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Wound-related complications in the surgical treatment of vertebral metastatic disease – A case series analysis / Complicaciones relacionadas con la herida en el tratamiento quirúrgico de la enfermedad metastásica vertebral: análisis de una serie de casos
Molho, N; Pereira-Duarte, M; Estefan, M; Perez-Abdala, J; Kido, G; Petracchi, M; Gruenberg, M; Sola, C; Cabrera, J. P; Camino-Willhuber, G.
Afiliação
  • Molho, N; Hospital Italiano. Institute of Orthopedics “Carlos E. Ottolenghi”. Orthopaedic and Traumatology Department. Buenos Aires, Buenos Aires. Argentina
  • Pereira-Duarte, M; Hospital Italiano. Institute of Orthopedics “Carlos E. Ottolenghi”. Orthopaedic and Traumatology Department. Buenos Aires, Buenos Aires. Argentina
  • Estefan, M; Nottingham University Hospitals NHS. The Centre for Spinal Studies and Surgery (CSSS), Queen's Medical Centre. UK
  • Perez-Abdala, J; Hospital Italiano. Institute of Orthopedics “Carlos E. Ottolenghi”. Orthopaedic and Traumatology Department. Buenos Aires, Buenos Aires. Argentina
  • Kido, G; Hospital Italiano. Institute of Orthopedics “Carlos E. Ottolenghi”. Orthopaedic and Traumatology Department. Buenos Aires, Buenos Aires. Argentina
  • Petracchi, M; Hospital Italiano. Institute of Orthopedics “Carlos E. Ottolenghi”. Orthopaedic and Traumatology Department. Buenos Aires, Buenos Aires. Argentina
  • Gruenberg, M; Hospital Italiano. Institute of Orthopedics “Carlos E. Ottolenghi”. Orthopaedic and Traumatology Department. Buenos Aires, Buenos Aires. Argentina
  • Sola, C; Hospital Italiano. Institute of Orthopedics “Carlos E. Ottolenghi”. Orthopaedic and Traumatology Department. Buenos Aires, Buenos Aires. Argentina
  • Cabrera, J. P; Hospital Clínico Regional de Concepción. Department of Neurosurgery. Concepción. Chile
  • Camino-Willhuber, G; Hospital Italiano. Institute of Orthopedics “Carlos E. Ottolenghi”. Orthopaedic and Traumatology Department. Buenos Aires, Buenos Aires. Argentina
Rev. esp. cir. ortop. traumatol. (Ed. impr.) ; 66(6): 438-444, Nov-Dic. 2022. tab, graf
Artigo em Inglês | IBECS | ID: ibc-210654
Biblioteca responsável: ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Introduction and

objectives:

Spinal metastases (SM) account for 5–30% of patients with cancer, causing pain, deformity and/or neurological deficit. Postoperative complications are a concerning subject and wound-related complications (WRC) may delay adjuvant treatment. The objective of this study was to analyze the incidence of WRC in patients with SM that underwent surgical treatment as well as possible risk factors related to the occurrence of complications. Materials and

methods:

Patients with SM operated between 2011 and 2021 were analyzed. Demographics characteristics, primary tumor, general and neurological status, Tokuhashi score, type of surgical treatment, surgical length, preoperative serum albumin and hemoglobin, pre and postoperative adjuvant treatment were analyzed. The incidence and risk factors of WRC – surgical site infection, hematoma, and/or dehiscence – at 90 days was evaluated. Patients were classified in two groups according to the absence/presence of WRC.

Results:

198 patients (121 males and 77 females) with an average age of 65 years (range 54–73 years) were analyzed. WRC were observed in 44 patients (22%). On multivariable analysis, significant predictors for developing WRC were low Tokuhashi score (OR=7.89, 95% CI=1.37–45.35, p=0.021), prostate cancer as primary tumor (6.73, 1.14–39.65, p=0.035), and preoperative serum albumin level ≤3.5g/dL (2.31, 1.02–5.22, p=0.044). There was no difference between groups on 90 days survival rate (p=0.714).

Conclusions:

In our series, the incidence of WRC was 22%, main risk factors for complications were low Tokuhashi score, lower preoperative serum albumin, and prostate cancer. Finally, short-term survival rate was not affected by the occurrence of WRC.(AU)
RESUMEN
Introducción y

objetivos:

Las metástasis espinales (MV) pueden ocurrir en el 5-30% de los pacientes con cáncer, provocando dolor, deformidad y/o déficit neurológico. Las complicaciones postoperatorias son un motivo de preocupación y las complicaciones relacionadas con la herida (CRH) pueden retrasar el inicio del tratamiento adyuvante. El objetivo de este estudio fue analizar la incidencia de CRH en pacientes con MV sometidos a tratamiento quirúrgico y evaluar los posibles factores de riesgo relacionados con estas complicaciones. Materiales y

métodos:

Se analizaron pacientes operados por MV entre 2011 y 2021. Se analizaron características demográficas, tumor primario, estado general y neurológico, score de Tokuhashi, tipo de tratamiento quirúrgico, duración de la cirugía, albúmina sérica y hemoglobina preoperatorias, tratamiento adyuvante pre- y postoperatorio. Se evaluó la incidencia y los factores de riesgo de la CRH (infección del sitio quirúrgico, hematoma y/o dehiscencia) a los 90 días. Los pacientes se clasificaron en dos grupos según la ausencia/presencia de CRH.

Resultados:

Se analizaron 198 pacientes (121 hombres y 77 mujeres) con una edad promedio de 65 años (rango 54-73 años). Se observaron CRH en 44 pacientes (22%). En el análisis multivariado, los predictores significativos para el desarrollo de CRH fueron un score de Tokuhashi bajo (OR=7,89; IC del 95%=1,37-45,35; p=0,021), cáncer de próstata como tumor primario (OR=6,73; IC del 95%=1,14-39,65; p=0,035) y albúmina sérica preoperatoria≤3,5g/dL (OR=2.31; IC del 95%=1,02-5,22; p=0,044). No hubo diferencias entre los grupos en la supervivencia a los 90 días (p=0,714).

Conclusiones:

En nuestra serie, la incidencia de CRH fue del 22%, los principales factores de riesgo para su aparición fueron el score de Tokuhashi bajo, la albúmina sérica preoperatoria más baja y el cáncer de próstata. Finalmente, la tasa de supervivencia a corto plazo no se vio afectada por la ocurrencia de CRH.(AU)
Assuntos


Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Doenças da Coluna Vertebral / Procedimentos Cirúrgicos Operatórios / Infecção dos Ferimentos / Ferimentos e Lesões / Albumina Sérica / 29161 / Metástase Neoplásica / Neoplasias Limite: Humanos Idioma: Inglês Revista: Rev. esp. cir. ortop. traumatol. (Ed. impr.) Ano de publicação: 2022 Tipo de documento: Artigo Instituição/País de afiliação: Hospital Clínico Regional de Concepción/Chile / Hospital Italiano/Argentina / Nottingham University Hospitals NHS/UK

Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Doenças da Coluna Vertebral / Procedimentos Cirúrgicos Operatórios / Infecção dos Ferimentos / Ferimentos e Lesões / Albumina Sérica / 29161 / Metástase Neoplásica / Neoplasias Limite: Humanos Idioma: Inglês Revista: Rev. esp. cir. ortop. traumatol. (Ed. impr.) Ano de publicação: 2022 Tipo de documento: Artigo Instituição/País de afiliação: Hospital Clínico Regional de Concepción/Chile / Hospital Italiano/Argentina / Nottingham University Hospitals NHS/UK
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