Pro-inflammatory and anti-inflammatory cytokine increases after spinal instrumentation surgery

We investigated the effects of instrumentation on postoperative inflammatory reaction and identified standard changes in serum cytokine concentrations after spinal surgery. Pro-inflammatory cytokines [interleukin (IL)-6 and IL-8] and anti-inflammatory cytokines [IL-10, IL-1 receptor antagonist (ra),...

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Veröffentlicht in:Journal of spinal disorders & techniques 2002-08, Vol.15 (4), p.294-300
Hauptverfasser: TAKAHASHI, Jun, EBARA, Sohei, KAMIMURA, Mikio, KINOSHITA, Tetsuya, MISAWA, Hiromichi, SHIMOGATA, Mitsuhiko, TOZUKA, Minoru, TAKAOKA, Kunio
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container_end_page 300
container_issue 4
container_start_page 294
container_title Journal of spinal disorders & techniques
container_volume 15
creator TAKAHASHI, Jun
EBARA, Sohei
KAMIMURA, Mikio
KINOSHITA, Tetsuya
MISAWA, Hiromichi
SHIMOGATA, Mitsuhiko
TOZUKA, Minoru
TAKAOKA, Kunio
description We investigated the effects of instrumentation on postoperative inflammatory reaction and identified standard changes in serum cytokine concentrations after spinal surgery. Pro-inflammatory cytokines [interleukin (IL)-6 and IL-8] and anti-inflammatory cytokines [IL-10, IL-1 receptor antagonist (ra), and soluble tumor necrosis factor receptors (sTNF-R) I and II] were assayed in serum from seven patients with lumbar spinal posterior decompression, six with spinal decompression and posterolateral fusion without instrumentation and seven with spinal decompression and posterolateral fusion with instrumentation. All cytokines after spinal instrumentation increased significantly more than in other groups on postoperative days 0 and 1. Seven days after SI, IL-6, -8, and -10 had normalized, but IL-1ra and sTNF-RI and sTNF-RII remained elevated. Both pro-inflammatory and anti-inflammatory cytokines were enhanced by implants in the acute phase, whereas only anti-inflammatory cytokines were enhanced by instruments in the subacute phase.
doi_str_mv 10.1097/00024720-200208000-00006
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Pro-inflammatory cytokines [interleukin (IL)-6 and IL-8] and anti-inflammatory cytokines [IL-10, IL-1 receptor antagonist (ra), and soluble tumor necrosis factor receptors (sTNF-R) I and II] were assayed in serum from seven patients with lumbar spinal posterior decompression, six with spinal decompression and posterolateral fusion without instrumentation and seven with spinal decompression and posterolateral fusion with instrumentation. All cytokines after spinal instrumentation increased significantly more than in other groups on postoperative days 0 and 1. Seven days after SI, IL-6, -8, and -10 had normalized, but IL-1ra and sTNF-RI and sTNF-RII remained elevated. Both pro-inflammatory and anti-inflammatory cytokines were enhanced by implants in the acute phase, whereas only anti-inflammatory cytokines were enhanced by instruments in the subacute phase.</description><identifier>ISSN: 1536-0652</identifier><identifier>EISSN: 1539-2465</identifier><identifier>DOI: 10.1097/00024720-200208000-00006</identifier><identifier>PMID: 12177545</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams and Wilkins</publisher><subject>Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Antigens, CD - blood ; Biological and medical sciences ; C-Reactive Protein - metabolism ; Cytokines - blood ; Decompression, Surgical ; Emergency and intensive postoperative care (general aspects). Pathophysiology of surgery ; Female ; Humans ; Inflammation - blood ; Inflammation - etiology ; Intensive care medicine ; Interleukin 1 Receptor Antagonist Protein ; Interleukin-10 - blood ; Interleukin-6 - blood ; Interleukin-8 - blood ; Lumbar Vertebrae - surgery ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Postoperative Period ; Prostheses and Implants - adverse effects ; Receptors, Tumor Necrosis Factor - blood ; Receptors, Tumor Necrosis Factor, Type I ; Receptors, Tumor Necrosis Factor, Type II ; Sialoglycoproteins - blood ; Spinal Diseases - blood ; Spinal Diseases - surgery ; Spinal Fusion ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Pro-inflammatory cytokines [interleukin (IL)-6 and IL-8] and anti-inflammatory cytokines [IL-10, IL-1 receptor antagonist (ra), and soluble tumor necrosis factor receptors (sTNF-R) I and II] were assayed in serum from seven patients with lumbar spinal posterior decompression, six with spinal decompression and posterolateral fusion without instrumentation and seven with spinal decompression and posterolateral fusion with instrumentation. All cytokines after spinal instrumentation increased significantly more than in other groups on postoperative days 0 and 1. Seven days after SI, IL-6, -8, and -10 had normalized, but IL-1ra and sTNF-RI and sTNF-RII remained elevated. Both pro-inflammatory and anti-inflammatory cytokines were enhanced by implants in the acute phase, whereas only anti-inflammatory cytokines were enhanced by instruments in the subacute phase.</description><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Antigens, CD - blood</subject><subject>Biological and medical sciences</subject><subject>C-Reactive Protein - metabolism</subject><subject>Cytokines - blood</subject><subject>Decompression, Surgical</subject><subject>Emergency and intensive postoperative care (general aspects). Pathophysiology of surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Inflammation - blood</subject><subject>Inflammation - etiology</subject><subject>Intensive care medicine</subject><subject>Interleukin 1 Receptor Antagonist Protein</subject><subject>Interleukin-10 - blood</subject><subject>Interleukin-6 - blood</subject><subject>Interleukin-8 - blood</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Postoperative Period</subject><subject>Prostheses and Implants - adverse effects</subject><subject>Receptors, Tumor Necrosis Factor - blood</subject><subject>Receptors, Tumor Necrosis Factor, Type I</subject><subject>Receptors, Tumor Necrosis Factor, Type II</subject><subject>Sialoglycoproteins - blood</subject><subject>Spinal Diseases - blood</subject><subject>Spinal Diseases - surgery</subject><subject>Spinal Fusion</subject><subject>Surgery (general aspects). 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subjects Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Antigens, CD - blood
Biological and medical sciences
C-Reactive Protein - metabolism
Cytokines - blood
Decompression, Surgical
Emergency and intensive postoperative care (general aspects). Pathophysiology of surgery
Female
Humans
Inflammation - blood
Inflammation - etiology
Intensive care medicine
Interleukin 1 Receptor Antagonist Protein
Interleukin-10 - blood
Interleukin-6 - blood
Interleukin-8 - blood
Lumbar Vertebrae - surgery
Male
Medical sciences
Middle Aged
Orthopedic surgery
Postoperative Period
Prostheses and Implants - adverse effects
Receptors, Tumor Necrosis Factor - blood
Receptors, Tumor Necrosis Factor, Type I
Receptors, Tumor Necrosis Factor, Type II
Sialoglycoproteins - blood
Spinal Diseases - blood
Spinal Diseases - surgery
Spinal Fusion
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Time Factors
title Pro-inflammatory and anti-inflammatory cytokine increases after spinal instrumentation surgery
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