Pavol SNOPKO, Branislav KOLAROVSZKI, René OPŠENÁK, Martin HANKO, Mária MASARYKOVÁ
Neurochirurgická klinika, Jesseniova lekárska fakulta UK a Univerzitná nemocnica Martin, prednosta
doc. MUDr. B. Kolarovszki, PhD.
SUMMARY
Introduction: Degenerative spine disease is currently considered as a serious medical issue, as the number of patients whose status required surgical intervention has increased significantly in recent decades. Obesity is one of the most common metabolic diseases, reaching epidemic proportions.
Methods: The methodology of this study is a prospective analysis of patients who had undergone surgical treatment of degenerative spine disease at the Clinic of neurosurgery in University Hospital in Martin between January 2016 and December 2017. Patients are monitored for post - operative complications in the time of twelve months after surgery. Patients are monitored for BMI in relation to the occurrence of complications. Results were evaluated and compared using descriptive statistics. Statistical significance was evaluated using the T - test and the Fisher‘s statistical test, with p < 0.05 being considered statistically significant.
Results: Our group consists of 350 patients. 69 patients (19.7 %) had postoperative complications. Patients aged below 39 years had 6 complications (16.2 %). Patients aged 40 to 60 years had 25 complications (16.9 %). Patients aged 60 years and older had 38 complications (23 %). Incidence of postoperative complications in group of women was higher overall than in group of men. Our results demonstrated a statistically significant relationship between the BMI and the incidence of postoperative complications in groups of patients from 40 years of age.
Conclusion: Surgical treatment of degenerative spine disease with proper indication brings positive results in many cases, but requires more individual decision at the time of indication of surgical performance and knowledge of risk factors leading to the development of postoperative complications.
Key words: degenerative spine disease, complications, BMI, surgical treatment.
Lek Obz, 2020, 69 (4): 107 – 111
