دورية أكاديمية
أعرض في EDS

Psoas attenuation is associated with early postoperative complications in geriatric patients undergoing multilevel lumbar fusion surgery for degenerative lumbar spinal stenosis.

التفاصيل البيبلوغرافية
العنوان: Psoas attenuation is associated with early postoperative complications in geriatric patients undergoing multilevel lumbar fusion surgery for degenerative lumbar spinal stenosis.
المؤلفون: Hou X; Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, 100053, Beijing, China.; Xuanwu Hospital, China National Clinical Research Center for Geriatric Disorders, Capital Medical University, Beijing, China., Hu H; Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, 100053, Beijing, China., Kong C; Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, 100053, Beijing, China.; Xuanwu Hospital, China National Clinical Research Center for Geriatric Disorders, Capital Medical University, Beijing, China., Zhang S; Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, 100053, Beijing, China., Wang W; Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, 100053, Beijing, China., Lu S; Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, 100053, Beijing, China. spinelsb@sina.com.; Xuanwu Hospital, China National Clinical Research Center for Geriatric Disorders, Capital Medical University, Beijing, China. spinelsb@sina.com.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Aug 21; Vol. 25 (1), pp. 659. Date of Electronic Publication: 2024 Aug 21.
نوع المنشور: Journal Article
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: Spinal Fusion*/adverse effects , Spinal Fusion*/methods , Spinal Stenosis*/surgery , Spinal Stenosis*/diagnostic imaging , Psoas Muscles*/diagnostic imaging , Postoperative Complications*/etiology , Postoperative Complications*/epidemiology , Lumbar Vertebrae*/surgery , Lumbar Vertebrae*/diagnostic imaging, Humans ; Male ; Female ; Aged ; Retrospective Studies ; Risk Factors ; Aged, 80 and over ; Tomography, X-Ray Computed ; Middle Aged
مستخلص: Background: Morphometric analysis of the psoas major muscle has shown utility in predicting postoperative morbidity in various surgical fields, but its usefulness in predicting complications in elderly patients undergoing multilevel lumbar fusion surgery has not been studied. The study aimed to investigate if psoas major parameters are independent risk factors of early postoperative complication among elderly patients.
Methods: Patients who underwent multilevel lumbar fusion for degenerative lumbar spinal stenosis (DLSS) were included. The psoas major was measured at the lumbar 3/4 intervertebral disc level in three ways on computed tomography image: psoas muscle mass index, mean muscle attenuation, and morphologic change of the psoas major. Early complications were graded using the Clavien-Dindo classification system and the Comprehensive complication index (CCI). A CCI ≥ 26.2 indicated severe complications. Logistic regression was performed to identify independent risk factors.
Results: This retrospective study reviewed 108 patients (mean age 70.9 years, female to male ratio 1.8:1). Complications were observed in 72.2% of patients, with allogeneic blood transfusion being the most frequent (66.7%), followed by wound infection, acute heart failure (2.8% each). Severe complications occurred in 13.9% of patients. After multivariable regression analysis, those in the lowest psoas muscle attenuation tertile had higher odds of experiencing early postoperative complications (OR: 3.327, 95% CI 1.134-9.763, p = 0.029) and severe complications (OR: 6.964, 95% CI 1.928-25.160, p = 0.003).
Conclusion: The psoas muscle attenuation can be used as a predictor of early postoperative complications in elderly patients undergoing multilevel lumbar fusion surgery for DLSS.
(© 2024. The Author(s).)
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معلومات مُعتمدة: KZ20231002537 R&D Program of Beijing Municipal Education Commission; KZ20231002537 R&D Program of Beijing Municipal Education Commission; KZ20231002537 R&D Program of Beijing Municipal Education Commission; KZ20231002537 R&D Program of Beijing Municipal Education Commission; KZ20231002537 R&D Program of Beijing Municipal Education Commission; KZ20231002537 R&D Program of Beijing Municipal Education Commission; CX24PY10 Chinese Institutes for Medical Research, Beijing; CX24PY10 Chinese Institutes for Medical Research, Beijing; CX24PY10 Chinese Institutes for Medical Research, Beijing; CX24PY10 Chinese Institutes for Medical Research, Beijing; CX24PY10 Chinese Institutes for Medical Research, Beijing; CX24PY10 Chinese Institutes for Medical Research, Beijing
فهرسة مساهمة: Keywords: Degenerative lumbar spinal stenosis; Postoperative complications; Psoas major muscle; Risk factors
تواريخ الأحداث: Date Created: 20240821 Date Completed: 20240822 Latest Revision: 20240824
رمز التحديث: 20240826
مُعرف محوري في PubMed: PMC11340144
DOI: 10.1186/s12891-024-07779-2
PMID: 39169374
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2474
DOI:10.1186/s12891-024-07779-2