| Title |
Eine neue Komplikationsklassifikation in der adulten spinalen Deformitätenchirurgie
|
|---|---|
| Published in |
Die Orthopädie, March 2018
|
| DOI | 10.1007/s00132-018-3547-2 |
| Pubmed ID | |
| Authors |
S. Hemmer, H. Almansour, W. Pepke, M. M. Innmann, M. Akbar |
| Abstract |
In the light of the increasingly aging population and the widespread understanding of the sagittal profile of symptomatic patients with adult spinal deformity (ASD), pervasive utilization of osteotomies on the vertebral column should be expected. These surgeries are accompanied with relatively high complication rates. However, there is no uniform definition or classification in terms of grading the severity or chronological incidence of complications after ASD surgery. The aim of this work is to give an overview of the different classifications described in the literature hitherto and to propose a standardized, clinically utile classification of complications after ASD surgery. Finally, the aim is to illustrate this classification using two case examples. We conducted a systematic PubMed search with the keywords: "adult spinal deformity", "surgery", "complications" and "classification". Results were screened by title, abstract and full-text article. 22 articles were included in this review. Regarding the systematic classification of the severity of a complication, the CTCAE classification (Common Terminology Criteria for Adverse Events v4.0) is a validated and well-established severity stratification tool used in oncologic treatment. Regarding chronological occurrence, complications can be categorized into three phases: intra-operative, peri-operative and post-operative. The time of occurrence of a certain complication and its severity should constitute the cornerstones of a standardized and practical classification of complications after ASD surgery. To enable uniform reporting and coherent documentation of complications, spine surgeons should find consensus on a standardized classification. Future work needs to be directed towards defining and conducting an individual pre-operative risk stratification of adult spine deformity surgical candidates leading to a possible mitigation of surgery-related complications. |
Mendeley readers
The data shown below were compiled from readership statistics for 2 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 2 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 1 | 50% |
| Student > Doctoral Student | 1 | 50% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 2 | 100% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 March 2018.
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#22,767,715
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Outputs from Die Orthopädie
#276
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Outputs of similar age
#310,964
of 351,767 outputs
Outputs of similar age from Die Orthopädie
#9
of 46 outputs
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