ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1528409
This article is part of the Research TopicMinimally Invasive Treatments for Lumbar Spine DisordersView all 21 articles
Incidence and risk factors contributing to ileus after posterior approach for lumbar surgery：A retrospective study
Provisionally accepted
- 1Third Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang Province, China
- 2First Affiliated Hospital of Harbin Medical University, Harbin, China
- 3Beijing University of Chinese Medicine, Beijing, Beijing Municipality, China
- 4Second Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang Province, China
- 5Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, Beijing, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Objective. The retrospective study aimed to identify the incidence and possible predictive factors associated with ileus after posterior approach for lumbar surgery.Patients and Methods. 267 patients underwent posterior approach for lumbar surgery between 2012 to 2020 were analyzed in this analysis. The differences between the two groups and risk factors of ileus were explored. Results. Patients' characteristics showed no significant differences among the two groups. This revealed that gender, age, smoking, hypertension and diabetes were not associated with POI. Patients with POI would increase length of hospital stay significantly (P=0.015). Operative segment (OR: 1.40,3.33, P = 0.04 and 0.02), postoperative blood potassium(OR: 0.92,0.31, P = 0.04) and previous abdominal surgery(OR: 3.02, P = 0.01) were significant independent risk factors for POI. Operation time, blood loss, and anesthesia type were not considered as risk factors for POI.Postoperative ileus would increase the length of stay in hospital significantly. Operative segment, postoperative blood potassium and previous abdominal surgery were significantly associated with the POI, which should be highlighted in the preoperative evaluation.
Keywords: Risk factor (RF), Postoperative ileus (POI), Posterior lumbar surgery, Retrospective study, Lumbar surgery
Received: 14 Nov 2024; Accepted: 11 Aug 2025.
Copyright: © 2025 Bao, Liang, Liu, Wang, Ma, Cui, Tian, Wang and Guan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Le Wang, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, 100078, Beijing, China
Fulin Guan, First Affiliated Hospital of Harbin Medical University, Harbin, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.