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Should iterative spinal surgeries be performed? A case report.

George Ampat1, Samantha J Rhodes2, Jonathan Mg Sims2

  • 1School of Medicine, Institute of Life Course & Medical Sciences, Faculty of Health & Life Sciences, University of Liverpool, Liverpool, UK.

Journal of Surgical Case Reports
|July 11, 2022
PubMed
Summary
This summary is machine-generated.

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Iterative spinal surgeries increase complications and decrease success rates. A case study highlights a patient with worsening pain and disability after multiple spinal fusions, questioning the value of repeat surgeries.

Area of Science:

  • Spine surgery outcomes
  • Iterative surgical procedures
  • Patient recovery and complications

Background:

  • Increasing rates of spinal surgeries and subsequent iterative procedures.
  • Elevated risks of complications and reduced success with each subsequent surgery.
  • Need for re-evaluation of iterative spinal surgery's role in healthcare.

Observation:

  • A 51-year-old female patient with persistent, debilitating low back pain post-three double spinal fusions over four years.
  • Patient reports increased pain compared to pre-surgical states.
  • Significant functional decline including early retirement, wheelchair dependency, and need for daily assistance.

Findings:

  • Tertiary and quaternary spinal surgeries associated with poor patient outcomes.

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  • Iterative spinal surgery may lead to worse results than initial interventions.
  • Case demonstrates severe functional impairment despite multiple surgical attempts.

    • Implications:

    • Urgent re-assessment of the clinical utility and patient selection for iterative spinal surgery.
    • Potential need to limit or reconsider repeat surgical interventions for spinal conditions.
    • Focus on alternative treatments or improved surgical techniques to mitigate risks of iterative procedures.