Complications in spinal tumor surgery (review of literature)

Combined anterior and posterior approaches are required in spinal tumor surgery and considered highly invasive. Anatomical and physiological features of the surgical intervention area should be taken into consideration as well. Thus, these criteria reflect the severity of intraoperative complications during the surgical treatment of spinal tumors. The authors reviewed the scientific literature on the frequency and nature of complications in surgical interventions for spinal tumors.The most significant risk factors for intraoperative complications have been considered, the main of which are: the proximity of the location of the main vessels and viscera, the development of postoperative liquorrhea, as well as surgical site infection. Based on the studied information, we presented the methods of prevention and surgical tactics options in complications.

[1]  S. Boriani,et al.  Revision surgery for tumors of the thoracic and lumbar spine: causes, prevention, and treatment strategy , 2020, European Spine Journal.

[2]  Дмитрий Алексеевич Михайлов,et al.  Факторы риска развития инфекционных осложнений после хирургического лечения спинальных метастазов у пациентов с раком молочных желез и почек , 2019 .

[3]  S. Bozhkova,et al.  Risk factors for deep infection in the surgical site after spinal operations , 2019, Genij Ortopedii.

[4]  Е. В. Левченко,et al.  Эпидемиология опухолей позвоночника у пациентов, получивших специализированную ортопедическую помощь , 2019 .

[5]  Chun-Guang Sun,et al.  Risk Factors for Surgical Site Infection After Spinal Surgery: A Systematic Review and Meta-Analysis Based on Twenty-Seven Studies. , 2019, World neurosurgery.

[6]  M. Ferrone,et al.  Complications and reoperations after surgery for 647 patients with spine metastatic disease. , 2019, The spine journal : official journal of the North American Spine Society.

[7]  O. Smekalenkov,et al.  RENAL CELL CARCINOMA METASTASIS OF THE SPINE: BLEEDING CONTROL METHODS , 2018, Coluna/Columna.

[8]  J. Kneisl,et al.  Survival Outcomes and Factors Associated with Revision Surgery for Metastatic Disease of the Spine , 2018, Journal of oncology.

[9]  O. Smekalenkov,et al.  Preoperative embolization and local hemostatic agents in palliative decompression surgery for spinal metastases of renal cell carcinoma , 2018, European Journal of Orthopaedic Surgery & Traumatology.

[10]  J. Villafañe,et al.  Complications in adult spine deformity surgery: a systematic review of the recent literature with reporting of aggregated incidences , 2018, European Spine Journal.

[11]  R. Assaker,et al.  Decision Making for the Surgical Treatment of Vertebral Metastases Among Patients with Short Predicted Survival. , 2017, World neurosurgery.

[12]  S. Boriani,et al.  En Bloc Resections in the Spine: The Experience of 220 Patients During 25 Years. , 2017, World neurosurgery.

[13]  Дмитрий Пташников,et al.  КОРПОР- И СПОНДИЛЭКТОМИЯ В СИСТЕМЕ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ОПУХОЛЕЙ ПОЗВОНОЧНИКА , 2016 .

[14]  S. Boriani,et al.  Predictors for surgical complications of en bloc resections in the spine: review of 220 cases treated by the same team , 2016, European Spine Journal.

[15]  R. Kothe,et al.  Incidental durotomy in spine surgery: first aid in ten steps , 2015, European Spine Journal.

[16]  D. Ptashnikov,et al.  Preoperative embolization versus local hemostatic agents in surgery of hypervascular spinal tumors , 2014, International Journal of Spine Surgery.

[17]  S. Boriani,et al.  En bloc resections for primary spinal tumors in 20 years of experience: effectiveness and safety. , 2014, The spine journal : official journal of the North American Spine Society.

[18]  T. Jiya,et al.  The outcome and survival of palliative surgery in thoraco-lumbar spinal metastases: contemporary retrospective cohort study , 2014, European Spine Journal.

[19]  U. Chang,et al.  Analysis of Prognostic Factors Relating to Postoperative Survival in Spinal Metastases , 2012, Journal of Korean Neurosurgical Society.

[20]  S. Boriani,et al.  Morbidity of en bloc resections in the spine , 2010, European Spine Journal.

[21]  M. Cappell,et al.  Adynamic ileus and acute colonic pseudo-obstruction. , 2008, The Medical clinics of North America.

[22]  N. Demartines,et al.  Classification of Surgical Complications: A New Proposal With Evaluation in a Cohort of 6336 Patients and Results of a Survey , 2004, Annals of Surgery.

[23]  Z. Gokaslan,et al.  Subarachnoid-pleural fistula after resection of thoracic tumors. , 2004, Journal of neurosurgery.

[24]  M. Akova,et al.  Hospital-acquired pneumonia: challenges and options for diagnosis and treatment. , 2002, The Journal of hospital infection.

[25]  H. Tsukuma,et al.  Relationship between the duration of the preoperative smoke-free period and the incidence of postoperative pulmonary complications after pulmonary surgery. , 2001, Chest.

[26]  J. Heller,et al.  Subarachnoid–Pleural Fistulae—Management With a Transdiaphragmatic Pedicled Greater Omental Flap: Report of Two Cases , 2001, Spine.

[27]  J. L. Atlee Perioperative Cardiac Dysrhythmias: Diagnosis and Management , 1997, Anesthesiology.