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Surgical treatment of degenerative lumbar stenosis: comorbidities and complications

机译：退行性腰椎管狭窄症的手术治疗：合并症和并发症

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Objectives: To study the characteristics of patients who underwent surgical treatment of degenerative spinal stenosis in the last 10 years (2000â€"2010) at the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto (USP-HCFMR) and correlate the postoperative complications and preoperative comorbidities found in the study population. Methods: Retrospective review of medical records and radiographs of patients with degenerative lumbar stenosis treated surgically. Descriptive analysis of data was done with SAS 9.0. Results: 92 patients were included, 47 (51.08%) males and 45 (48.91%) females, with ages ranging from 32 to 86 years (mean age of 64.27 years). The most prevalent comorbidities were hypertension (47.82%) and diabetes mellitus (25%). Twenty-three patients (25%) had two or more comorbidities. Postoperative infection was the most common complication found in 12 cases (13%). Patients with only one preoperative comorbidity showed similar complication rates compared to the population without comorbidities. However, patients with two or more comorbid conditions had a higher incidence of postoperative complications (p&0.001). Conclusions: Comorbidities negatively influenced the outcome of surgical treatment of degenerative lumbar stenosis with higher rates of postoperative complications.
机译：目的：研究过去十年（2000＆＃226;＆＃8364;“ 2010）医院在里贝热尔·德·里奇尔·尼古拉斯·尼古拉·德·福库拉德医院进行退行性椎管狭窄手术治疗的患者的特征方法：对手术治疗的退行性腰椎管狭窄症患者的病历和X线片进行回顾性研究，并使用SAS 9.0对数据进行描述性分析。结果：共纳入92例患者，其中男47例（51.08％），女45例（48.91％），年龄在32-86岁（平均年龄64.27岁），其中合并症最多的是高血压（47.82％）和糖尿病。 （25％）。23例（25％）有两种或两种以上合并症;术后感染是12例中最常见的并发症（13％）;仅一种合并症的患者出现相似的并发症与没有合并症的人群相比但是，患有两种或更多种合并症的患者术后并发症发生率较高（p ＜0.001）。结论：合并症对退行性腰椎管狭窄症的手术治疗产生负面影响，术后并发症发生率更高。

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