Neuroanesthesia & neurocritical care

Incidence and risk factors of pulmonary complications after lumbar spine surgery, 2010–2019

Perioper Med (Lond)Published Retrospective cohort study

Authors' conclusion

The results of our study revealed a relatively low incidence of pulmonary complications subsequent to lumbar spine surgery.

Study context

Population
Patients undergoing lumbar spine surgery, Nationwide Inpatient Sample, 2010–2019
Participants
932,563 lumbar spine operations
Exposure
Patients with vs without pulmonary complications after lumbar spine surgery
Outcome
Incidence of pulmonary complications after lumbar spine surgery
Methodological detailsnational database (Nationwide Inpatient Sample)
  • National database (Nationwide Inpatient Sample)

Main finding

As reported in the abstract

Overall incidence of pulmonary complications

Overall incidence of pulmonary complications after lumbar spine surgery

3.54%

Observational data: associations, not effects.

Further findings

Outcomes in patients with pulmonary complications

Prolonged LOS, higher in-hospital charges and more preoperative complications with pulmonary complications
P < 0.001

Factors associated with pulmonary complications

Associated preoperative comorbidities: alcohol abuse, deficiency anemia, coagulopathy, diabetes (uncomplicated), drug abuse, metastatic cancer, psychoses, renal failure, weight loss
Associated postoperative complications: blood transfusion, cardiac arrest, postoperative delirium, septicemia, thrombocytopenia, hemorrhage/seroma/hematoma, nerve injuries, wound infection
Also associated: advanced age (≥ 75 years), number of comorbidity, insurance type (Medicaid and Private insurance), teaching hospital, urban hospital

Original publication

Incidence and risk factors of pulmonary complications after lumbar spine surgery, 2010–2019. Perioper Med (Lond). Published 19 August 2025. doi:10.1186/s13741-025-00576-y

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