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Related Experiment Videos

Spinal instrumentation with a low complication rate

S A Shapiro1, W Snyder

  • 1Section of Neurosurgery, Indiana University Medical Center, Indianapolis 46202, USA.

Surgical Neurology
|December 24, 1997
PubMed
Summary
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Neurosurgical spinal instrumentation demonstrated a low 3% complication rate and 99% fusion success in 299 cases. This safe and effective technique aids in treating various spinal diseases.

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Orthopedic Surgery

Background:

  • Spinal instrumentation is increasingly used in neurosurgery, with higher complication rates reported compared to non-instrumented procedures.
  • Previous studies indicate complication rates including neurologic injury (2-3%), implant failure reoperation (3-45%), and infection (5-10%).
  • This study focuses on a series of spinal instrumentation cases performed exclusively by neurosurgeons.

Purpose of the Study:

  • To evaluate the complication rate and outcomes of spinal instrumentation exclusively performed by neurosurgeons.
  • To determine the safety and efficacy of spinal instrumentation in a neurosurgical practice.
  • To compare the observed complication and fusion rates with previously reported data.

Main Methods:

Related Experiment Videos

  • Analysis of 299 consecutive spinal instrumentation cases performed by neurosurgeons at Indiana University Medical Center.
  • Instrumentation types included anterior cervical locking plates, posterior cervical instrumentation, anterior/posterior thoracolumbar plates, and posterior thoracolumbar instrumentation.
  • Complications related to spinal instrumentation were systematically recorded and analyzed.

    • Main Results:

    • A mean follow-up of 40 months revealed a low overall complication rate of 3% (10/299 cases) and a reoperation rate of 2%.
    • No neurologic injuries or hardware infections were reported; other complications included dural tears and superficial wound infections.
    • The arthrodesis (fusion) rate was exceptionally high at 99% (298/299).

    Conclusions:

    • Spinal instrumentation performed by neurosurgeons can achieve complication rates lower than previously reported.
    • Lessons learned can further reduce complication rates, highlighting the safety and utility of spinal instrumentation.
    • Spinal instrumentation is a safe and effective adjunct for spinal fusion in treating degenerative, traumatic, infectious, and neoplastic conditions.