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European Spine Journal
Published in: European Spine Journal 5/2020

Open Access 01-05-2020 | Degenerative Disease | Original Article

Spinal surgery complications: an unsolved problem—Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?

Authors: Giovanni Barbanti-Brodano, Cristiana Griffoni, Jarkko Halme, Giuseppe Tedesco, Silvia Terzi, Stefano Bandiera, Riccardo Ghermandi, Gisberto Evangelisti, Marco Girolami, Valerio Pipola, Alessandro Gasbarrini, Asdrubal Falavigna

Published in: European Spine Journal | Issue 5/2020

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Abstract

Purpose

To investigate whether the World Health Organization Safety Surgical Checklist (SSC) is an effective tool to reduce complications in spinal surgery.

Methods

We retrospectively evaluated the clinical and radiological charts prospectively collected from patients who underwent a spinal surgery procedure from January 2010 to December 2012. The aim of this study was to compare the incidence of complications between two periods, from January to December 2010 (without checklist) and from January 2011 and December 2012 (with checklist), in order to assess the checklist’s effectiveness.

Results

The sample size was 917 patients with an average of 30-month follow-up. The mean age was 52.88 years. The majority of procedures were performed for oncological diseases (54.4%) and degenerative diseases (39.8%). In total, 159 complications were detected (17.3%). The overall incidence of complications for trauma, infectious pathology, oncology, and degenerative disease was 22.2%, 19.2%, 18.4%, and 15.3%, respectively. No correlation was observed between the type of pathology and the complication incidence. We observed a reduction in the overall incidence of complications following the introduction of the SSC: In 2010 without checklist, the incidence of complications was 24.2%, while in 2011 and 2012, following the checklist introduction, the incidence of complications was 16.7% and 11.7%, respectively (mean 14.2%).

Conclusions

The SSC seems to be an effective tool to reduce complications in spinal surgery. We propose to extend the use of checklist system also to the preoperative and postoperative phases in order to further reduce the incidence of complications.

Graphic abstract

These slides can be retrieved under Electronic Supplementary Material.
Appendix
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Metadata
Title
Spinal surgery complications: an unsolved problem—Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?
Authors
Giovanni Barbanti-Brodano
Cristiana Griffoni
Jarkko Halme
Giuseppe Tedesco
Silvia Terzi
Stefano Bandiera
Riccardo Ghermandi
Gisberto Evangelisti
Marco Girolami
Valerio Pipola
Alessandro Gasbarrini
Asdrubal Falavigna
Publication date
01-05-2020
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 5/2020
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-019-06203-x

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