Table 4 Summary of trials with general and local complication rates after spine surgery with and without previous RT
From: Risk for surgical complications after previous stereotactic body radiotherapy of the spine
Study, year | Main type of surgery | Complications rate | Wound complications | Perioperative deaths = 30 days mortality | ||||
|---|---|---|---|---|---|---|---|---|
Overall / Number of patients | RTÂ +Â S / number of patients | S alone / number of patients | overall / number of surgeries | RTÂ +Â S / number of surgeries | S alone / number of surgeries | |||
Demura, 2009 [41] | Debulking / stabilization | – | – | – | 7.1% / 113 | 31.8% / 22 | 1.1% / 91 | – |
Ghogawala, 2001 [43] | Posterolateral decompression and stabilization | / 85 | – | – | – | 32% / 28 | 12% / 34 | – |
Lau, 2013 [34] | – | 21.7% / 106 | 23.5% / 81 | 16% / 25 | 3.8%/106 | – | – | 1 (0.9%) |
Pascal, 1998 [25] | Post + ant. approach | 18.6% / 145 | – | – | 11% / 145 | 12% | 1% | 3 (2%) |
Quan, 2011 [21] | Post + ant. approach | 26% / 118 | 42% / 19 | – | 6.8% / 118 | 15.8% / 19 | 5% / 99 | 9 (7.6%) |
Shehadi, 2007 [37] | – | – | – | 39% / 87 | – | No significant difference | – | |
Sundaresan, 2002 [42] | Ant. Approach + post. stab. | 80 | 15% / 40 | 40% / 40 | 13.8% / 80 | 25% / 40 | 2.5% / 40 | 1 (1.3%) |
Wang, 2004 [38] | Posterior approach | 14.3% / 140 | 84 | 56 | 11.4% / 140 | No significant difference | 6 (4.3%) | |
Wise, 1999 [26] | Post + ant. approach | 25% / 80 | 15.5% / 41 | 9.3% /39 | 17.1% / 80 | – | – | 2 (2.3%) |
Yokogawa, 2014 [35] | Total en bloc spondylectomy | 40% / 50 | 77.8% / 18 | 18.8% / 32 | 8% / 50 | 22.2% / 18 | 0% / 32 | – |