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- Title
Preoperative lymphocyte percentage and neutrophil-lymphocyte ratio are useful predictors of 30-day postoperative complications after lumbar fusion.
- Authors
Osunronbi, Temidayo; Borbas, Balint; Lusta, Hiba; Sofela, Agbolahan; Sharma, Himanshu
- Abstract
Background: Lymphocyte percentage/count, platelet-lymphocyte ratio (PLR), and neutrophil-lymphocyte ratio (NLR) have shown prognostic significance in patients with cancer, stroke, and following cardiac surgery. However, the utility of these blood parameters for assessing the 30-day postoperative risk for lumbar fusion complications has not been established. Methods: In this single-center-single-surgeon retrospective series, 77 consecutive patients underwent one- or two-level lumbar fusion. Lymphocyte percentage/count, PLR, and NLR were investigated as predictors of 30-day postoperative complications. Results: Ten of 77 patients had postoperative complications. A unit increase in NLR and lymphocyte percentage was significantly associated with a 23% increase and 7% decrease, respectively, in the odds of a complication occurring. Preoperative NLR = 2.32 and lymphocyte percentage = 29.5% significantly discriminated between the "complication" and "no-complication" groups. Conclusion: Patients with a preoperative lymphocyte percentage of =29.5% and/or NLR =2.32 should be closely monitored as high-risk groups susceptible to 30-day postoperative complications after lumbar fusion.
- Subjects
NEUTROPHIL lymphocyte ratio; SURGICAL complications; LYMPHOCYTE count; LYMPHOCYTES; PLATELET lymphocyte ratio; CARDIAC surgery
- Publication
Surgical Neurology International, 2022, Vol 13, p1
- ISSN
2229-5097
- Publication type
Article
- DOI
10.25259/SNI_160_2022