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Cardiac, respiratory complications after spine surgery associated with mortality
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According to results of a multivariate analysis of data in The Spine End Results Registry, significant mortality risk was associated with cardiac and respiratory complications after spine surgery.
“Risk factors identified in this study can be beneficial to clinicians and patients alike when considering surgical treatment of the cervical spine,” the researchers wrote in the abstract. “Future analyses and models that predict the occurrence of medical complication after cervical spine surgery may be of further benefit for surgical decision making.”
The researchers analyzed results for 582 patients who underwent cervical spine surgery at two institutions between 2003 and 2004. They prospectively collected the data for 2 years after surgery, according to the abstract.
Using univariate and multivariate analyses, the researchers found pulmonary complications were most common in these patients, with a 13% incidence, followed by hematological complications, at 10.8%, according to the abstract. The incidence rates of urologic, cardiac and neurologic complications were 9.2%, 8.4% and 7.4%, respectively. Among all complications tracked, researchers found cardiac and respiratory complications were significantly associated with mortality within 2 years.
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