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Association of Two-staged Surgery with Systemic Perioperative Complications in Lateral Lumbar Interbody Fusion for Adult Spinal Deformity: a Propensity Score-weighted Study by Soichiro Masuda; Shunsuke Fujibayashi; Mitsuru Takemoto; Masato Ota; Eijiro Onishi; Seiichi Odate; Ryosuke Tsutumi; Masanori Izeki; Hiroaki Kimura; Shimei Tanida; Bungo Otsuki; Koichi Murata; Takayoshi Shimizu; Shuichi Matsuda is a Medicine article available to read on EtoBox.

What is Association of Two-staged Surgery with Systemic Perioperative Complications in Lateral Lumbar Interbody Fusion for Adult Spinal Deformity: a Propensity Score-weighted Study about?

Purpose Adult spinal deformity (ASD) surgery carries a higher risk of perioperative systemic complications. However, evidence for the effect of planned two-staged surgery on the incidence of perioperative systemic complications is scarce. Here, we evaluated the effect of two-staged surgery on perioperative complications following ASD surgery using lateral lumbar interbody fusion (LLIF). Methods The study was conducted under a retrospective multi-center cohort design. Data on 293 consecutive ASD patients (107 in the two-staged group and 186 in the one-day group) receiving corrective surgery using LLIF between 2012 and 2021 were collected. Clinical outcomes included occurrence of perioperative systemic complications, reoperation, and intraoperative complications, operation time, intraoperative blood loss, transfusion, and length of hospital stay. The analysis was conducted using propensity score (PS)-stabilized inverse probability treatment weighting to adjust for confounding factors. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated in a PS-weighted cohort. ## Results In this cohort, 19 (18.4%) patients in the two-staged group and 43 (23.1%) patients in the one-d

Who reads Association of Two-staged Surgery with Systemic Perioperative Complications in Lateral Lumbar Interbody Fusion for Adult Spinal Deformity: a Propensity Score-weighted Study?

Author

Soichiro Masuda; Shunsuke Fujibayashi; Mitsuru Takemoto; Masato Ota; Eijiro Onishi; Seiichi Odate; Ryosuke Tsutumi; Masanori Izeki; Hiroaki Kimura; Shimei Tanida; Bungo Otsuki; Koichi Murata; Takayoshi Shimizu; Shuichi Matsuda

Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)