The Impact of Unplanned Reoperation Following Adult Spinal Deformity Surgery

作者：Ferran Pellisé, Maria Capdevila Bayo, Aleix Ruiz de Villa, Susana Núñez-Pereira, Sleiman Haddad, Maggie Barcheni, Javier Pizones, Manuel Ramírez, Ibrahim Obeid, Ahmet Alanay, Frank Kleinstueck, Anne F. Mannion, on behalf of the European Spine Study Group · 发表于：Journal of Bone and Joint Surgery · 年份：2024 · DOI：10.2106/jbjs.23.00242 · 被引用次数：14 · 研究领域：Scoliosis diagnosis and treatment、Pectus Deformity Diagnosis and Treatment、Stoma care and complications

BACKGROUND: The long-term impact of reoperations following adult spinal deformity (ASD) surgery is still poorly understood. Our aim was to identify the relationship between unplanned reoperation and health-related quality of life (HRQoL) gain at 2 and 5 years of follow-up. METHODS: We included patients enrolled in a prospective ASD database who underwent surgery ≥5 years prior to the start of the study and who had 2 years of follow-up data. Adverse events (AEs) leading to an unplanned reoperation, the time of reoperation occurrence, invasiveness (blood loss, surgical time, hospital stay), and AE resolution were assessed. HRQoL was measured with use of the Oswestry Disability Index, Scoliosis Research Society-22, and Short Form-36. Linear models controlling for baseline data and index surgery characteristics were utilized to assess the relationships between HRQoL gain at 2 and 5-year follow-up and the number and invasiveness of reoperations. The association between 5-year HRQoL gain and the time of occurrence of the unplanned reoperation and that between 5-year HRQoL gain and AE resolution were also investigated. RESULTS: Of 361 eligible patients, 316 (87.5%) with 2-year follow-up data met the inclusion criteria and 258 (71.5%) had 5-year follow-up data. At the 2-year follow-up, 96 patients (30.4%) had a total of 165 unplanned reoperations (1.72 per patient). At the 5-year follow-up, 73 patients (28.3%) had a total of 117 unplanned reoperations (1.60 per patient). The most com...