Reach Us +1 850 754 6199

Journal of Spine & NeurosurgeryISSN: 2325-9701

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

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: [email protected]
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.

Keywords: Spinal metastasis; Aarhus Spinal metastases Data Base; Early reoperation; Cord compression; Neurological deterioration

Track Your Manuscript

Share This Page