Research Article, J Spine Neurosurg Vol: 5 Issue: 5
Early Re-Operation in Patient with Spinal Metastases
| Asuquo J1,2*, Wang M2, Haisheng L2, Ebbe H2, Kirstian AW2, Helmig P2 and Cody B2 | |
| 1Department of Orthopedic Surgery, University of Calabar, Nigeria | |
| 2Department of Spine Orthopedic Surgery, Aarhus University Hospital, Denmark | |
| Corresponding author : Dr. Joseph Asuquo Department of Orthopedic Surgery, University of Calabar, Nigeria Tel: +2348035903116 E-mail: itansuq@yahoo.com |
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| Received: June 01, 2016 Accepted: June 03, 2016 Published: June 10, 2016 | |
| Citation: Asuquo J, Wang M, Haisheng L, Ebbe H, Kirstian AW, et al. (2016) Early Re-Operation in Patient with Spinal Metastases. J Spine Neurosurg 5:5. doi: 10.4172/2325-9701.1000235 |
Abstract
Purpose: The objective of this study is to describe the indications
for early (within 30days) reoperations in patients with spinal
metastases to facilitate understanding and post-operative care.
Methods: An �??ambispective�?� cohort of 502 patients based on
Aarhus Spinal Metastases Database. Biodata, indications for
reoperation, timing of reoperation and Tokuhashi score were
documented. Significant Statistical inference was drawn at p<0.05.
Results: Thirty-nine out of 502 patients had reoperation within
30days. Median age was 59yrs. Reoperation rate was 7.8%.
Median survival was 7.2months and 8.1 months for the remaining
cohort. Thirty-six (92.3%) patients underwent single reoperation.
Early deterioration in neurological function was the most common
clinical condition. Reasons for reoperations are; hematoma (38.5%)
was the commonest; others are surgical site infection (15.4%),
vertebral instability (7.7%), recurrent tumor infiltration (7.7%),
persistent radicular pain (5.1%), imminent cord compression (5.1%)
and unknown etiology (15.4%). Sixteen patients had reoperation
within 7 days. Reoperation was most frequent in patients with poor
prognosis.
Conclusion: Hematoma and surgical site infection were the most
common reasons for reoperation, which can be prevented. Regular
clinical monitoring of lower extremity neurological status in a post
operative patient should be undertaken diligently.
