• World Neurosurg · Mar 2024

    Review Case Reports

    Clinical Considerations and Outcomes for Spine Surgery Patients with a History of Transplant: A Systematic Scoping Review.

    • Roshini Kalagara, Zerubabbel K Asfaw, Matthew Carr, Addison Quinones, Margaret H Downes, Vikram Vasan, Troy Li, Lily McCarthy, Eugene I Hrabarchuk, Lisa Genadry, Alexander J Schupper, Samuel DeMaria, Jonathan S Gal, and Tanvir F Choudhri.
    • Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: roshini.kalagara@icahn.mssm.edu.
    • World Neurosurg. 2024 Mar 1; 183: 9410594-105.

    ObjectiveThe objective of this study was to investigate the perioperative management and outcomes of patients with a prior history of successful transplantation undergoing spine surgery.MethodsWe searched Medline, Embase, and Cochrane Central Register of Controlled Trials for matching reports in July 2021. We included case reports, cohort studies, and retrospective analyses, including terms for various transplant types and an exhaustive list of key words for various forms of spine surgery.ResultsWe included 45 studies consisting of 34 case reports (published 1982-2021), 3 cohort analyses (published 2005-2006), and 8 retrospective analyses (published 2006-2020). The total number of patients included in the case reports, cohort studies, and retrospective analysis was 35, 48, and 9695, respectively. The mean 1-year mortality rate from retrospective analyses was 4.6% ± 1.93%, while the prevalence of perioperative complications was 24%. Cohort studies demonstrated an 8.5% ± 12.03% 30-day readmission rate. The most common procedure performed was laminectomy (38.9%) among the case reports. Mortality after spine surgery was noted for 4 of 35 case report patients (11.4%).ConclusionsThis is the first systematic scoping review examining the population of transplant patients with subsequent unrelated spine surgery. There is significant heterogeneity in the outcomes of post-transplant spine surgery patients. Given the inherent complexity of managing this group and elevated mortality and complications compared to the general spine surgery population, further investigation into their clinical care is warranted.Copyright © 2023 Elsevier Inc. All rights reserved.

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