{Reference Type}: Journal Article
{Title}: Lumbar Lordosis is a Risk Factor for Lumbar Catheter Fracture of Lumboperitoneal Shunt.
{Author}: Touhara K;Murakami T;Toyota S;Okuhara S;Takahara M;Hoshikuma Y;Yamada S;Achiha T;Kobayashi M;Kishima H;
{Journal}: World Neurosurg
{Volume}: 187
{Issue}: 0
{Year}: 2024 Jul 9
{Factor}: 2.21
{DOI}: 10.1016/j.wneu.2024.05.005
{Abstract}: <B>OBJECTIVE: </B>This study aimed to investigate the causes of lumboperitoneal (LP) shunt failure and determine risk factors for lumbar catheter fracture.<BR><B>METHODS: </B>We retrospectively investigated 149 patients who underwent LP shunting in our hospital between January 2012 and March 2023. Shunt reconstruction occurred in 22 patients (14.8%). Among these, cause of failure was lumbar catheter fracture in 5 (22.7%). Patient backgrounds, cause of LP shunt failure, surgical technique factors, and anatomical characteristics were extracted for comparative analysis and risk factors of lumbar catheter fracture were analyzed.<BR><B>RESULTS: </B>Compared with the no reoperation group (n = 127), patients in the lumbar catheter fracture tended to be younger (63 ± 20 vs. 72 ± 11 years) and favorable neurologic status (modified Rankin scale score ≤2) after initial LP shunt; however, the differences were not significant. Lumbar lordosis was significantly higher in the lumbar catheter fracture group (52.7°± 14.8° vs. 37.1°± 12.3°; P = 0.0067).<BR><B>CONCLUSIONS: </B>Excessive lumbar lordosis is a risk factor for lumbar catheter fracture in patients undergoing LP shunting. Younger age and higher level of postoperative activities of daily living might also be associated with lumbar catheter fracture.