Abstract：
BACKGROUND:The reported incidence of postoperative ileus (POI) after spine surgery depends on the surgical approach and definition used. It is therefore possible that the overall incidence is substantially higher than previously thought. POI has consequences for both the patient and hospital resources, and can significantly increase health care costs. METHODS:We retrospectively reviewed all patients aged 18 years or older who underwent elective complex spine surgery at our tertiary referral institution from 2011 through 2017. Preoperative comorbidities, operating time and approach, estimated blood loss, postoperative complications, and length of stay (LOS) were analyzed for patients meeting the inclusion criteria. RESULTS:Of 174 patients included in the study, 32 patients (18.4%) developed POI, leading to a significant increase in their median LOS (9 vs. 7 days; P = 0.020). Total estimated blood loss (1649.5 ± 1266.2 vs. 1124.6 ± 936.3 mL; P = 0.009) and total surgical time (501.6 ± 170.5 vs. 388.4 ± 159.8 minutes; P < 0.001) were significantly higher in the POI cohort. The use of nonselective μ-opioid receptor antagonists in 66% of patients with POI did not significantly impact the median LOS (9 vs. 8 days; P = 0.477) compared with patients with POI who did not receive this intervention. The incidence of postoperative adverse events other than ileus was similar between the 2 patient groups. CONCLUSIONS:Despite use of early interventions, the median LOS remains significantly longer in patients who develop POI after complex spine surgery. Knowledge of the associated predictive risk factors could potentially assist with the development of rigorous, evidence-based preventative strategies.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Wright AK,La Selva D,Nkrumah L,Yanamadala V,Leveque JC,Sethi RKdoi
10.1016/j.wneu.2019.08.062subject
Has Abstractpub_date
2019-12-01 00:00:00pages
e618-e622eissn
1878-8750issn
1878-8769pii
S1878-8750(19)32217-Xjournal_volume
132pub_type
杂志文章abstract：BACKGROUND:Congenital spondylolytic spondylolisthesis of C2 vertebra resulting from deficient posterior element of the axis is rarely described in the literature. CASE DESCRIPTION:We describe a unique case of agenesis of posterior elements of C2 with craniovertebral junction anomalies consisting of osseous, vascular, ...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:Brain tumors are rare in infants who are younger than six months of age. These tumors can be challenging to treat surgically. We analyzed a modern series of patients treated by a multidisciplinary team at a tertiary care center and performed a literature review of this unique population. METHODS:Retrospectiv...
journal_title：World neurosurgery
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pub_type： 杂志文章,多中心研究
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abstract：INTRODUCTION:The aim of this study was to explore the predisposing factors for fracture nonunion after a lateral screw was combined with C2 pedicle/laminar screw for a type II odontoid fracture and hopefully provide references in decision making and surgical planning for spinal surgeons. METHODS:This is a retrospectiv...
journal_title：World neurosurgery
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abstract：:A patient presented with progressive ischemic stroke and received mechanical thrombectomy with a Solitaire FR device 29 days after stroke onset. The occluded V4 segment of the left vertebral artery showed a double rail sign on angiography, which indicated that the occlusion might have been caused by embolism instead o...
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journal_title：World neurosurgery
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journal_title：World neurosurgery
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更新日期：2016-07-01 00:00:00
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更新日期：2014-11-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2017.11.079
更新日期：2018-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2019.01.130
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更新日期：2020-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2018-07-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2017-03-01 00:00:00
