고령의 퇴행성 요추부 질환에서 척추경 나사못을 이용한 요추부 유합술 후 수술주위기간 합병증 - 후외방 유합술과 후방 요추체간 유합술의 비교 연구 (Perioperative Complications in Elderly Patients Undergoing Lumbar Arthrodesis with Pedicle Screw Instrumentation in the Degenerative Lumbar Disorders - A Comparative Study between Posterolateral Fusio)

서지정보

· 발행기관 : 대한척추외과학회
· 수록지 정보 : 대한척추외과학회지 / 15권 / 3호 / 183 ~ 189페이지
· 저자명 : 송경진, 임영진, 송지훈, 함동훈

초록

Study Design: This is a retrospective study that focused on the perioperative complications when performing posterior
arthrodesis for treating degenerative lumbar disorders in elderly patients.
Objectives: We wanted to analyze the perioperative risk factors and the complications associated with posterior lumbar decompression
and arthrodesis in patients who were sixty-five years of age or older.
Summary of the Literature Review: Lumbar arthrodesis is commonly done in elderly patients to treat degenerative spine problems.
These patients may be at an increased risk for complications because of their age and their associated medical conditions.
Materials and Methods: We studied 111 patients who were over 65 years old and they were able to be followed up for more
than 3 months after performing posterior arthrodesis during the recent 5 years. Sixty-one patients who had undergone posterolateral
fusion (PLF) were classified as group A, and 50 patients who had undergone posterior lumbar interbody fusion
(PLIF) using a PEEK cage were classified as group B. We analyzed their rates of complications and the causative factors,
according to operative methods and age, and these complications occurred within 12 weeks after the operations.
Results: Complications occurred for 43 patients of group A, and for 26 patients of group B. The differences in the rates of complications
were statistically significant, and group A had a more complications than did group B. The relations between medical
problems and the incidence of perioperative complications were statistically significant for both groups.
Conclusions: Elderly patients with medical problems should be made aware that they are at an increased risk for surgical com
plications, and attention should be paid to controlling the blood loss and limiting the operative time. The PLIF using a PEEK
cage was identified as a procedure that could reduce the perioperative complications.

영어초록

Study Design: This is a retrospective study that focused on the perioperative complications when performing posterior
arthrodesis for treating degenerative lumbar disorders in elderly patients.
Objectives: We wanted to analyze the perioperative risk factors and the complications associated with posterior lumbar decompression
and arthrodesis in patients who were sixty-five years of age or older.
Summary of the Literature Review: Lumbar arthrodesis is commonly done in elderly patients to treat degenerative spine problems.
These patients may be at an increased risk for complications because of their age and their associated medical conditions.
Materials and Methods: We studied 111 patients who were over 65 years old and they were able to be followed up for more
than 3 months after performing posterior arthrodesis during the recent 5 years. Sixty-one patients who had undergone posterolateral
fusion (PLF) were classified as group A, and 50 patients who had undergone posterior lumbar interbody fusion
(PLIF) using a PEEK cage were classified as group B. We analyzed their rates of complications and the causative factors,
according to operative methods and age, and these complications occurred within 12 weeks after the operations.
Results: Complications occurred for 43 patients of group A, and for 26 patients of group B. The differences in the rates of complications
were statistically significant, and group A had a more complications than did group B. The relations between medical
problems and the incidence of perioperative complications were statistically significant for both groups.
Conclusions: Elderly patients with medical problems should be made aware that they are at an increased risk for surgical com
plications, and attention should be paid to controlling the blood loss and limiting the operative time. The PLIF using a PEEK
cage was identified as a procedure that could reduce the perioperative complications.

참고자료

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