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Associated factors of patients with spinal stenosis who undergo reoperation after a posterior lumbar spinal fusion in a Hispanic-American population

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Abstract

Purpose

The aim of this study was to evaluate the associated factors of patients with LSS who undergo reoperation after a PLSF in a Hispanic-American population.

Methods

A retrospective single-center review was performed from all non-age-related Hispanic-Americans with LSS who underwent one or two-level PLSF from 2008 to 2018. Baseline characteristics were analyzed between the reoperation and no-reoperation group using a bivariate and multivariate analyses.

Results

Out of 425 patients who underwent PLSF, 38 patients underwent reoperation. At a two-year follow-up, the reoperation rate was 6.1% (26/425), mostly due to pseudoarthrosis (39.5%), recurrent stenosis (26.3%), new condition (15.8%), infection (10.5%), hematoma (5.3%), and dural tear (2.6%). Patients who underwent reoperation were more likely to have a preoperative history of epidural steroid injection (ESI) (OR 5.18, P = 0.009), four or more comorbidities (OR 2.69, P = 0.028), and operated only with a posterolateral fusion without intervertebral fusion (OR 2.15, P = 0.032). Finally, the multivariable analysis showed that ESI was the only independent associated factor in patients who underwent reoperation after a PLSF in our group.

Conclusion

Among this population who underwent surgery, a reoperation rate at two years of follow-up was less than ten percent. Our study did not find any associated factor inherent to Hispanic-Americans, as ethnic group, who were reoperated after LSS.

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Funding

No funds were received in support of this study.

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Authors and Affiliations

  1. Orthopaedic Surgery Department, Medical Sciences Campus, UPR, PO Box 365067, San Juan, PR, 00936-5067, USA

    José C. Pérez-López, Gerardo Olivella, José Massanet-Volrath, José Montañez-Huertas & Enrique Escobar

  2. Surgery Department, School of Medicine, Ponce Health Sciences University, Ponce, PR, 00716, USA

    Miguel Cartagena & Christian Nieves-Ríos

  3. School of Medicine, Medical Sciences Campus, UPR, San Juan, PR, 00936-5067, USA

    José Acosta-Julbe

  4. Pediatric Orthopaedic Surgery Department, Mayagüez Medical Center, Mayagüez, PR, 00681, USA

    Norman Ramírez

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  1. José C. Pérez-López
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Corresponding author

Correspondence to Gerardo Olivella.

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Conflict of interest

José C. Pérez-López, MD; Gerardo Olivella, MD, MPH; Miguel Cartagena, BS; José Acosta-Julbe, BS; Christian Nieves-Ríos, BS; Norman Ramírez, MD; José Massanet-Volrath, MD; José Montañez-Huertas, MD; Enrique Escobar, MD declare that they have no conflict of interest.

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The manuscript submitted does not contain information about medical device(s)/drug(s).

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Protocol # B3340120 by the University of Puerto Rico Medical Sciences Campus Institutional Review Board (IRB #: B3340120).

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Pérez-López, J.C., Olivella, G., Cartagena, M. et al. Associated factors of patients with spinal stenosis who undergo reoperation after a posterior lumbar spinal fusion in a Hispanic-American population. Eur J Orthop Surg Traumatol 32, 1491–1499 (2022). https://doi.org/10.1007/s00590-021-03127-5

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