NARRATIVE REVIEWPerioperative Complications of Spinal Metastases SurgeryLuksanapruksa, Panya MD*; Buchowski, Jacob M. MD, MS†; Zebala, Lukas P. MD†; Kepler, Christopher K. MD, MBA‡; Singhatanadgige, Weerasak MD, MS§; Bumpass, David B. MD∥Author Information *Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand †Department of Orthopedic Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO ‡Department of Orthopedics, Rothman Institute, Thomas Jefferson University, Philadelphia, PA §Department of Orthopedic Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand ∥Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR L.P.Z: consultant for K2M, Inc., Medtronic, Inc., and has speaking arrangements with DePuy Synthes, Inc., Medtronic, Inc., and Ulrich Medical. Washington University receives spine fellowship support from AO North America and OMeGA. J.M.B: receives royalties from Globus Medical, Inc., K2M, Inc., and Wolters Kluwer Health/Lippincott Williams & Wilkins. He is a consultant for DePuy Synthes, Inc., Globus Medical, Inc., K2M, Inc., Medtronic, Inc., and Stryker, Inc. and has speaking arrangements with DePuy Synthes, Inc., Globus Medical, Inc., and Stryker, Inc. Washington University receives spine fellowship support from AO North America and OMeGA. The other authors have no conflict of interest to declare. Reprints: Jacob M. Buchowski, MD, MS, Department of Orthopedic Surgery, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, St. Louis, MO 63110 (e-mail: [email protected]). Clinical Spine Surgery: February 2017 - Volume 30 - Issue 1 - p 4-13 doi: 10.1097/BSD.0000000000000484 Buy Erratum Metrics Abstract The incidence of symptomatic spinal metastasis has increased due to treatment improvements and longer patient survival. More patients with spinal tumors are choosing operative treatment with an associated increased rate of perioperative complications. Operative metastatic disease treatment complication rates have also increased with overall rates ranging from 5.3% to 76.20%. The common surgical-related complications are iatrogenic dural injury and wound complications. The most common postoperative medical complications are delirium, pneumonia, and deep vein thrombosis. Risk factors for perioperative complications after spinal metastatic surgery include older age, multilevel of spinal metastases, preoperative irradiation, low preoperative Karnofsky Performance Score (10–40) and multiple comorbidities. Charlson Comorbidity Index and New England Spinal Metastasis Score were significant predictor of 30-day complications. The reoperation rate is 10.7%, and the reoperation is most commonly performed in the same admission. In addition, the 30-day mortality rate in this patient population is ∼7% (0.9%–13%) and is influenced by the type of cancer, disease burden, and patient comorbidities. We reviewed the prevalence and risk factors of common perioperative complications that occur with surgical treatment of metastatic spine disease, in an effort to guide the spine surgeon in anticipating and potentially avoiding these complications. Erratum In the article “Perioperative complications of spinal metastases surgery,” which appears in volume 30, issue 1 of Clinical Spine Surgery , some information is missing in 2 tables. Table 5 is missing adaptation information in the footnote for the table’s original source and its corresponding reference from the reference list, which should have been included as reference 42. Table 5 was adapted with permission from: Fisher et al. A novel classification system for spinal instability in neoplastic disease: an evidence-based approach and expert consensus from the Spine Oncology Study Group. Spine (Phila Pa 1976) . 2010;35:E1221–E1229. Also, in Table 1, averages are provided as percentages. This information was omitted from the table header. Clinical Spine Surgery. 30(3):136, April 2017. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.