A simple scoring system for predicting early major complications in spine surgery: the cumulative effect of age and size of surgery

• Autor(a) principal: Brasil,Albert Vincent Berthier
• Data de Publicação: 2016
• Outros Autores: Teles,Alisson R., Roxo,Marcelo Ricardo, Schuster,Marcelo Neutzling, Zauk,Eduardo Ballverdu, Barcellos,Gabriel da Costa, Costa,Pablo Ramon Fruett da, Ferreira,Nelson Pires, Kraemer,Jorge Luiz, Ferreira,Marcelo Paglioli, Gobbato,Pedro Luis, Worm,Paulo Valdeci
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Arquivos de neuro-psiquiatria (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016001000803
• topic: spine, surgery; surgical wound invection; multivariate analysis

ABSTRACT Objective To analyze the cumulative effect of risk factors associated with early major complications in postoperative spine surgery. Methods Retrospective analysis of 583 surgically-treated patients. Early “major” complications were defined as those that may lead to permanent detrimental effects or require further significant intervention. A balanced risk score was built using multiple logistic regression. Results Ninety-two early major complications occurred in 76 patients (13%). Age > 60 years and surgery of three or more levels proved to be significant independent risk factors in the multivariate analysis. The balanced scoring system was defined as: 0 points (no risk factor), 2 points (1 factor) or 4 points (2 factors). The incidence of early major complications in each category was 7% (0 points), 15% (2 points) and 29% (4 points) respectively. Conclusions This balanced scoring system, based on two risk factors, represents an important tool for both surgical indication and for patient counseling before surgery.