The Influence of Parkinson Disease on Lumbar Decompression Surgery: A Retrospective Case Control Study
Parkinson disease (PD) is a major risk factor during spine surgery, and its frequency is increasing as the population ages. The study aim was to examine the influence of PD specifically on lumbar decompression surgery. A retrospective review was performed of all patients with PD who underwent electi...
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| Veröffentlicht in: | World neurosurgery 2017-12, Vol.108, p.513-518 |
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| creator | Westermann, Leonard Eysel, Peer Hantscher, Janis Baschera, Dominik Simons, Marvin Herren, Christian Zarghooni, Kourosh Siewe, Jan |
| description | Parkinson disease (PD) is a major risk factor during spine surgery, and its frequency is increasing as the population ages. The study aim was to examine the influence of PD specifically on lumbar decompression surgery.
A retrospective review was performed of all patients with PD who underwent elective lumbar decompression surgery at 2 university hospital departments between December 2003 and July 2016. For each patient, 2 controls without PD were selected randomly among those who were matched for sex and age and had a similar year of surgery (±3) and comorbidity profile. The main outcomes were complications and reoperation rate.
The mean follow up was 1.2 ± 1.6 years in the PD group (n = 36) and 1.4 ± 2.1 years in the control group (n = 72). The overall complication rate was 47.2% in the PD group and 19.4% in the control group (P < 0.01). The reoperation rate was 27.8% in the PD group and 9.7% in the control group (P = 0.02).
There is a significantly greater rate of perioperative complications in patients with PD undergoing elective decompression surgery. Although the difference in major complication rates was minimal, minor complications were more frequent in patients with PD. |
| doi_str_mv | 10.1016/j.wneu.2017.09.028 |
| format | Article |
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A retrospective review was performed of all patients with PD who underwent elective lumbar decompression surgery at 2 university hospital departments between December 2003 and July 2016. For each patient, 2 controls without PD were selected randomly among those who were matched for sex and age and had a similar year of surgery (±3) and comorbidity profile. The main outcomes were complications and reoperation rate.
The mean follow up was 1.2 ± 1.6 years in the PD group (n = 36) and 1.4 ± 2.1 years in the control group (n = 72). The overall complication rate was 47.2% in the PD group and 19.4% in the control group (P < 0.01). The reoperation rate was 27.8% in the PD group and 9.7% in the control group (P = 0.02).
There is a significantly greater rate of perioperative complications in patients with PD undergoing elective decompression surgery. Although the difference in major complication rates was minimal, minor complications were more frequent in patients with PD.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2017.09.028</identifier><identifier>PMID: 28919560</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Case-Control Studies ; Comorbidity ; Complications ; Decompression, Surgical ; Elective Surgical Procedures ; Female ; Follow-Up Studies ; Humans ; Intraoperative Complications - epidemiology ; Length of Stay ; Logistic Models ; Lumbar decompression ; Lumbar Vertebrae - surgery ; Male ; Parkinson disease ; Parkinson Disease - complications ; Parkinson Disease - epidemiology ; Postoperative Complications - epidemiology ; Reoperation ; Retrospective Studies ; Spinal Stenosis - epidemiology ; Spinal Stenosis - surgery ; Spine</subject><ispartof>World neurosurgery, 2017-12, Vol.108, p.513-518</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-172ebabc360aa496728dada919541f6332149392447f95b1f2fd9cf5e49192783</citedby><cites>FETCH-LOGICAL-c422t-172ebabc360aa496728dada919541f6332149392447f95b1f2fd9cf5e49192783</cites><orcidid>0000-0002-9634-9922 ; 0000-0001-6471-6719</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1878875017315358$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28919560$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Westermann, Leonard</creatorcontrib><creatorcontrib>Eysel, Peer</creatorcontrib><creatorcontrib>Hantscher, Janis</creatorcontrib><creatorcontrib>Baschera, Dominik</creatorcontrib><creatorcontrib>Simons, Marvin</creatorcontrib><creatorcontrib>Herren, Christian</creatorcontrib><creatorcontrib>Zarghooni, Kourosh</creatorcontrib><creatorcontrib>Siewe, Jan</creatorcontrib><title>The Influence of Parkinson Disease on Lumbar Decompression Surgery: A Retrospective Case Control Study</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Parkinson disease (PD) is a major risk factor during spine surgery, and its frequency is increasing as the population ages. The study aim was to examine the influence of PD specifically on lumbar decompression surgery.
A retrospective review was performed of all patients with PD who underwent elective lumbar decompression surgery at 2 university hospital departments between December 2003 and July 2016. For each patient, 2 controls without PD were selected randomly among those who were matched for sex and age and had a similar year of surgery (±3) and comorbidity profile. The main outcomes were complications and reoperation rate.
The mean follow up was 1.2 ± 1.6 years in the PD group (n = 36) and 1.4 ± 2.1 years in the control group (n = 72). The overall complication rate was 47.2% in the PD group and 19.4% in the control group (P < 0.01). The reoperation rate was 27.8% in the PD group and 9.7% in the control group (P = 0.02).
There is a significantly greater rate of perioperative complications in patients with PD undergoing elective decompression surgery. Although the difference in major complication rates was minimal, minor complications were more frequent in patients with PD.</description><subject>Aged</subject><subject>Case-Control Studies</subject><subject>Comorbidity</subject><subject>Complications</subject><subject>Decompression, Surgical</subject><subject>Elective Surgical Procedures</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Length of Stay</subject><subject>Logistic Models</subject><subject>Lumbar decompression</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Parkinson disease</subject><subject>Parkinson Disease - complications</subject><subject>Parkinson Disease - epidemiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Spinal Stenosis - epidemiology</subject><subject>Spinal Stenosis - surgery</subject><subject>Spine</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOAyEUhonRqKl9AReGpZuOwDAXjBsz9ZY00di6JgxzUOpcKsxo-vYyqbqUDeTP958cPoROKYkooenFOvpqYYgYoVlERERYvoeOaZ7lszxLxf7fOyFHaOr9moQTU55n8SE6YrmgIknJMTKrN8APrakHaDXgzuAn5d5t67sWz60H5UPY4sXQlMrhOeiu2Tjw3oZwObhXcNtLfI2foXed34Du7SfgYmwVXRuyGi_7odqeoAOjag_Tn3uCXm5vVsX9bPF491BcL2aaM9bPaMagVKWOU6IUF2nG8kpValyWU5PGMaNcxIJxnhmRlNQwUwltEuABYVkeT9D5bu7GdR8D-F421muoa9VCN3hJBSeBJIQFlO1QHTb3DozcONsot5WUyFGxXMtRsRwVSyJkUBxKZz_zh7KB6q_yKzQAVzsAwi8_LTjptR3VVtYFO7Lq7H_zvwGCmoy-</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Westermann, Leonard</creator><creator>Eysel, Peer</creator><creator>Hantscher, Janis</creator><creator>Baschera, Dominik</creator><creator>Simons, Marvin</creator><creator>Herren, Christian</creator><creator>Zarghooni, Kourosh</creator><creator>Siewe, Jan</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9634-9922</orcidid><orcidid>https://orcid.org/0000-0001-6471-6719</orcidid></search><sort><creationdate>201712</creationdate><title>The Influence of Parkinson Disease on Lumbar Decompression Surgery: A Retrospective Case Control Study</title><author>Westermann, Leonard ; Eysel, Peer ; Hantscher, Janis ; Baschera, Dominik ; Simons, Marvin ; Herren, Christian ; Zarghooni, Kourosh ; Siewe, Jan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-172ebabc360aa496728dada919541f6332149392447f95b1f2fd9cf5e49192783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Case-Control Studies</topic><topic>Comorbidity</topic><topic>Complications</topic><topic>Decompression, Surgical</topic><topic>Elective Surgical Procedures</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Length of Stay</topic><topic>Logistic Models</topic><topic>Lumbar decompression</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Parkinson disease</topic><topic>Parkinson Disease - complications</topic><topic>Parkinson Disease - epidemiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Spinal Stenosis - epidemiology</topic><topic>Spinal Stenosis - surgery</topic><topic>Spine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Westermann, Leonard</creatorcontrib><creatorcontrib>Eysel, Peer</creatorcontrib><creatorcontrib>Hantscher, Janis</creatorcontrib><creatorcontrib>Baschera, Dominik</creatorcontrib><creatorcontrib>Simons, Marvin</creatorcontrib><creatorcontrib>Herren, Christian</creatorcontrib><creatorcontrib>Zarghooni, Kourosh</creatorcontrib><creatorcontrib>Siewe, Jan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Westermann, Leonard</au><au>Eysel, Peer</au><au>Hantscher, Janis</au><au>Baschera, Dominik</au><au>Simons, Marvin</au><au>Herren, Christian</au><au>Zarghooni, Kourosh</au><au>Siewe, Jan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Influence of Parkinson Disease on Lumbar Decompression Surgery: A Retrospective Case Control Study</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2017-12</date><risdate>2017</risdate><volume>108</volume><spage>513</spage><epage>518</epage><pages>513-518</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>Parkinson disease (PD) is a major risk factor during spine surgery, and its frequency is increasing as the population ages. The study aim was to examine the influence of PD specifically on lumbar decompression surgery.
A retrospective review was performed of all patients with PD who underwent elective lumbar decompression surgery at 2 university hospital departments between December 2003 and July 2016. For each patient, 2 controls without PD were selected randomly among those who were matched for sex and age and had a similar year of surgery (±3) and comorbidity profile. The main outcomes were complications and reoperation rate.
The mean follow up was 1.2 ± 1.6 years in the PD group (n = 36) and 1.4 ± 2.1 years in the control group (n = 72). The overall complication rate was 47.2% in the PD group and 19.4% in the control group (P < 0.01). The reoperation rate was 27.8% in the PD group and 9.7% in the control group (P = 0.02).
There is a significantly greater rate of perioperative complications in patients with PD undergoing elective decompression surgery. Although the difference in major complication rates was minimal, minor complications were more frequent in patients with PD.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28919560</pmid><doi>10.1016/j.wneu.2017.09.028</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9634-9922</orcidid><orcidid>https://orcid.org/0000-0001-6471-6719</orcidid></addata></record> |
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| subjects | Aged Case-Control Studies Comorbidity Complications Decompression, Surgical Elective Surgical Procedures Female Follow-Up Studies Humans Intraoperative Complications - epidemiology Length of Stay Logistic Models Lumbar decompression Lumbar Vertebrae - surgery Male Parkinson disease Parkinson Disease - complications Parkinson Disease - epidemiology Postoperative Complications - epidemiology Reoperation Retrospective Studies Spinal Stenosis - epidemiology Spinal Stenosis - surgery Spine |
| title | The Influence of Parkinson Disease on Lumbar Decompression Surgery: A Retrospective Case Control Study |
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