approaches in high-energy thoracolumbar vertebral fractures: a retrospective cohort study.Brain & spine · 2026Article
- Determinants of clinical outcome and revision surgery in spinal tumors: Analysis of 344 procedures.Brain & spine · 2026Article
- Risk-stratified management of ankylosing spondylitis-related spinal fractures-a meta-synthesis of contemporary surgical and nonsurgical strategies: a narrative review.Journal of spine surgery (Hong Kong) · 2025Review
- Prior year hospital admission predicts 30-day hospital readmission after spine surgery.North American Spine Society journal · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Complications in spine surgery can arise in the intraoperative or the immediate postoperative period or in a delayed manner. These complications may lead to severe or even permanent morbidity if left undiagnosed and untreated. We prospectively interviewed 526 patients out of 1140 patients who consecutively underwent spinal surgery in our department between November 2017 and November 2018 and analysed the outcome and complication rates. A 12 months follow-up period was also adopted. We analysed the patients' clinical characteristics, comorbidities, surgical management, survival rates, and outcomes. Risk factor analyses for the development of complications were also performed. Patients' median age was 67 years (range: 13-96). The main diagnoses were as follows: degenerative in 50%, tumour in 22%, traumatic fractures in 13%, infections in 10%, reoperations in 3%, and others in 2%. Surgeries were emergency procedures (within 24 h) in 12%. Furthermore, 59% required instrumentation. The overall postoperative complication rate was 26%. Revision surgery was required in 12% of cases within 30 postoperative days (median time to revision 11 days [IQR 5-15 days]). The most frequent complications included wound healing disorders, re-bleeding, and CSF leakage. Thereby, the risk factor analysis revealed age-adjusted CCI (p = 0.01), metastatic tumour (p = 0.01), and atrial fibrillation (p = 0.02) as significant risk factors for postoperative complications. Additionally, postoperative KPS (p = 0.004), postoperative anaemia (p = 0.001), the length of hospital stay (p = 0.02), and duration of surgery (p = 00.002) were also identified as associated factors. Complication rates after spinal surgeries are still high, especially in patients with metastatic tumour disease and poor clinical status (KPS), requiring revision surgeries in several cases. Therefore, specific risk factors should be determined to carefully select surgery groups.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.