The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression
https://doi.org/10.29413/ABS.2023-8.1.12
Abstract
The aim. To analyze the role of the spine adipose index (SAI) in predicting the risk of septic spondylodiscitis after lumbar percutaneous laser disk decompression (PLDD).
Material and methods. A retrospective observational single-center study was performed. Various clinical and instrumental parameters have been studied, including the spine adipose index, which are potential risk factors for the development of postprocedural septic spondylodiscitis.
Results. The study included 219 patients who underwent PLDD for degenerative lumbar disk disease. The average period of postoperative observation was 30.8 ± 13.3 months. Signs of septic spondylodiscitis were detected in 5 (2.28%) cases. Multivariate analysis showed that III degree of anesthesiological risk by the American Society of Anesthesiologists (ASA) scale (p = 0.021), a high value of body mass index (more than 25 kg/m2) (p = 0.043) and a high value of SAI (over 0.7) (p = 0.037) are statistically significantly associated with the development of septic spondylodiscitis in patients who underwent lumbar PLDD.
Conclusion. The value of SAI is statistically significantly associated with the development of spondylodiscitis in patients who underwent PLDD for degenerative lumbar disk disease.
About the Authors
I. A. Stepanov
Irkutsk State Medical University
Russian Federation
Russian Federation
Ivan A. Stepanov – Teaching Assistant at the Department of General Surgery,
Krasnogo Vosstaniya str. 1, Irkutsk 664003
V. A. Beloborodov
Kharlampievskaya Clinic
Russian Federation
Russian Federation
Vladimir A. Beloborodov – Dr. Sc. (Med.), Professor, Head of the Department of General Surgery,
Gorkogo str. 8, Irkutsk 664025
References
1. Márquez Sánchez P. Spondylodiscitis. Radiologia. 2016; 58(1): 50-59. doi: 10.1016/j.rx.2015.12.005
2. Gouliouris T, Aliyu SH, Brown NM. Spondylodiscitis: Update on diagnosis and management. J Antimicrob Chemother. 2010; 65(3): 11-24. doi: 10.1093/jac/dkq303
3. Gerometta A, Bittan F, Rodriguez Olaverri JC. Postoperative spondilodiscitis. Int Orthop. 2012; 36(2): 433-438. doi: 10.1007/s00264-011-1442-0
4. Herren C, Jung N, Pishnamaz M, Breuninger M, Siewe J, Sobottke R. Spondylodiscitis: Diagnosis and treatment options. Dtsch Arztebl Int. 2017; 114(51-52): 875-882. doi: 10.3238/arztebl.2017.0875
5. Vinokurov AS, Belenkaya OI, Yudin AL, Kim AV. Spondylodiscitis diagnostics in nowadays: Basic CT and MRI signs. Diagnostic Radiology and Radiotherapy. 2019; (1): 39-47. (In Russ.).
6. Gentile L, Benazzo F, De Rosa F, Boriani S, Dallagiacoma G, Franceschetti G, et al. A systematic review: Characteristics, complications and treatment of spondylodiscitis. Eur Rev Med Pharmacol Sci. 2019; 23(Suppl 2): 117-128. doi: 10.26355/eurrev_201904_17481
7. Zarghooni K, Röllinghoff M, Sobottke R, Eysel P. Treatment of spondylodiscitis. Int Orthop. 2012; 36(2): 405-411. doi: 10.1007/s00264-011-1425-1
8. Gupta VK, Zhou Y, Manson JF, Watt JP. Radiographic spine adipose index: An independent risk factor for deep surgical site infection after posterior instrumented lumbar fusion. Spine J. 2021; 21(10): 1711-1717. doi: 10.1016/j.spinee.2021.04.005
9. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. Int J Surg. 2014; 12(12): 1495-1499. doi: 10.1016/j.ijsu.2014.07.013
10. Association of Neurosurgeons of Russia. Clinical guidelines for the diagnosis and treatment of inflammatory diseases of the spine and spinal cord. Moscow; 2015. (In Russ.).
11. World Medical Association. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA. 2013; 310(20): 2191-2194. doi: 10.1001/jama.2013.281053
12. Lee JJ, Odeh KI, Holcombe SA, Patel RD, Wang SC, Goulet JA, et al. Fat thickness as a risk factor for infection in lumbar spine surgery. Orthopedics. 2016; 39: 1124-1128. doi: 10.3928/01477447-20160819-05
13. Mehta A, Babu R, Sharma R, Karikari IO, Grunch B, Owens TR, et al. Thickness of subcutaneous fat as a risk factor for infection in cervical spine fusion surgery. J Bone Joint Surg Am. 2013; 95(4): 323-328. doi: 10.2106/JBJS.L.00225
14. Watts CD, Houdek MT, Wagner MD, Taunton MJ. Subcutaneous fat thickness is associated with early reoperation and infection after total knee arthroplasty in morbidly obese patients. J Arthroplasty. 2016; 31(8): 1788-1791. doi: 10.1016/j.arth.2016.02.008
15. Marquez-Lara A, Nandyala SV, Sankaranarayanan S, Noureldin M, Singh K. Body mass index as a predictor of complications and mortality after lumbar spine surgery. Spine (Phila Pa 1976). 2014; 39(10): 798-804. doi: 10.1097/BRS.0000000000000232
16. Mehta AO, Babu R, Karikari IO, Grunch B, Agarwal VJ, Owens TR, et al. The distribution of body mass as a significant risk factor for lumbar spinal fusion postoperative infections. Spine (Phila Pa 1976). 2012; 37(19): 1652-1656. doi: 10.1097/BRS.0b013e318241b186
17. Tan T, Lee H, Huang MS, Rutges J, Marion TE, Mathew J, et al. Prophylactic postoperative measures to minimize surgical site infections in spine surgery: Systematic review and evidence summary. Spine J. 2020; 20(3): 435-447. doi: 10.1016/j.spinee.2019.09.013
18. Mueller K, Zhao D, Johnson O, Sandhu FA, Voyadzis JM. The difference in surgical site infection rates between open and minimally invasive spine surgery for degenerative lumbar pathology: A retrospective single center experience of 1442 cases. Oper Neurosurg (Hagerstown). 2019; 16(6): 750-755. doi: 10.1093/ons/opy221
19. Cottle L, Riordan T. Infectious spondylodiscitis. J Infect. 2008; 56(6): 401-412. doi: 10.1016/j.jinf.2008.02.005
Review
For citations:
Stepanov I.A., Beloborodov V.A. The role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompression. Acta Biomedica Scientifica. 2023;8(1):108-116. https://doi.org/10.29413/ABS.2023-8.1.12
Views:
1175
Email this article 
