Revision surgery after previous spinal decompression and fusion for lumbar spinal stenosis

Lebedev V.B.

Pirogov National Medical Surgical Center

Epifanov D.S.

Pirogov National Medical Surgical Center

Osipov I.I.

Pirogov National Medical Surgical Center

Esin A.I.

Pirogov National Medical Surgical Center

Kinzyagulov B.R.

Pirogov National Medical Surgical Center

Zuev A.A.

Pirogov Russian National Research Medical University

SPIN RSCI: 9377-4574
Scopus AuthorID: 26424155600
ORCID: 0000-0003-2974-1462

Revision surgery after previous spinal decompression and fusion for lumbar spinal stenosis

Authors:

Lebedev V.B., Epifanov D.S., Osipov I.I., Esin A.I., Kinzyagulov B.R., Zuev A.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2023;87(1): 70‑76

DOI: 10.17116/neiro20238701170

Downloaded: 48

To cite this article:

Lebedev VB, Epifanov DS, Osipov II, Esin AI, Kinzyagulov BR, Zuev AA. Revision surgery after previous spinal decompression and fusion for lumbar spinal stenosis. Burdenko's Journal of Neurosurgery. 2023;87(1):70‑76. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20238701170

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Nowadays, vertebral stenosis is the most common indication for surgical treatment in patients over 65 years old in spine surgery. According to the literature, there are conflicting data on the incidence and indications for revision surgery after previous spinal decompression and fusion for lumbar spinal stenosis.

OBJECTIVE

To evaluate the incidence and indications for revision surgery after previous spinal decompression and fusion for lumbar spinal stenosis.

MATERIAL AND METHODS

A retrospective single-center study enrolled 1233 patients with lumbar spine stenosis who underwent spinal decompression and fusion surgery between 2014 and 2018. The number and causes of readmission were evaluated.

RESULTS

There were 164 readmissions. Revision surgery at the same level was performed in 63 patients (38.4%), at the higher level — 72 (43.9%), at the lower level — in 29 (17.7%) patients. The most common indication for readmission was spondyloarthrosis with facet joint syndrome (94 (57.3%) patients). The second common complication was pseudoarthrosis (26 (15.9%) patients). These ones comprised 2.1% of all patients with lumbar spine stenosis.

CONCLUSION

The most common indication for readmission was adjacent segment degeneration. The most severe complications requiring complex and even multiple stage revision surgery were pseudoarthrosis and postoperative spondylodiscitis. Causes of readmission are significantly changing at different periods after surgery.

Keywords:

lumbar spine stenosis

revision surgery

pseudoarthrosis

adjacent segment degeneration

decompression and fusion surgery

Authors:

Lebedev V.B.

Pirogov National Medical Surgical Center

Epifanov D.S.

Pirogov National Medical Surgical Center

Osipov I.I.

Pirogov National Medical Surgical Center

Esin A.I.

Pirogov National Medical Surgical Center

Kinzyagulov B.R.

Pirogov National Medical Surgical Center

Zuev A.A.

Pirogov Russian National Research Medical University

SPIN RSCI: 9377-4574
Scopus AuthorID: 26424155600
ORCID: 0000-0003-2974-1462

Received:

31.01.2022

Accepted:

11.10.2022

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