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Complications and Avoidance in Adult Spinal Deformity Surgery
Joseph R Linzey1, Jock Lillard2, Michael LaBagnara2
1Department of Neurosurgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Neurosurgery Clinics of North America
|September 17, 2023
Summary
Adult spinal deformity surgery can have high complication rates, reaching 70%. Strategies exist to avoid or minimize complications like cerebrospinal fluid leaks, blood loss, and infections.
Area of Science:
- Orthopedics
- Neurosurgery
- Spine Surgery
Background:
- Adult spinal deformity (ASD) is a significant cause of disability.
- Surgical intervention for ASD offers benefits but carries a high complication risk (up to 70%).
Purpose of the Study:
- To outline common complications associated with adult spinal deformity surgery.
- To present strategies for avoiding and minimizing these surgical complications.
Main Methods:
- Review of common adult spinal deformity surgical complications.
- Identification of preventative and management strategies for each complication.
Main Results:
- Common complications include CSF leak, blood loss, neurologic deficit, hardware failure, proximal junctional issues, pseudarthrosis, and infections.
- Specific strategies are available to mitigate the risks of these complications.
Conclusions:
- While adult spinal deformity surgery is beneficial, careful planning and execution are crucial.
- Implementing specific strategies can significantly reduce the incidence and severity of perioperative and postoperative complications.
Keywords:
Adult spinal deformity surgeryAvoidanceComplicationsHardware failureProximal junctional kyphosis
