Display options
Cite
Burch MB, Wiegers NW, Patil S, et al. Incidence and risk factors of reoperation in patients with adjacent segment disease: A meta-analysis. J Craniovertebr Junction Spine. 2020;11(1):9-16doi: 10.4103/jcvjs.JCVJS_10_20.
Burch, M. B., Wiegers, N. W., Patil, S., & Nourbakhsh, A. (2020). Incidence and risk factors of reoperation in patients with adjacent segment disease: A meta-analysis. Journal of craniovertebral junction & spine, 11(1), 9-16. https://doi.org/10.4103/jcvjs.JCVJS_10_20
Burch, Major B, et al. "Incidence and risk factors of reoperation in patients with adjacent segment disease: A meta-analysis." Journal of craniovertebral junction & spine vol. 11,1 (2020): 9-16. doi: https://doi.org/10.4103/jcvjs.JCVJS_10_20
Burch MB, Wiegers NW, Patil S, Nourbakhsh A. Incidence and risk factors of reoperation in patients with adjacent segment disease: A meta-analysis. J Craniovertebr Junction Spine. 2020 Jan-Mar;11(1):9-16. doi: 10.4103/jcvjs.JCVJS_10_20. Epub 2020 Apr 04. PMID: 32549706; PMCID: PMC7274364.
Copy Download .nbib Format: NLM
Share it on

J Craniovertebr Junction Spine. 2020 Jan-Mar;11(1):9-16. doi: 10.4103/jcvjs.JCVJS_10_20. Epub 2020 Apr 04.

Incidence and risk factors of reoperation in patients with adjacent segment disease: A meta-analysis.

Journal of craniovertebral junction & spine

Major B Burch, Nicholas W Wiegers, Sonal Patil, Ali Nourbakhsh

Affiliations

  1. Department of Orthopedic Surgery, Missouri Orthopedic Institute, University of Missouri, Columbia, MO, USA.
  2. Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia, MO, USA.
  3. Department of Orthopedic Surgery, Spine Surgery Division, Atlanta Medical Center, Atlanta, GA, USA.

PMID: 32549706 PMCID: PMC7274364 DOI: 10.4103/jcvjs.JCVJS_10_20

Abstract

STUDY DESIGN: This was a systematic review of the literature and meta-analysis.

OBJECTIVE: The objective of this study was to evaluate the current literature regarding the risk factors contributing to reoperation due to adjacent segment disease (ASD).

SUMMARY OF BACKGROUND DATA: ASD is a broad term referring to a variety of complications which might require reoperation. Revision spine surgery is known to be associated with poor clinical outcomes and high rate of complications. Unplanned reoperation has been suggested as a quality marker for the hospitals.

MATERIALS AND METHODS: An electronic search was conducted using PubMed. A total of 2467 articles were reviewed. Of these, 55 studies met our inclusion criteria and included an aggregate of 1940 patients. Data were collected pertaining to risk factors including age, sex, fusion length, lumbar lordosis, body mass index, pelvic incidence, sacral slope, pelvis tilt, initial pathology, type of fusion procedure, floating versus sacral or pelvic fusion, presence of preoperative facet or disc degeneration at the junctional segment, and sagittal orientation of the facets at the junctional segment. Analysis of the data was performed using Comprehensive Meta-Analysis software (Biostat, Inc.).

RESULTS: The overall pooled incidence rate of reoperation due to ASD from all included studies was 0.08 (confidence interval: 0.065-0.098). Meta-regression analysis demonstrated no significant interaction between age and reoperation rate (

CONCLUSIONS: We found that 8% of patients in our included studies required reoperation due to ASD. Our analysis also revealed that longer fusion constructs correlated with a higher rate of subsequent revision surgery. Therefore, the surgeon should limit the number of fusion levels if possible to reduce the risk of future reoperation due to ASD.

LEVEL OF EVIDENCE: IV.

Copyright: © 2020 Journal of Craniovertebral Junction and Spine.

Keywords: Adjacent segment disease; deformity; fusion; lumbar; spine; thoracic

Conflict of interest statement

There are no conflicts of interest.

References

  1. Spine (Phila Pa 1976). 2011 Jan 1;36(1):E60-8 - PubMed
  2. J Spinal Disord Tech. 2009 Oct;22(7):463-7 - PubMed
  3. Acta Orthop Belg. 1992;58(3):280-6 - PubMed
  4. J Orthop Sci. 2016 Mar;21(2):133-7 - PubMed
  5. Spine (Phila Pa 1976). 2007 Sep 15;32(20):2253-7 - PubMed
  6. Injury. 2010 Apr;41(4):415-20 - PubMed
  7. J Int Med Res. 2012;40(2):399-405 - PubMed
  8. Spine (Phila Pa 1976). 2010 Jan 15;35(2):177-81 - PubMed
  9. Korean J Spine. 2012 Jun;9(2):74-8 - PubMed
  10. Spine (Phila Pa 1976). 2010 Dec 1;35(25):2205-10 - PubMed
  11. Orthop Surg. 2014 May;6(2):118-20 - PubMed
  12. Global Spine J. 2014 Jun;4(2):83-8 - PubMed
  13. Eur Spine J. 2015 Nov;24 Suppl 7:855-64 - PubMed
  14. Eur Spine J. 1997;6(6):393-7 - PubMed
  15. Spine (Phila Pa 1976). 2003 Jun 15;28(12):1275-80; discussion 1280 - PubMed
  16. Eur Spine J. 2009 Nov;18(11):1637-43 - PubMed
  17. PLoS One. 2014 Mar 04;9(3):e87172 - PubMed
  18. Eur Spine J. 2016 May;25(5):1542-1549 - PubMed
  19. Spine (Phila Pa 1976). 2009 Dec 1;34(25):2787-91 - PubMed
  20. Neurosurgery. 2015 Apr;76(4):396-401; discussion 401-2; quiz 402 - PubMed
  21. Clin Orthop Relat Res. 2014 Jun;472(6):1845-54 - PubMed
  22. J Korean Neurosurg Soc. 2015 Feb;57(2):108-13 - PubMed
  23. Spine (Phila Pa 1976). 2014 Mar 1;39(5):E339-45 - PubMed
  24. Eur Spine J. 2015 Nov;24(11):2514-9 - PubMed
  25. Clin Neurol Neurosurg. 2017 May;156:29-34 - PubMed
  26. Eur Spine J. 2015 Nov;24(11):2474-80 - PubMed
  27. Spine (Phila Pa 1976). 2012 Jan 1;37(1):67-76 - PubMed
  28. J Neurosurg Spine. 2006 Apr;4(4):304-9 - PubMed
  29. Spine (Phila Pa 1976). 2010 Jan 15;35(2):219-26 - PubMed
  30. Colorectal Dis. 2013 Jun;15(6):689-94 - PubMed
  31. J Neurosurg Spine. 2007 Jul;7(1):21-6 - PubMed
  32. Arch Orthop Trauma Surg. 2009 Jul;129(7):873-8 - PubMed
  33. Eur Spine J. 2011 Nov;20(11):1951-60 - PubMed
  34. J Spinal Disord Tech. 2003 Aug;16(4):338-45 - PubMed
  35. J Spinal Disord Tech. 2014 Apr;27(2):70-5 - PubMed
  36. Global Spine J. 2013 Dec;3(4):219-24 - PubMed
  37. Spine (Phila Pa 1976). 2006 Aug 1;31(17):1952-6 - PubMed
  38. J Neurosurg Spine. 2010 Jun;12(6):671-9 - PubMed
  39. J Neurosurg Sci. 2018 Feb;62(1):4-9 - PubMed
  40. Spine (Phila Pa 1976). 1999 Aug 15;24(16):1721-7 - PubMed
  41. Spine (Phila Pa 1976). 2013 May 20;38(12):1008-15 - PubMed
  42. Spine (Phila Pa 1976). 2013 Apr 1;38(7):531-9 - PubMed
  43. J Spinal Disord Tech. 2008 Apr;21(2):79-85 - PubMed
  44. Global Spine J. 2012 Mar;2(1):21-6 - PubMed
  45. Spine (Phila Pa 1976). 2012 Jun 15;37(14):1211-7 - PubMed
  46. Acta Orthop Scand. 1994 Jun;65(3):309-14 - PubMed
  47. BMJ. 1997 Sep 13;315(7109):629-34 - PubMed
  48. Surg Neurol Int. 2016 May 17;7(Suppl 13):S331-6 - PubMed
  49. Spine (Phila Pa 1976). 1995 Mar 15;20(6):743-7 - PubMed
  50. Spine (Phila Pa 1976). 2016 Jul 15;41(14):1167-72 - PubMed
  51. J Clin Neurosci. 2017 Jan;35:42-46 - PubMed
  52. Surg Infect (Larchmt). 2006 Jun;7(3):263-8 - PubMed
  53. Spine (Phila Pa 1976). 2005 Jul 15;30(14):1643-9 - PubMed
  54. Eur Spine J. 2014 Dec;23(12):2726-36 - PubMed
  55. Spine (Phila Pa 1976). 2015 Jul 15;40(14):E831-41 - PubMed
  56. Clin Neurol Neurosurg. 2016 Apr;143:15-8 - PubMed
  57. Eur Spine J. 2001 Aug;10(4):314-9 - PubMed
  58. Acta Chir Orthop Traumatol Cech. 2010 Apr;77(2):124-30 - PubMed
  59. Indian J Orthop. 2013 Jul;47(4):346-51 - PubMed
  60. Eur Spine J. 2016 May;25(5):1550-1557 - PubMed
  61. Spine (Phila Pa 1976). 2012 May 1;37(10):884-90 - PubMed
  62. Spine (Phila Pa 1976). 2014 Jun 15;39(14):1093-8 - PubMed
  63. Clin Orthop Surg. 2010 Sep;2(3):140-7 - PubMed
  64. Orthopedics. 2014 Aug;37(8):547-55 - PubMed
  65. J Neurosurg Spine. 2008 Aug;9(2):137-44 - PubMed
  66. Spine (Phila Pa 1976). 2012 May 20;37(12):1048-53 - PubMed
  67. J Clin Neurosci. 2014 Oct;21(10):1796-801 - PubMed
  68. Spine (Phila Pa 1976). 2007 Nov 15;32(24):2731-8 - PubMed
  69. Spine (Phila Pa 1976). 2014 Jun 1;39(13):1059-66 - PubMed
  70. J Neurosurg Spine. 2013 Aug;19(2):201-6 - PubMed
  71. Spine (Phila Pa 1976). 2017 Jan 15;42(2):E86-E92 - PubMed
  72. J Neurosurg Spine. 2016 Jul;25(1):46-51 - PubMed
  73. Spine (Phila Pa 1976). 2006 Dec 15;31(26):3018-26 - PubMed
  74. Spine J. 2011 Jul;11(7):684-5 - PubMed
  75. J Bone Joint Surg Am. 2004 Jul;86(7):1497-503 - PubMed
  76. J Neurosurg Spine. 2014 Apr;20(4):380-6 - PubMed
  77. J Korean Neurosurg Soc. 2009 Nov;46(5):425-30 - PubMed
  78. Spine J. 2011 Jan;11(1):11-20 - PubMed
  79. Asian Spine J. 2013 Dec;7(4):273-81 - PubMed
  80. Spine (Phila Pa 1976). 2012 Apr 15;37(8):693-700 - PubMed
  81. Spine (Phila Pa 1976). 2012 Aug 1;37(17):1479-89 - PubMed
  82. Spine J. 2013 Oct;13(10):1208-16 - PubMed
  83. Spine (Phila Pa 1976). 1984 Sep;9(6):574-81 - PubMed
  84. Spine (Phila Pa 1976). 1999 Apr 15;24(8):795-9 - PubMed
  85. J Orthop Sci. 2005 Sep;10(5):490-5 - PubMed
  86. Spine (Phila Pa 1976). 1989 Jul;14(7):717-21 - PubMed
  87. BMJ. 2003 Sep 6;327(7414):557-60 - PubMed

Publication Types