Abstract | BACKGROUND: METHODS: We reviewed the medical records of the initial laminectomies for all ninety-eight patients with achondroplasia at our institution, which included twenty-eight patients who had had previous spine surgeries at other institutions, and determined the rates of complications in the following categories: neurologic, pulmonary, cardiovascular, and gastrointestinal complications; intraoperative dural tears; infections at the incision site; and mortality. RESULTS: Sixty (61%) of ninety-eight patients had at least one perioperative complication. By category, these included intraoperative dural tears, which occurred in 37% (thirty-six patients); neurologic complications, in 23% (twenty-three patients); infections at the incision site, in 9% (nine patients); deep venous thrombosis, in 3% (three patients); pulmonary complications, in 3% (three patients); and gastrointestinal complications, in 3% (three patients). The only death was caused by a pulmonary embolism. CONCLUSIONS:
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Authors | Michael C Ain, Tai-Li Chang, Joshua G Schkrohowsky, Emily Streyer Carlisle, Michael Hodor, Daniele Rigamonti |
Journal | The Journal of bone and joint surgery. American volume
(J Bone Joint Surg Am)
Vol. 90
Issue 2
Pg. 295-8
(Feb 2008)
ISSN: 1535-1386 [Electronic] United States |
PMID | 18245588
(Publication Type: Journal Article)
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Topics |
- Achondroplasia
(complications)
- Adolescent
- Adult
- Aged
- Female
- Humans
- Laminectomy
(adverse effects)
- Male
- Middle Aged
- Postoperative Complications
(epidemiology)
- Retrospective Studies
- Spinal Stenosis
(etiology, surgery)
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