Pulmonary Complications After Spine Surgery

Overview

Journal World J Orthop

Publisher Baishideng Publishing Group

Specialty Orthopedics

Date 2013 Jan 8

PMID 23293756

Citations 6

Authors

Ottokar Stundner

Fadi Taher

Abhijit Pawar

Stavros G Memtsoudis

Affiliations

Soon will be listed here.

Abstract

Spine surgery is one of the fastest growing branches of orthopedic surgery. Patients often present with a relatively high acuity and, depending on surgical approach, morbidity and mortality can be comparatively high. Among the most prevalent and most frequently fatality-bound perioperative complications are those affecting the pulmonary system; evidence of clinical or subclinical lung injury triggered by spine surgical procedures is emerging. Increasing burden of comorbidity among the patient population further increases the likelihood of adverse outcome. This review is intended to give an overview over some of the most important causes of pulmonary complications after spine surgery, their pathophysiology and possible ways to reduce harm associated with those conditions. We discuss factors surrounding surgical trauma, timing of surgery, bone marrow and debris embolization, transfusion associated lung injury, and ventilator associated lung injury.

Citing Articles

Use of the Geriatric Nutritional Risk Index to Assess Risk for Postoperative Complications Following Posterior Cervical Decompression/Fusion.

Mendiratta D, Para A, Berg A, Vives M Int J Spine Surg. 2023; 17(6):866-874.

PMID: 37884336 PMC: 10753348. DOI: 10.14444/8551.

Efficacy and Clinical Outcomes of Minimally Invasive Direct Thoracic Interbody Fusion: A Retrospective Analysis.

Abbasi H, Storlie N, Gonzalez J, Rusten M, Ye Z, Van Halm-Lutterodt N Cureus. 2023; 15(3):e35681.

PMID: 37012953 PMC: 10066624. DOI: 10.7759/cureus.35681.

Postoperative Pulmonary Complications in Complex Pediatric and Adult Spine Deformity: A Retrospective Review of Consecutive Patients Treated at a Single Site in West Africa.

Wulff I, Duah H, Tutu H, Ofori-Amankwah G, Yankey K, Owiredu M Global Spine J. 2020; 11(8):1208-1214.

PMID: 32772734 PMC: 8453676. DOI: 10.1177/2192568220942482.

Dependent functional status is associated with unplanned postoperative intubation after elective cervical spine surgery: a national registry analysis.

Burton B, Lin T, ACourt A, Schmidt U, Gabriel R J Anesth. 2018; 32(4):565-575.

PMID: 29808261 DOI: 10.1007/s00540-018-2515-7.

Minimally Invasive Direct Thoracic Interbody Fusion (MIS-DTIF): Technical Notes of a Single Surgeon Study.

Abbasi H, Abbasi A Cureus. 2016; 8(7):e699.

PMID: 27570718 PMC: 4996542. DOI: 10.7759/cureus.699.

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