Table 3.
Complication category | Major | Minor |
---|---|---|
Respiratory | Respiratory distress of any cause (significantly low oxygen saturation or prolonged intubation), pneumonia, significant atelectasis (requiring prolonged chest tube) | Asymptomatic pleural effusion, pneumothorax, atelectasis, or lung contusion |
Neurologic | Convulsions, motor or sensory deficiencies, prolonged urinary retention | Temperature difference between legs |
Hematologic | Continuous bleeding from incisions, venous thrombosis | Asymptomatic coagulopathy or thrombocytopenia |
Gastrointestinal | Recurrent gastrointestinal bleeding | Constipation, elevated liver enzymes or bilirubin, nausea or vomiting |
Cardiovascular | Hemodynamic instability (defined as systolic pressure < 90 mm Hg combined with clinical parameters of low peripheral perfusion) | Low blood pressure at arrival to the floor, temporary oliguria |
Wound/Infection | Wound infection requiring return to the operating room | Wound resolved with local wound care, urinary tract infection |
Instrumentation failure | Required reoperation | Asymptomatic |
Curve progression | Required reoperation | Asymptomatic |
Miscellaneous | Decubitus ulcer, fever > 39°C | Fever ≤ 39°C |
* Modified from Hod-Feins et al. [7].