[Systematic review of complications for proper informed consent(12)decompression or fixation surgery of the lumbar spine].

A systematic review of the English- and Japanese-language literature related to complications and reoperation rates of spinal surgery for degenerative lumbar disease was undertaken for articles published between 1993 and 2012. From these references, key articles were selected to determine the incidence of clinical perioperative and postoperative adverse events for different types of degenerative lumbar diseases. The mortality rate after lumbar degenerative spinal surgery was 0.20% in the large-scale clinical studies evaluated. In this review series, the complication rates for lumbar canal stenosis(LCS), degenerative spondylolisthesis(DS), and lumbar disc herniation(LDH)were 7.6%, 8.5%, and 3.5%, respectively. The reoperation rates for LCS, DS, and LDH were 8.1%, 8.0%, and 6.2%, respectively. These data are helpful for spinal surgeons to apprise patients who have spinal surgery for degenerative lumbar disease of the possible risks of surgical procedures and reoperation rates.