Complication |
Leading To |
Odds |
Nerve Root Injury |
Pain/weakness/numbness in the arm / leg. The impairment may be temporary or permanent. |
1 in 60 |
Damage to the nerves supplying the bladder (cauda equina syndrome) |
No control or reduced control passing urine or faeces. Weakness and/or numbness in the legs. |
1 in 100 |
Tear of the lining of spinal canal (dura) |
Headache and a leaky wound. Occasionally a second operation to repair the tear (1 in 300). |
1 in 20 |
Infection |
Wound discharge, fever and chills. |
1 in 50 |
Wound swelling (Seroma) |
Fluid collection under the skin. Majority amenable to aspiration alone. Occasionally wound is re-opened to drain. |
1 in 60 |
Recurrent disc herniation |
Recurrence of pain requiring second operation either within a few days or at any time in the future. |
1 in 20 |
Respiratory |
Need for support of ventilation. Occasionally emergency operation to relieve the obstruction (1 in 50) |
1 in 30 |
Oesophageal (gullet) injury |
Difficulty with swallowing. Generally temporary. Re-operation to repair the oesophagus may be needed (1in 100) |
1 in 12 |
Recurrent laryngeal nerve injury |
Hoarse voice – temporary (common) or permanent (rare). |
1 in 20 |
Vertebral artery injury |
Bleeding |
1 in 300 |
Failure of bone healing (non-union) |
Persistent pain. Recurrence of deformity. |
1 in 6 |
Bone graft donor site pain |
Pain |
1 in 8 |
Hardware breakage / loosening, Dislocation of implant |
Pain. Recurrent deformity. Probable second operation to re-position or remove any implant. |
1 in 100 |
Pedicle screw malposition |
Weakness / numbness / bleeding / lung injury |
1 in 25 |
Intestine (gut) blockage (ileus) |
Distended abdomen, vomiting and constipation. |
1 in 100 |
Retrograde ejaculation |
Infertility. |
1 in 75 |
Spinal cord injury |
Loss of arm and leg function: Quadriplegia / Paraplegia – permanent. Quadriparesis / Paraparesis – may be temporary or permanent. |
1 in 250 |