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European Spine Journal
Published in: European Spine Journal 10/2015

01-10-2015 | Original Article

Risk factors for major complications in surgery for hypervascular spinal tumors: an analysis of 120 cases with adjuvant preoperative embolization

Authors: Benqiang Tang, Tao Ji, Xiaodong Tang, Long Jin, Sen Dong, Wei Guo

Published in: European Spine Journal | Issue 10/2015

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Abstract

Purpose

To determine the frequency of major complications and identify related risk factors in surgery for hypervascular spinal tumors after preoperative selective arterial embolization.

Methods

Patients with spinal tumors who underwent preoperative embolizations between January 2010 and March 2013 were retrospectively reviewed. Perioperative complications were classified as either major or minor. Preoperative and intraoperative factors were analyzed for any association with major complications using univariate and multivariate regression analysis.

Results

There were 120 embolizations with subsequent 120 spine operations that met the inclusion and exclusion criteria. Overall, 27.5 % (33/120) experienced major complications and 11.7 % (14/120) had at least two major complications. Respiratory complications were the most commonly seen with a rate of 10.8 % (13/120). Multivariate regression analysis identified two risk factors for major complications: reoperation and higher score of surgical invasiveness index. Two risk factors were identified for two or more major complications: age ≥65 years and higher score of surgical invasiveness index. Two risk factors were identified for major respiratory complications: thoracic surgery and higher score of surgical invasiveness index. However, embolization-related factors did not reach significance in the multiple regression model.

Conclusion

Major complications in surgery for hypervascular spinal tumors after embolization are prevalent. Risk factors identified in this study are useful prognostic indicators when considering surgical treatment combined with embolization.
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Metadata
Title
Risk factors for major complications in surgery for hypervascular spinal tumors: an analysis of 120 cases with adjuvant preoperative embolization
Authors
Benqiang Tang
Tao Ji
Xiaodong Tang
Long Jin
Sen Dong
Wei Guo
Publication date
01-10-2015
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 10/2015
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-015-4122-8

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