Risk factors of iatrogenic spinal cord injury in spinal surgery: a multicenter retrospective study.
OBJECTIVE
To investigate the risk factors of iatrogenic spinal cord injury (SCI) in spinal surgery.


METHODS
79 cases were abstracted according to inclusion and exclusion criteria, control cases were matched to patients abstracted by the ratio of 1:3. Unary and multivariate logistic regression analysis were performed to check out the risk factors of iatrogenic SCI and their strength associated with iatrogenic SCI.


RESULTS
Age, gender, hypertension history, preoperative spinal cord function, and involved segments were risk factors of iatrogenic SCI. DM history and manifestation of MRI had little relativity with iatrogenic SCI.


CONCLUSIONS
Surgeons should have knowledge of risk factors of iatrogenic SCI, and be more careful, strict, and cautious in operations, especially faced with high risk groups, in order to preventing patients from iatrogenic SCI in spinal surgery.
Department of Orthopedic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Qi
Q
Chen
Feng
F
Li
Wei
W
Wu
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000009:adverse effects*; D012189:Retrospective Studies; D012307:Risk Factors; D013119:Spinal Cord Injuries / Q000209:etiology*; D013131:Spine / Q000601:surgery*