Universität zu Köln

Westermann, Leonard, Eysel, Peer, Hantscher, Janis, Baschera, Dominik ORCID: 0000-0002-9634-9922, Simons, Marvin, Herren, Christian, Zarghooni, Kourosh ORCID: 0000-0001-7069-6291 and Siewe, Jan (2017). The Influence of Parkinson Disease on Lumbar Decompression Surgery: A Retrospective Case Control Study. World Neurosurg., 108. S. 513 - 519. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1878-8769

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Abstract

BACKGROUND: Parkinson disease (PD) is a major risk factor during spine surgery, and its frequency is increasing as the population ages. The study aim was to examine the influence of PD specifically on lumbar decompression surgery. METHODS: A retrospective review was performed of all patients with PD who underwent elective lumbar decompression surgery at 2 university hospital departments between December 2003 and July 2016. For each patient, 2 controls without PD were selected randomly among those who were matched for sex and age and had a similar year of surgery (+/- 3) and comorbidity profile. The main outcomes were complications and reoperation rate. RESULTS: The mean follow up was 1.2 +/- 1.6 years in the PD group (n = 36) and 1.4 +/- 2.1 years in the control group (n = 72). The overall complication rate was 47.2% in the PD group and 19.4% in the control group (P < 0.01). The reoperation rate was 27.8% in the PD group and 9.7% in the control group (P = 0.02). CONCLUSIONS: There is a significantly greater rate of perioperative complications in patients with PD undergoing elective decompression surgery. Although the difference in major complication rates was minimal, minor complications were more frequent in patients with PD.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Westermann, Leonard UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED Hantscher, Janis UNSPECIFIED UNSPECIFIED UNSPECIFIED Baschera, Dominik UNSPECIFIED orcid.org/0000-0002-9634-9922 UNSPECIFIED Simons, Marvin UNSPECIFIED UNSPECIFIED UNSPECIFIED Herren, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Zarghooni, Kourosh UNSPECIFIED orcid.org/0000-0001-7069-6291 UNSPECIFIED Siewe, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-209934
DOI:	10.1016/j.wneu.2017.09.028
Journal or Publication Title:	World Neurosurg.
Volume:	108
Page Range:	S. 513 - 519
Date:	2017
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1878-8769
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SPINE SURGERY; FUSION SURGERY; SCOLIOSIS; MORTALITY Multiple languages Clinical Neurology; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20993