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Risk factors for major complications in surgery for hypervascular spinal tumors: an analysis of 120 cases with adjuvant preoperative embolization
Tang, Benqiang1; Ji, Tao1; Tang, Xiaodong1; Jin, Long2; Dong, Sen1; Guo, Wei1
关键词Major Complication Risk Factor Spinal Tumor Spine Surgery Selective Arterial Embolization
刊名EUROPEAN SPINE JOURNAL
2015-10-01
DOI10.1007/s00586-015-4122-8
24期:10页:2201-2208
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Orthopedics
研究领域[WOS]Neurosciences & Neurology ; Orthopedics
关键词[WOS]RENAL-CELL CARCINOMA ; TRANSARTERIAL EMBOLIZATION ; MEDICAL COMPLICATION ; SURGICAL-TREATMENT ; CENTER EXPERIENCE ; SINGLE-CENTER ; BLOOD-LOSS ; METASTASES ; LUMBAR ; SURVIVAL
英文摘要

Purpose To determine the frequency of major complications and identify related risk factors in surgery for hypervascular spinal tumors after preoperative selective arterial embolization.

Methods Patients with spinal tumors who underwent preoperative embolizations between January 2010 and March 2013 were retrospectively reviewed. Perioperative complications were classified as either major or minor. Preoperative and intraoperative factors were analyzed for any association with major complications using univariate and multivariate regression analysis.

Results There were 120 embolizations with subsequent 120 spine operations that met the inclusion and exclusion criteria. Overall, 27.5 % (33/120) experienced major complications and 11.7 % (14/120) had at least two major complications. Respiratory complications were the most commonly seen with a rate of 10.8 % (13/120). Multivariate regression analysis identified two risk factors for major complications: reoperation and higher score of surgical invasiveness index. Two risk factors were identified for two or more major complications: age a parts per thousand yen65 years and higher score of surgical invasiveness index. Two risk factors were identified for major respiratory complications: thoracic surgery and higher score of surgical invasiveness index. However, embolization-related factors did not reach significance in the multiple regression model.

Conclusion Major complications in surgery for hypervascular spinal tumors after embolization are prevalent. Risk factors identified in this study are useful prognostic indicators when considering surgical treatment combined with embolization.

语种英语
WOS记录号WOS:000362320200015
引用统计
被引频次:3[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54134
专题北京大学第二临床医学院_骨肿瘤科
北京大学药学院_天然药物与仿生药物国家重点实验室
作者单位1.Peking Univ, Peoples Hosp, Musculoskeletal Tumor Ctr, Beijing 100044, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Radiol, Beijing 100044, Peoples R China
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Tang, Benqiang,Ji, Tao,Tang, Xiaodong,et al. Risk factors for major complications in surgery for hypervascular spinal tumors: an analysis of 120 cases with adjuvant preoperative embolization[J]. EUROPEAN SPINE JOURNAL,2015,24(10):2201-2208.
APA Tang, Benqiang,Ji, Tao,Tang, Xiaodong,Jin, Long,Dong, Sen,&Guo, Wei.(2015).Risk factors for major complications in surgery for hypervascular spinal tumors: an analysis of 120 cases with adjuvant preoperative embolization.EUROPEAN SPINE JOURNAL,24(10),2201-2208.
MLA Tang, Benqiang,et al."Risk factors for major complications in surgery for hypervascular spinal tumors: an analysis of 120 cases with adjuvant preoperative embolization".EUROPEAN SPINE JOURNAL 24.10(2015):2201-2208.
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