• Eur Spine J · Dec 2021

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

    • Tommi Yrjälä, Linda Helenius, Markku Taittonen, Hanna Oksanen, Heli Keskinen, Terhi Kolari, and Ilkka Helenius.
    • Department of Anaesthesia and Intensive Care, University of Turku and Turku University Hospital, Kiinamyllynkatu 4-8, 20521, Turku, Finland. tommi.yrjala@tyks.fi.
    • Eur Spine J. 2021 Dec 1; 30 (12): 3557-3562.

    PurposeTo 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.MethodsA 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.ResultsPostoperative 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.ConclusionsHigher 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.© 2021. The Author(s).

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