Du Ruihuan, Li Zhonghai
Department of Orthopedics, the First Affiliated Hospital of Dalian Medical University, Dalian Liaoning, 116600, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Dec 15;35(12):1637-1641. doi: 10.7507/1002-1892.202107040.
To review the research on the reasons of unplanned reoperation (URP) for degenerative lumbar spine diseases, and to provide new ideas for improving the quality of surgery for degenerative lumbar spine diseases.
The literature about the URP of degenerative lumbar spine diseases at home and abroad in recent years was reviewed and analyzed.
At present, the reasons for URP include surgical site infection (SSI), hematoma formation, cerebrospinal fluid leakage (CSFL), poor results of surgery, and implant complications. SSI and hematoma formation are the most common causes of URP, which happen in a short time after surgery; CSFL also occurs shortly after surgery but is relatively rare. Poor surgical results and implant complications occurred for a long time after surgery. Factors such as primary disease and surgical procedures have an important impact on the incidence of URP.
The main reasons for URP are different in various periods after lumbar spine surgery. Interventions should be given to patients with high-risk URP, which thus can reduce the incidence of URP and improve the surgery quality and patients' satisfaction.
回顾退变性腰椎疾病非计划再次手术（URP）原因的研究，为提高退变性腰椎疾病手术质量提供新思路。
对近年来国内外关于退变性腰椎疾病URP的文献进行回顾分析。
目前，URP的原因包括手术部位感染（SSI）、血肿形成、脑脊液漏（CSFL）、手术效果不佳及植入物并发症。SSI和血肿形成是URP最常见的原因，发生在术后短时间内；CSFL也在术后不久发生，但相对少见。手术效果不佳和植入物并发症发生在术后较长时间。原发病及手术操作等因素对URP的发生率有重要影响。
腰椎手术后不同时期URP的主要原因不同。应对URP高危患者进行干预，从而降低URP的发生率，提高手术质量和患者满意度。
