دورية أكاديمية
أعرض في EDS

Perioperative complications and cost of posterior decompression with fusion in thoracic spine for ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum -a comparative study using a national inpatient database.

التفاصيل البيبلوغرافية
العنوان: Perioperative complications and cost of posterior decompression with fusion in thoracic spine for ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum -a comparative study using a national inpatient database.
المؤلفون: Morishita S; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan., Yoshii T; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. yoshii.orth@tmd.ac.jp., Inose H; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan., Hirai T; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan., Yamada K; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan., Matsukura Y; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan., Egawa S; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan., Hashimoto J; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan., Takahashi T; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan., Ogawa T; Department of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan., Fushimi K; Department of Health Policy and Informatics, Tokyo Medical and Dental University Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Jul 03; Vol. 25 (1), pp. 513. Date of Electronic Publication: 2024 Jul 03.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Thoracic Vertebrae*/surgery , Ligamentum Flavum*/surgery , Spinal Fusion*/economics , Spinal Fusion*/adverse effects , Spinal Fusion*/methods , Decompression, Surgical*/economics , Decompression, Surgical*/adverse effects , Decompression, Surgical*/methods , Ossification of Posterior Longitudinal Ligament*/surgery , Ossification of Posterior Longitudinal Ligament*/economics , Postoperative Complications*/epidemiology , Postoperative Complications*/etiology , Postoperative Complications*/economics , Databases, Factual*, Humans ; Male ; Female ; Middle Aged ; Aged ; Japan/epidemiology ; Ossification, Heterotopic/surgery ; Ossification, Heterotopic/economics ; Ossification, Heterotopic/epidemiology ; Length of Stay/economics ; Reoperation/economics ; Reoperation/statistics & numerical data ; Retrospective Studies ; Inpatients ; Treatment Outcome
مستخلص: Background: Although posterior decompression with fusion (PDF) are effective for treating thoracic myelopathy, surgical treatment has a high risk of various complications. There is currently no information available on the perioperative complications in thoracic ossification of the longitudinal ligament (T-OPLL) and thoracic ossification of the ligamentum flavum (T-OLF). We evaluate the perioperative complication rate and cost between T-OPLL and T-OLF for patients underwent PDF.
Methods: Patients undergoing PDF for T-OPLL and T-OLF from 2012 to 2018 were detected in Japanese nationwide inpatient database. One-to-one propensity score matching between T-OPLL and T-OLF was performed based on patient characteristics and preoperative comorbidities. We examined systemic and local complication rate, reoperation rate, length of hospital stays, costs, discharge destination, and mortality after matching.
Results: In a total of 2,660 patients, 828 pairs of T-OPLL and T-OLF patients were included after matching. The incidence of systemic complications did not differ significantly between the T-OPLL and OLF groups. However, local complications were more frequently occurred in T-OPLL than in T-OLF groups (11.4% vs. 7.7% P = 0.012). Transfusion rates was also significantly higher in the T-OPLL group (14.1% vs. 9.4%, P = 0.003). T-OPLL group had longer hospital stay (42.2 days vs. 36.2 days, P = 0.004) and higher medical costs (USD 32,805 vs. USD 25,134, P < 0.001). In both T-OPLL and T-OLF, the occurrence of perioperative complications led to longer hospital stay and higher medical costs. While fewer patients in T-OPLL were discharged home (51.6% vs. 65.1%, P < 0.001), patients were transferred to other hospitals more frequently (47.5% vs. 33.5%, P = 0.001).
Conclusion: This research identified the perioperative complications of T-OPLL and T-OLF in PDF using a large national database, which revealed that the incidence of local complications was higher in the T-OPLL patients. Perioperative complications resulted in longer hospital stays and higher medical costs.
(© 2024. The Author(s).)
References: J Orthop Sci. 2022 May;27(3):600-605. (PMID: 33972149)
J Orthop Surg Res. 2022 Nov 24;17(1):504. (PMID: 36434588)
J Neurosurg Spine. 2021 Dec 24;36(6):986-996. (PMID: 34952516)
Pain Res Manag. 2021 Dec 20;2021:3971396. (PMID: 34966472)
Global Spine J. 2023 Sep;13(7):1956-1963. (PMID: 34920676)
J Clin Neurosci. 2017 Nov;45:83-88. (PMID: 28760654)
Spine (Phila Pa 1976). 2017 Mar 15;42(6):407-410. (PMID: 27398886)
Clin Spine Surg. 2021 Aug 1;34(7):E425-E431. (PMID: 34039894)
Ann Rehabil Med. 2020 Feb;44(1):69-76. (PMID: 32130840)
Ann Surg. 2013 Apr;257(4):640-6. (PMID: 23023204)
Spine J. 2020 Sep;20(9):1430-1437. (PMID: 32445802)
Spine (Phila Pa 1976). 2021 Sep 1;46(17):1197-1205. (PMID: 34384098)
Spine J. 2018 Oct;18(10):1815-1821. (PMID: 29567515)
J Neurosurg Spine. 2019 Nov 8;32(2):200-206. (PMID: 31703197)
Spine J. 2016 Jan 1;16(1):55-60. (PMID: 26499767)
Spine (Phila Pa 1976). 2020 Aug 15;45(16):E1006-E1012. (PMID: 32150133)
Med Sci Monit. 2022 Apr 07;28:e935711. (PMID: 35387962)
Neurol Med Chir (Tokyo). 2024 May 15;64(5):184-191. (PMID: 38403719)
Spine (Phila Pa 1976). 2020 Feb 1;45(3):E170-E178. (PMID: 31415461)
Spine J. 2022 Apr;22(4):605-615. (PMID: 34848345)
Transfusion. 2022 May;62(5):1027-1033. (PMID: 35338708)
N Am Spine Soc J. 2022 Nov 26;12:100187. (PMID: 36561892)
J Orthop Sci. 2021 Jan;26(1):123-127. (PMID: 32220467)
J Epidemiol. 2017 Oct;27(10):476-482. (PMID: 28142051)
Tohoku J Exp Med. 1998 Jan;184(1):1-11. (PMID: 9607393)
Spine (Phila Pa 1976). 2008 May 15;33(11):1199-208. (PMID: 18469693)
World Neurosurg. 2021 Oct;154:e343-e348. (PMID: 34280541)
Eur Spine J. 2021 Dec;30(12):3631-3638. (PMID: 33959795)
Bone. 2020 Jan;130:115122. (PMID: 31678496)
Spine (Phila Pa 1976). 2018 Dec 1;43(23):E1389-E1397. (PMID: 29689005)
J Korean Med Sci. 2020 Oct 19;35(40):e345. (PMID: 33075855)
Eur Spine J. 2022 Apr;31(4):1051-1059. (PMID: 35066683)
World Neurosurg. 2021 Oct;154:e529-e535. (PMID: 34314912)
Orthop Surg. 2022 Feb;14(2):298-305. (PMID: 34914189)
J Neurosurg Spine. 2019 Dec 27;32(5):703-709. (PMID: 31881534)
Spine Deform. 2021 Mar;9(2):567-578. (PMID: 33201495)
BMC Musculoskelet Disord. 2021 Jan 4;22(1):7. (PMID: 33397347)
Spine (Phila Pa 1976). 2019 Mar 1;44(5):E273-E281. (PMID: 30095800)
Medicine (Baltimore). 2022 Feb 25;101(8):e28836. (PMID: 35212281)
Clin Spine Surg. 2021 May 1;34(4):E216-E222. (PMID: 33122569)
فهرسة مساهمة: Keywords: Costs; Diagnosis procedure combination database; Perioperative complications; Posterior decompression with fusion; Thoracic ossification of the ligamentum flavum; Thoracic ossification of the posterior longitudinal ligament
تواريخ الأحداث: Date Created: 20240703 Date Completed: 20240704 Latest Revision: 20240706
رمز التحديث: 20240706
مُعرف محوري في PubMed: PMC11221184
DOI: 10.1186/s12891-024-07617-5
PMID: 38961370
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2474
DOI:10.1186/s12891-024-07617-5