Predictors of postoperative urinary retention after posterior spinal fusion for adolescent idiopathic scoliosis

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dc.contributor.author Yrjälä, Tommi
dc.contributor.author Helenius, Linda
dc.contributor.author Taittonen, Markku
dc.contributor.author Oksanen, Hanna
dc.contributor.author Keskinen, Heli
dc.contributor.author Kolari, Terhi
dc.contributor.author Helenius, Ilkka
dc.date.accessioned 2022-02-17T09:41:02Z
dc.date.available 2022-02-17T09:41:02Z
dc.date.issued 2021-12
dc.identifier.citation Yrjälä , T , Helenius , L , Taittonen , M , Oksanen , H , Keskinen , H , Kolari , T & Helenius , I 2021 , ' Predictors of postoperative urinary retention after posterior spinal fusion for adolescent idiopathic scoliosis ' , European Spine Journal , vol. 30 , no. 12 , 122920 , pp. 3557-3562 . https://doi.org/10.1007/s00586-021-07016-7
dc.identifier.other PURE: 169239133
dc.identifier.other PURE UUID: c4d0f3eb-e857-4b3f-947c-ae5e3e2f2e33
dc.identifier.other WOS: 000703824500004
dc.identifier.other ORCID: /0000-0001-5200-3279/work/108463232
dc.identifier.uri http://hdl.handle.net/10138/340535
dc.description.abstract Purpose To determine predictors for postoperative urinary retention in adolescents undergoing posterior spinal fusion for idiopathic scoliosis. Postoperative urinary retention affects almost every third adolescent after spinal fusion for idiopathic scoliosis. There are limited data regarding the risk factors of postoperative urinary retention in this patient group. Methods A retrospective study with prospectively collected urinary retention data from paediatric spine register with 159 consecutive patients (114 females, mean age 15.6 years, range 10-21 years) undergoing pedicle screw instrumentation for adolescent idiopathic scoliosis at a university hospital between May 2010 and April 2020. Postoperative urinary retention was defined as an inability to void after catheter removal and documented residual over 300 mL as confirmed using an ultrasound or by catheterization. Results Postoperative urinary retention was diagnosed in 33% (53 of 159) of the patients during hospital stay. Opioid amount on the day of catheter removal (OR 6.74 [95% CI: 2.47, 18.36], p < 0.001), male gender (OR 2.26 [95% CI: 1.01, 5.05], p = 0.048), and increasing weight (OR 1.04 [95% CI: 1.01, 1.07], p = 0.014) were associated with postoperative urinary retention. Mean opioid consumption on the day of catheter removal was 0.81 mg/kg (95% CI: 0.66, 0.96) in the retention group vs 0.57 mg/kg (95% CI: 0.51, 0.64) in the non-retention group, p < 0.001. Conclusions Higher total opioid consumption, opioid amount on the day of catheter removal, higher weight, and male gender increases the risk of postoperative urinary retention in adolescents with idiopathic scoliosis undergoing posterior spinal fusion. en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof European Spine Journal
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.subject Postoperative urinary retention
dc.subject Adolescent idiopathic scoliosis
dc.subject Posterior spinal surgery
dc.subject Opioid consumption
dc.title Predictors of postoperative urinary retention after posterior spinal fusion for adolescent idiopathic scoliosis en
dc.type Article
dc.contributor.organization Department of Surgery
dc.contributor.organization I kirurgian klinikka (Töölö)
dc.contributor.organization HUS Musculoskeletal and Plastic Surgery
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1007/s00586-021-07016-7
dc.relation.issn 0940-6719
dc.rights.accesslevel openAccess
dc.type.version submittedVersion

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