A simple scoring system for predicting early major complications in spine surgery: the cumulative effect of age and size of surgery

作者：Berthier Brasil Albert Vincent; Teles Alisson R; Roxo Marcelo Ricardo; Schuster Marcelo Neutzling; Zauk Eduardo Ballverdu; Barcellos Gabriel da Costa; Fruett da Costa Pablo Ramon; Ferreira Nelson Pires; Kraemer Jorge Luiz; Ferreira Marcelo Paglioli; Gobbato Pedro Luis; Worm Paulo Valdeci

来源：Arquivos de Neuro-Psiquiatria, 2016, 74(10): 803-809.

DOI：10.1590/0004-282X20160127

• spine
• surgery
• surgical wound invection
• multivariate analysis

Objective: To analyze the cumulative effect of risk factors associated with early major complications in postoperative spine surgery. Methods: Retrospective analysis of 583 surgically-treated patients. Early "major" complications were defined as those that may lead to permanent detrimental effects or require further significant intervention. A balanced risk score was built using multiple logistic regression. Results: Ninety-two early major complications occurred in 76 patients (13%). Age > 60 years and surgery of three or more levels proved to be significant independent risk factors in the multivariate analysis. The balanced scoring system was defined as: 0 points (no risk factor), 2 points (1 factor) or 4 points (2 factors). The incidence of early major complications in each category was 7% (0 points), 15% (2 points) and 29% (4 points) respectively. Conclusions: This balanced scoring system, based on two risk factors, represents an important tool for both surgical indication and for patient counseling before surgery.

• 出版日期2016-10
• 单位McGill