Incidence of complications associated with spinal endoscopic surgery

Nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association

Morio Matsumoto, Toru Hasegawa, Manabu Ito, Toshimi Aizawa, Shinichi Konno, Masatsune Yamagata, Sohei Ebara, Yudo Hachiya, Hiroaki Nakamura, Shoji Yagi, Kimiaki Sato, Akira Dezawa, Muneto Yoshida, Kenichi Shinomiya, Yoshiaki Toyama, Katsuji Shimizu, Kensei Nagata

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: This report was conducted to elucidate the current status of spinal endoscopic surgery and relevant incidents through analysis of the results of a questionnaire survey conducted in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of the Japanese Orthopaedic Association (JOA). Methods: Questionnaire forms were sent to 2011 training facilities nationwide certified by the JOA, and 1082 of these facilities returned the filled questionnaires (response rate 53.8%). Of these facilities, 257 (23.8% of the responding facilities) undertook spinal endoscopic surgery in 2007. These institutions were asked to fill in the survey form with the details of the operations and relevant incidents as well as the incident levels. Results: In total, the 257 facilities performed 6239 spinal endoscopic surgeries during 2007. Posterior spinal endoscopic surgery constituted most of the operations (6217 cases, 98.2%) including 4336 cases of microendoscopic discectomy (MED), 1273 cases of microendoscopic laminectomy or fenestration, and 379 cases of transforaminal or posterior lumbar interbody fusion. The total number of incidents was 133 (2.13%). The numbers of incidents by operative method were 75 (56.4%) during MED, 57 (42.9%) during microendoscopic laminectomy or fenestration, and 1 (0.8%) during interbody fusion. Of 133 incidents, dural tear occurred in 99 (74.4%), injury of the cauda equina or a nerve root in 7 (5.3%), facet fracture in 7 (5.3%), hematoma and wrong level in 6 each (4.5%), and wrong side and bedsore in 1 each (0.8%). The incident level was level 1 in 6, level 2 in 24, level 3a in 82, level 3b in 16, level 4 in 5, and level 5 (fatal) in 0. Conclusions: The results of this survey revealed an increasing trend of spinal endoscopic surgery and a decreasing trend of the complication rates. The complication rates of spinal endoscopic surgery were not higher than those of conventional surgery, indicating the safety of this surgical method.

Original languageEnglish
Pages (from-to)92-96
Number of pages5
JournalJournal of Orthopaedic Science
Volume15
Issue number1
DOIs
Publication statusPublished - 2010 Jan

Fingerprint

Incidence
Diskectomy
Laminectomy
Cauda Equina
Pressure Ulcer
Surveys and Questionnaires
Tears
Hematoma
Orthopedics
Safety
Wounds and Injuries

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Incidence of complications associated with spinal endoscopic surgery : Nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association. / Matsumoto, Morio; Hasegawa, Toru; Ito, Manabu; Aizawa, Toshimi; Konno, Shinichi; Yamagata, Masatsune; Ebara, Sohei; Hachiya, Yudo; Nakamura, Hiroaki; Yagi, Shoji; Sato, Kimiaki; Dezawa, Akira; Yoshida, Muneto; Shinomiya, Kenichi; Toyama, Yoshiaki; Shimizu, Katsuji; Nagata, Kensei.

In: Journal of Orthopaedic Science, Vol. 15, No. 1, 01.2010, p. 92-96.

Research output: Contribution to journalArticle

Matsumoto, M, Hasegawa, T, Ito, M, Aizawa, T, Konno, S, Yamagata, M, Ebara, S, Hachiya, Y, Nakamura, H, Yagi, S, Sato, K, Dezawa, A, Yoshida, M, Shinomiya, K, Toyama, Y, Shimizu, K & Nagata, K 2010, 'Incidence of complications associated with spinal endoscopic surgery: Nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association', Journal of Orthopaedic Science, vol. 15, no. 1, pp. 92-96. https://doi.org/10.1007/s00776-009-1428-6
Matsumoto, Morio ; Hasegawa, Toru ; Ito, Manabu ; Aizawa, Toshimi ; Konno, Shinichi ; Yamagata, Masatsune ; Ebara, Sohei ; Hachiya, Yudo ; Nakamura, Hiroaki ; Yagi, Shoji ; Sato, Kimiaki ; Dezawa, Akira ; Yoshida, Muneto ; Shinomiya, Kenichi ; Toyama, Yoshiaki ; Shimizu, Katsuji ; Nagata, Kensei. / Incidence of complications associated with spinal endoscopic surgery : Nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association. In: Journal of Orthopaedic Science. 2010 ; Vol. 15, No. 1. pp. 92-96.
@article{8c96f9c1f889489f8d56212cbac43634,
title = "Incidence of complications associated with spinal endoscopic surgery: Nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association",
abstract = "Background: This report was conducted to elucidate the current status of spinal endoscopic surgery and relevant incidents through analysis of the results of a questionnaire survey conducted in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of the Japanese Orthopaedic Association (JOA). Methods: Questionnaire forms were sent to 2011 training facilities nationwide certified by the JOA, and 1082 of these facilities returned the filled questionnaires (response rate 53.8{\%}). Of these facilities, 257 (23.8{\%} of the responding facilities) undertook spinal endoscopic surgery in 2007. These institutions were asked to fill in the survey form with the details of the operations and relevant incidents as well as the incident levels. Results: In total, the 257 facilities performed 6239 spinal endoscopic surgeries during 2007. Posterior spinal endoscopic surgery constituted most of the operations (6217 cases, 98.2{\%}) including 4336 cases of microendoscopic discectomy (MED), 1273 cases of microendoscopic laminectomy or fenestration, and 379 cases of transforaminal or posterior lumbar interbody fusion. The total number of incidents was 133 (2.13{\%}). The numbers of incidents by operative method were 75 (56.4{\%}) during MED, 57 (42.9{\%}) during microendoscopic laminectomy or fenestration, and 1 (0.8{\%}) during interbody fusion. Of 133 incidents, dural tear occurred in 99 (74.4{\%}), injury of the cauda equina or a nerve root in 7 (5.3{\%}), facet fracture in 7 (5.3{\%}), hematoma and wrong level in 6 each (4.5{\%}), and wrong side and bedsore in 1 each (0.8{\%}). The incident level was level 1 in 6, level 2 in 24, level 3a in 82, level 3b in 16, level 4 in 5, and level 5 (fatal) in 0. Conclusions: The results of this survey revealed an increasing trend of spinal endoscopic surgery and a decreasing trend of the complication rates. The complication rates of spinal endoscopic surgery were not higher than those of conventional surgery, indicating the safety of this surgical method.",
author = "Morio Matsumoto and Toru Hasegawa and Manabu Ito and Toshimi Aizawa and Shinichi Konno and Masatsune Yamagata and Sohei Ebara and Yudo Hachiya and Hiroaki Nakamura and Shoji Yagi and Kimiaki Sato and Akira Dezawa and Muneto Yoshida and Kenichi Shinomiya and Yoshiaki Toyama and Katsuji Shimizu and Kensei Nagata",
year = "2010",
month = "1",
doi = "10.1007/s00776-009-1428-6",
language = "English",
volume = "15",
pages = "92--96",
journal = "Journal of Orthopaedic Science",
issn = "0949-2658",
publisher = "Springer Japan",
number = "1",

}

TY - JOUR

T1 - Incidence of complications associated with spinal endoscopic surgery

T2 - Nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association

AU - Matsumoto, Morio

AU - Hasegawa, Toru

AU - Ito, Manabu

AU - Aizawa, Toshimi

AU - Konno, Shinichi

AU - Yamagata, Masatsune

AU - Ebara, Sohei

AU - Hachiya, Yudo

AU - Nakamura, Hiroaki

AU - Yagi, Shoji

AU - Sato, Kimiaki

AU - Dezawa, Akira

AU - Yoshida, Muneto

AU - Shinomiya, Kenichi

AU - Toyama, Yoshiaki

AU - Shimizu, Katsuji

AU - Nagata, Kensei

PY - 2010/1

Y1 - 2010/1

N2 - Background: This report was conducted to elucidate the current status of spinal endoscopic surgery and relevant incidents through analysis of the results of a questionnaire survey conducted in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of the Japanese Orthopaedic Association (JOA). Methods: Questionnaire forms were sent to 2011 training facilities nationwide certified by the JOA, and 1082 of these facilities returned the filled questionnaires (response rate 53.8%). Of these facilities, 257 (23.8% of the responding facilities) undertook spinal endoscopic surgery in 2007. These institutions were asked to fill in the survey form with the details of the operations and relevant incidents as well as the incident levels. Results: In total, the 257 facilities performed 6239 spinal endoscopic surgeries during 2007. Posterior spinal endoscopic surgery constituted most of the operations (6217 cases, 98.2%) including 4336 cases of microendoscopic discectomy (MED), 1273 cases of microendoscopic laminectomy or fenestration, and 379 cases of transforaminal or posterior lumbar interbody fusion. The total number of incidents was 133 (2.13%). The numbers of incidents by operative method were 75 (56.4%) during MED, 57 (42.9%) during microendoscopic laminectomy or fenestration, and 1 (0.8%) during interbody fusion. Of 133 incidents, dural tear occurred in 99 (74.4%), injury of the cauda equina or a nerve root in 7 (5.3%), facet fracture in 7 (5.3%), hematoma and wrong level in 6 each (4.5%), and wrong side and bedsore in 1 each (0.8%). The incident level was level 1 in 6, level 2 in 24, level 3a in 82, level 3b in 16, level 4 in 5, and level 5 (fatal) in 0. Conclusions: The results of this survey revealed an increasing trend of spinal endoscopic surgery and a decreasing trend of the complication rates. The complication rates of spinal endoscopic surgery were not higher than those of conventional surgery, indicating the safety of this surgical method.

AB - Background: This report was conducted to elucidate the current status of spinal endoscopic surgery and relevant incidents through analysis of the results of a questionnaire survey conducted in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of the Japanese Orthopaedic Association (JOA). Methods: Questionnaire forms were sent to 2011 training facilities nationwide certified by the JOA, and 1082 of these facilities returned the filled questionnaires (response rate 53.8%). Of these facilities, 257 (23.8% of the responding facilities) undertook spinal endoscopic surgery in 2007. These institutions were asked to fill in the survey form with the details of the operations and relevant incidents as well as the incident levels. Results: In total, the 257 facilities performed 6239 spinal endoscopic surgeries during 2007. Posterior spinal endoscopic surgery constituted most of the operations (6217 cases, 98.2%) including 4336 cases of microendoscopic discectomy (MED), 1273 cases of microendoscopic laminectomy or fenestration, and 379 cases of transforaminal or posterior lumbar interbody fusion. The total number of incidents was 133 (2.13%). The numbers of incidents by operative method were 75 (56.4%) during MED, 57 (42.9%) during microendoscopic laminectomy or fenestration, and 1 (0.8%) during interbody fusion. Of 133 incidents, dural tear occurred in 99 (74.4%), injury of the cauda equina or a nerve root in 7 (5.3%), facet fracture in 7 (5.3%), hematoma and wrong level in 6 each (4.5%), and wrong side and bedsore in 1 each (0.8%). The incident level was level 1 in 6, level 2 in 24, level 3a in 82, level 3b in 16, level 4 in 5, and level 5 (fatal) in 0. Conclusions: The results of this survey revealed an increasing trend of spinal endoscopic surgery and a decreasing trend of the complication rates. The complication rates of spinal endoscopic surgery were not higher than those of conventional surgery, indicating the safety of this surgical method.

UR - http://www.scopus.com/inward/record.url?scp=77249094224&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77249094224&partnerID=8YFLogxK

U2 - 10.1007/s00776-009-1428-6

DO - 10.1007/s00776-009-1428-6

M3 - Article

VL - 15

SP - 92

EP - 96

JO - Journal of Orthopaedic Science

JF - Journal of Orthopaedic Science

SN - 0949-2658

IS - 1

ER -