ArticleJournal of orthopaedic surgery and research2024
Prolonged operative time significantly impacts on the incidence of complications in spinal surgery.
Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Posterior-only versus combined anterior-posterior approaches for thoracolumbar burst fractures: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Clinical efficacy and quality of life in elderly patients with lumbar degenerative disease treated with TLIF combined with unilateral pedicle screw fixation: a randomized controlled study.Journal of orthopaedic surgery and research · 2025Trial
- Quantifying the Severity of Facial Trauma in a Bulgarian Cohort Using the Comprehensive Facial Injury Score.Reports (MDPI) · 2026Article
- Perioperative Outcomes Following Single-Stage Surgery for Tandem Spinal Stenosis-A Single-Center Retrospective Cohort.Journal of personalized medicine · 2026Article
- Double mini-locking plates for unstable Danis-Weber B distal fibular fractures: superior functional outcomes and lower implant removal rates.Journal of orthopaedic surgery and research · 2026Article
- Endoscopic posterior cervical canal decompression versus laminoplasty for two-level cervical spondylotic myelopathy: clinical outcomes and finite element analysis.Journal of orthopaedic surgery and research · 2026Article
- Longer operative time is associated with higher risk of adverse outcomes in pediatric idiopathic scoliosis surgery.Spine deformity · 2026Article
- Distribution of pathogenic bacteria and analysis of risk factors for surgical site infections after hepatobiliary surgery.BMC infectious diseases · 2026Article
- Demographic Drivers of Operative Time in Short and Long Cephalomedullary Nail Fixation.The Iowa orthopaedic journal · 2026Article
- Short-term clinical outcomes in single-stage vs. two-stage corrective surgery after pedicle subtraction osteotomy for degenerative deformities in an elderly cohort.Brain & spine · 2026Article
- The Learning Curve of Endoscopic Lumbar Interbody Fusion: A Systematic Review.Journal of clinical medicine · 2025Review
- [Postoperative imaging following spinal surgery for traumatic injuries].Radiologie (Heidelberg, Germany) · 2025Article
- Comparative Radiologic and Morphologic Analysis of Posterolateral Fusion and Percutaneous Pedicle Screw Fixation for Thoracolumbar Junction Burst Fractures.Journal of clinical medicine · 2025Article
- Primary Versus Iatrogenic Spondylolisthesis: A Multi-Dimensional Comparison of Outcomes.Journal of clinical medicine · 2025Article
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14 authors.
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Abstract
backgroundIn spinal surgery adverse events (AE) and surgical complications (SC) significantly affect patient's outcome and quality of life. The duration of surgery has been investigated in different surgical field as risk factor for complications. The aim of this study is to analyze the correlation between operative time and adverse events in spinal surgery.
methodsWe retrospectively analyzed data collected prospectively in a cohort of 336 patients surgically treated for spinal diseases of oncological and degenerative origin in a single center, between January 2017 to January 2018. Demographics and clinical data were collected. Adverse events were classified using Spinal Adverse Events Severity System version 2 (SAVES-V2) capture system. Focusing on degenerative patients, bivariate analysis and univariate logistic regression were used to determine the association between operative time and complications.
resultsA total of 105/336 patients experienced an AE related to surgery, respectively 38% in the oncological group and 28% in the degenerative group. The average age at surgery was 60.3 years (SD 17.1) and the mean operative time was 164.8 ± 138 min. A total of 206 adverse events (30 intraoperative, 135 early postoperative and 41 late postoperative AEs) were recorded. Early post-operative complications accounted for the most recorded AEs (55.5% in the oncological group and 73.2% in the degenerative group). Univariate logistic regression analyses confirmed that operative time correlated with increased risk of intra-operative (p-value = 0.0008), early post-operative (p-value < 0.001) and late post-operative (p-value < 0.001) adverse events.
conclusionsThis study highlights the strong correlation between the occurrence of adverse events in spinal surgery and prolonged operative time and suggests that efforts should be made to minimize the duration of surgical procedures while prioritizing patient's safety, without compromising the technical achievement of the procedure.
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