Author:
Elguettabi Khadija,Ouufaa Pr Jamal,Faham Ibtissame,El Khamouye Amine,Dait Nassima,Bouhou Oumaima,Chellaoui Abdelmajid,Naja Abdessamad,Lakhdar Abdelhakim
Abstract
This retrospective study focuses on 110 cases of thoracolumbar trauma operated on between 2018 and 2022 in the neurosurgical emergency department. The objective is to analyze the complication rates of surgery for traumatic thoracolumbar spine pathology, identify high-risk patients and understand these complications in order to improve preoperative planning and advice to patients for better care. The results show that the frequency of complications of thoracolumbar spine surgery in this department was 28.18%. The average age of patients with complications was 41.5 years, with a male predominance (65%). The main complications were post-operative infections (38.70%) and discharge of pus through the surgical wound with infectious syndrome (32.35%). The most frequent pathological histories in patients were toxic habits (alcohol and chronic smoking), diabetes and psychiatric disorders.
Publisher
European Open Science Publishing
Reference5 articles.
1. Derhem N. Management of thoracolumbar spine trauma at the Mohammed VI University Hospital in Marrakech [La prise en charge des traumatismes du rachis dorsolombaire au CHU Mohammed VI de Marrakech]. Dissertation, Marrakech: Cadi Ayyad University; 2008.
2. Seddik Y. Trauma to the thoracolumbar spine (About 246 cases) [Les traumatismes du rachis dorso-lombaire (A propos de 246 cas)]. Dissertation, Fès: Cadi Ayyad University; 2009.
3. Verlaan JJ, Diekerhof CH, Buskens E, Van der Tweel I, Verbout AJ, Dhert WJ, et al. Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine. 2004 Apr 1;29(7):803–14.
4. Kreinest M, Rillig J, Grützner PA, Küffer M, Tinelli M, Matschke S. Analysis of complications and perioperative data after open or percutaneous dorsal instrumentation following traumatic spinal fracture of the thoracic and lumbar spine. Eur Spine J. 2017;26(5):1535–40.
5. Farshad M, Aichmair A, Gerber C, Bauer DE. Classification of perioperative complications in spine surgery. Spine J. 2020 May 1;20(5):730–6.