2018年度側方進入腰椎椎体間固定術の合併症に関する全国調査結果報告
2018年に本邦で施行された側方進入腰椎椎体間固定術に関して日本脊椎脊髄病学会新技術評価検証委員会が行った合併症の全国調査結果を解析した．対象2,354例（XLIF：1,130例［48%］，DLIF：21例［0.9%］，OLIF：1,203例［51%］）の中で54例（2.3%）に合併症を発生した．調査期間中に合併症に起因する再手術を要した症例は18例（30%）で全症例の0.8%であった．大血管損傷は0.17%，神経損傷は0.04%，尿管損傷は0.04%，深部感染は0.34%に発生していた．合併症に起因する死亡が3例（0.1%）であった．術式間の比較では合併症の頻度に統計学的有意差はなかった（X...
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| Published in | Journal of Spine Research Vol. 12; no. 1.2; pp. 38 - 44 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本脊椎脊髄病学会
20.01.2021
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1884-7137 2435-1563 |
| DOI | 10.34371/jspineres.2020-0026 |
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| Abstract | 2018年に本邦で施行された側方進入腰椎椎体間固定術に関して日本脊椎脊髄病学会新技術評価検証委員会が行った合併症の全国調査結果を解析した．対象2,354例（XLIF：1,130例［48%］，DLIF：21例［0.9%］，OLIF：1,203例［51%］）の中で54例（2.3%）に合併症を発生した．調査期間中に合併症に起因する再手術を要した症例は18例（30%）で全症例の0.8%であった．大血管損傷は0.17%，神経損傷は0.04%，尿管損傷は0.04%，深部感染は0.34%に発生していた．合併症に起因する死亡が3例（0.1%）であった．術式間の比較では合併症の頻度に統計学的有意差はなかった（XLIF：2.7% vs. OLIF：1.7%，p=0.10）． |
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| AbstractList | 2018年に本邦で施行された側方進入腰椎椎体間固定術に関して日本脊椎脊髄病学会新技術評価検証委員会が行った合併症の全国調査結果を解析した．対象2,354例（XLIF：1,130例［48%］，DLIF：21例［0.9%］，OLIF：1,203例［51%］）の中で54例（2.3%）に合併症を発生した．調査期間中に合併症に起因する再手術を要した症例は18例（30%）で全症例の0.8%であった．大血管損傷は0.17%，神経損傷は0.04%，尿管損傷は0.04%，深部感染は0.34%に発生していた．合併症に起因する死亡が3例（0.1%）であった．術式間の比較では合併症の頻度に統計学的有意差はなかった（XLIF：2.7% vs. OLIF：1.7%，p=0.10）． |
| Author | 大鳥, 精司 吉井, 俊貴 渡辺, 雅彦 須藤, 英毅 西良, 浩一 中村, 雅也 細金, 直文 石井, 賢 井上, 玄 折田, 純久 小谷, 俊明 長谷川, 智彦 高橋, 淳 八木, 満 戸川, 大輔 藤林, 俊介 金村, 徳相 酒井, 大輔 岩﨑, 幹季 種市, 洋 若尾, 典充 |
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| References | 3) Hijji FY, Narain AS, Bohl DD, et al: Lateral lumbar interbody fusion: a systematic review of complication rates. Spine J. 2017; 17 (10): 1412-1419 13) Hijji F, Narain A, Bohl D, et al: Lateral lumbar interbody fusion: a systematic review of complication rates. Spine J. 2017; 17: 1412-1419 14) 一般社団法人全国腎臓病協議会: 2016年度血液透析患者実態調査報告書. 2017; 1-4 4) Assina R, Majmundar NJ, Herschman Y, et al: First report of major vascular injury due to lateral transpsoas approach leading to fatality. J Neurosurg Spine. 2014; 21 (5): 794-798 12) Strom RG, Bae J, Mizutani J, et al: Lateral interbody fusion combined with open posterior surgery for adult spinal deformity. J Neurosurg Spine. 2016; 25: 697-705 15) Curtin R, Presser S, Singer E: The effects of response rate changes on the index of consumer sentiment. Public Opinion Quarterly. 2000; 64: 413-428 1) Fujibayashi S, Kawakami N, Asazuma T, et al: Complications associated with lateral interbody fusion: Nationwide survey of 2998 cases during the first 2 years of Its use in Japan. Spine. 2017; 42 (19): 1478-1484 10) Li J, Wang X, Sun Y, et al: Safety Analysis of two anterior lateral lumbar interbody fusions at the initial stage of learning curve. World Neurosurg. 2019; S1878-8750(19)30975-1 6) Januszewski J, Keem SK, Smith W, et al: The potentially fatal Ogilvie's syndrome in lateral transpsoas access surgery: A multi-institutional experience with 2930 patients. World Neurosurg. 2017; 99: 302-307 16) Allyson H, Krosnick J, Pfent A: The causes and consequences of response rates in surveys by the news media and government contractor survey research firms. In Advances in Telephone Survey Methodology, New York: Wiley-Interscience. 2007; 23: 499-528 8) Bode WE, Beart RW Jr., Spencer RJ, et al: Colonoscopic decompression for acute pseudo-obstruction of the colon (Ogilvie's syndrome): Report of 22 cases and review of the literature. Am J Surg. 1984; 147: 243-245 7) Barbagallo GM, Albanese V, Raich AL, et al: Lumbar lateral interbody fusion (LLIF): Comparative effectiveness and safety versus PLIF/TLIF and predictive factors affecting LLIF outcome. Evid Based Spine Care J. 2014; 5 (1): 28-37 2) 八木, 満, 藤林俊介, 中村雅也, 他: 2017年度側方進入腰椎椎体間固定術の合併症に関する全国調査結果報告. J Spine Res. 2020; 11: 2-7 5) Epstein NE: Incidence of major vascular injuries with extreme lateral interbody fusion (XLIF). Surg Neurol Int. 2020; 11: 70 11) Katz AD, Singh H, Greenwood M, et al: Clinical and radiographic evaluation of multilevel lateral lumbar interbody fusion in adult degenerative scoliosis. Clin Spine Surg. 2019; 32 (8): E386-E396 9) Epstein NE: Incidence of major vascular injuries with extreme lateral interbody fusion (XLIF). Surg Neurol Int. 2020; 11: 70 |
| References_xml | – reference: 2) 八木, 満, 藤林俊介, 中村雅也, 他: 2017年度側方進入腰椎椎体間固定術の合併症に関する全国調査結果報告. J Spine Res. 2020; 11: 2-7 – reference: 4) Assina R, Majmundar NJ, Herschman Y, et al: First report of major vascular injury due to lateral transpsoas approach leading to fatality. J Neurosurg Spine. 2014; 21 (5): 794-798 – reference: 1) Fujibayashi S, Kawakami N, Asazuma T, et al: Complications associated with lateral interbody fusion: Nationwide survey of 2998 cases during the first 2 years of Its use in Japan. Spine. 2017; 42 (19): 1478-1484 – reference: 14) 一般社団法人全国腎臓病協議会: 2016年度血液透析患者実態調査報告書. 2017; 1-4 – reference: 15) Curtin R, Presser S, Singer E: The effects of response rate changes on the index of consumer sentiment. Public Opinion Quarterly. 2000; 64: 413-428 – reference: 8) Bode WE, Beart RW Jr., Spencer RJ, et al: Colonoscopic decompression for acute pseudo-obstruction of the colon (Ogilvie's syndrome): Report of 22 cases and review of the literature. Am J Surg. 1984; 147: 243-245 – reference: 5) Epstein NE: Incidence of major vascular injuries with extreme lateral interbody fusion (XLIF). Surg Neurol Int. 2020; 11: 70 – reference: 7) Barbagallo GM, Albanese V, Raich AL, et al: Lumbar lateral interbody fusion (LLIF): Comparative effectiveness and safety versus PLIF/TLIF and predictive factors affecting LLIF outcome. Evid Based Spine Care J. 2014; 5 (1): 28-37 – reference: 11) Katz AD, Singh H, Greenwood M, et al: Clinical and radiographic evaluation of multilevel lateral lumbar interbody fusion in adult degenerative scoliosis. Clin Spine Surg. 2019; 32 (8): E386-E396 – reference: 13) Hijji F, Narain A, Bohl D, et al: Lateral lumbar interbody fusion: a systematic review of complication rates. Spine J. 2017; 17: 1412-1419 – reference: 16) Allyson H, Krosnick J, Pfent A: The causes and consequences of response rates in surveys by the news media and government contractor survey research firms. In Advances in Telephone Survey Methodology, New York: Wiley-Interscience. 2007; 23: 499-528 – reference: 10) Li J, Wang X, Sun Y, et al: Safety Analysis of two anterior lateral lumbar interbody fusions at the initial stage of learning curve. World Neurosurg. 2019; S1878-8750(19)30975-1 – reference: 6) Januszewski J, Keem SK, Smith W, et al: The potentially fatal Ogilvie's syndrome in lateral transpsoas access surgery: A multi-institutional experience with 2930 patients. World Neurosurg. 2017; 99: 302-307 – reference: 12) Strom RG, Bae J, Mizutani J, et al: Lateral interbody fusion combined with open posterior surgery for adult spinal deformity. J Neurosurg Spine. 2016; 25: 697-705 – reference: 9) Epstein NE: Incidence of major vascular injuries with extreme lateral interbody fusion (XLIF). Surg Neurol Int. 2020; 11: 70 – reference: 3) Hijji FY, Narain AS, Bohl DD, et al: Lateral lumbar interbody fusion: a systematic review of complication rates. Spine J. 2017; 17 (10): 1412-1419 |
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| Title | 2018年度側方進入腰椎椎体間固定術の合併症に関する全国調査結果報告 |
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