Background In spinal surgery adverse events (AE) and surgical complications (SC) significantly affect patient's outcome and quality of life. The duration of surgery has been investigated in different surgical field as risk factor for complications. The aim of this study is to analyze the correlation between operative time and adverse events in spinal surgery. Methods We retrospectively analyzed data collected prospectively in a cohort of 336 patients surgically treated for spinal diseases of oncological and degenerative origin in a single center, between January 2017 to January 2018. Demographics and clinical data were collected. Adverse events were classified using Spinal Adverse Events Severity System version 2 (SAVES-V2) capture system. Focusing on degenerative patients, bivariate analysis and univariate logistic regression were used to determine the association between operative time and complications. Results A total of 105/336 patients experienced an AE related to surgery, respectively 38% in the oncological group and 28% in the degenerative group. The average age at surgery was 60.3 years (SD 17.1) and the mean operative time was 164.8 +/- 138 min. A total of 206 adverse events (30 intraoperative, 135 early postoperative and 41 late postoperative AEs) were recorded. Early post-operative complications accounted for the most recorded AEs (55.5% in the oncological group and 73.2% in the degenerative group). Univariate logistic regression analyses confirmed that operative time correlated with increased risk of intra-operative (p-value = 0.0008), early post-operative (p-value < 0.001) and late post-operative (p-value < 0.001) adverse events. Conclusions This study highlights the strong correlation between the occurrence of adverse events in spinal surgery and prolonged operative time and suggests that efforts should be made to minimize the duration of surgical procedures while prioritizing patient's safety, without compromising the technical achievement of the procedure.
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Tran, Khoa S.
Issa, Tariq Ziad
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机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Issa, Tariq Ziad
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Lee, Yunsoo
Lambrechts, Mark J.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Lambrechts, Mark J.
Nahi, Skylar
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Nahi, Skylar
Hiranaka, Cannon
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h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Hiranaka, Cannon
Tokarski, Andrew
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h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Tokarski, Andrew
Lambo, Dominic
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Lambo, Dominic
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Adler, Blaire
Kaye, Ian David
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Kaye, Ian David
Rihn, Jeffrey A.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Rihn, Jeffrey A.
Woods, Barrett I.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Woods, Barrett I.
Canseco, Jose A.
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h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Canseco, Jose A.
Hilibrand, Alan S.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Hilibrand, Alan S.
Vaccaro, Alexander R.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Vaccaro, Alexander R.
Kepler, Christopher K.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Kepler, Christopher K.
Schroeder, Gregory D.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
机构:
Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Inaba, Colette S.
Koh, Christina Y.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Koh, Christina Y.
Sujatha-Bhaskar, Sarath
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Sujatha-Bhaskar, Sarath
Gallagher, Shea
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Gallagher, Shea
Chen, Yanjun
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Irvine, Inst Clin & Translat Sci, Irvine, CA USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Chen, Yanjun
Nguyen, Ninh T.
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h-index: 0
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Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
机构:
Department of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Malhotra A.
Kalra V.B.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Kalra V.B.
Wu X.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Wu X.
Grant R.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Neurosurgery, Yale School of Medicine, New Haven, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Grant R.
Bronen R.A.
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h-index: 0
机构:
Department of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Bronen R.A.
Abbed K.M.
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h-index: 0
机构:
Department of Neurosurgery, Yale School of Medicine, New Haven, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Tran, Khoa S.
Issa, Tariq Ziad
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Issa, Tariq Ziad
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机构:
Lee, Yunsoo
Lambrechts, Mark J.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Lambrechts, Mark J.
Nahi, Skylar
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Nahi, Skylar
Hiranaka, Cannon
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Hiranaka, Cannon
Tokarski, Andrew
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Tokarski, Andrew
Lambo, Dominic
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Lambo, Dominic
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机构:
Adler, Blaire
Kaye, Ian David
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Kaye, Ian David
Rihn, Jeffrey A.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Rihn, Jeffrey A.
Woods, Barrett I.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Woods, Barrett I.
Canseco, Jose A.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Canseco, Jose A.
Hilibrand, Alan S.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Hilibrand, Alan S.
Vaccaro, Alexander R.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Vaccaro, Alexander R.
Kepler, Christopher K.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
Kepler, Christopher K.
Schroeder, Gregory D.
论文数: 0引用数: 0
h-index: 0
机构:
Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USAThomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Orthopaed Inst, Philadelphia, PA 19107 USA
机构:
Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Inaba, Colette S.
Koh, Christina Y.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Koh, Christina Y.
Sujatha-Bhaskar, Sarath
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Sujatha-Bhaskar, Sarath
Gallagher, Shea
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Gallagher, Shea
Chen, Yanjun
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Irvine, Inst Clin & Translat Sci, Irvine, CA USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
Chen, Yanjun
Nguyen, Ninh T.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USAUniv Calif Irvine, Med Ctr, Dept Surg, 333 City Blvd West,Suite 1600, Orange, CA 92868 USA
机构:
Department of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Malhotra A.
Kalra V.B.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Kalra V.B.
Wu X.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Wu X.
Grant R.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Neurosurgery, Yale School of Medicine, New Haven, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Grant R.
Bronen R.A.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT
Bronen R.A.
Abbed K.M.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Neurosurgery, Yale School of Medicine, New Haven, CTDepartment of Diagnostic Radiology, Yale School of Medicine, Box 208042, Tompkins East 2, 333 Cedar St, New Haven, 06520-8042, CT