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Impact of surgical approach on complication rates after elective spinal fusion (≥3 levels) for adult spine deformity.

Publication ,  Journal Article
Elsamadicy, AA; Adogwa, O; Behrens, S; Sergesketter, A; Chen, A; Mehta, AI; Vasquez, RA; Cheng, J; Bagley, CA; Karikari, IO
Published in: Journal of spine surgery (Hong Kong)
March 2017

While there are variations in techniques and surgical approaches to spinal fusion, there is not a defined consensus on a recommended surgical approach. The aim of this study is to determine if there was a difference in intra- and post-operative complication rates between different surgical approaches after elective spinal fusion (≥3 levels) for adult spine deformity.The medical records of 443 adult spine deformity patients undergoing elective spinal fusion (≥3) at a major academic institution from 2005 to 2015 were reviewed. We identified 96 (21.7%) anterior only, 225 (50.8%) posterior only, and 122 (27.5%) combined anterior/posterior approaches taken for spinal fusion (anterior: n=96; posterior: n=225). Patient demographics, comorbidities, anatomical location, and complication rates were collected for each patient. The primary outcome investigated in this study was the rate of intra- and post-operative complications.Patient demographics and comorbidities were similar between all groups. The posterior approach had significantly higher EBL (P<0.0001) and number of PRBC blood transfusions (P<0.002), while the combined approach had a higher operative time (P<0.0001). The posterior approach had a significantly higher rate of intraoperative durotomies than anterior and combined (anterior: 0% vs. posterior: 11.1% vs. combined: 4.1%, P<0.0001). There was no significant difference in the rate 30-day readmissions between the cohorts (anterior: 10.4% vs. posterior: 12.8% vs. combined: 13.1%, P=0.80).Our study suggests that posterior approaches to spinal fusion may lead to a higher incidence of complications compared to anterior or combined anterior/posterior approaches.

Duke Scholars

Published In

Journal of spine surgery (Hong Kong)

DOI

EISSN

2414-4630

ISSN

2414-469X

Publication Date

March 2017

Volume

3

Issue

1

Start / End Page

31 / 37
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Elsamadicy, A. A., Adogwa, O., Behrens, S., Sergesketter, A., Chen, A., Mehta, A. I., … Karikari, I. O. (2017). Impact of surgical approach on complication rates after elective spinal fusion (≥3 levels) for adult spine deformity. Journal of Spine Surgery (Hong Kong), 3(1), 31–37. https://doi.org/10.21037/jss.2017.03.09
Elsamadicy, Aladine A., Owoicho Adogwa, Shay Behrens, Amanda Sergesketter, Angel Chen, Ankit I. Mehta, Raul A. Vasquez, Joseph Cheng, Carlos A. Bagley, and Isaac O. Karikari. “Impact of surgical approach on complication rates after elective spinal fusion (≥3 levels) for adult spine deformity.Journal of Spine Surgery (Hong Kong) 3, no. 1 (March 2017): 31–37. https://doi.org/10.21037/jss.2017.03.09.
Elsamadicy AA, Adogwa O, Behrens S, Sergesketter A, Chen A, Mehta AI, et al. Impact of surgical approach on complication rates after elective spinal fusion (≥3 levels) for adult spine deformity. Journal of spine surgery (Hong Kong). 2017 Mar;3(1):31–7.
Elsamadicy, Aladine A., et al. “Impact of surgical approach on complication rates after elective spinal fusion (≥3 levels) for adult spine deformity.Journal of Spine Surgery (Hong Kong), vol. 3, no. 1, Mar. 2017, pp. 31–37. Epmc, doi:10.21037/jss.2017.03.09.
Elsamadicy AA, Adogwa O, Behrens S, Sergesketter A, Chen A, Mehta AI, Vasquez RA, Cheng J, Bagley CA, Karikari IO. Impact of surgical approach on complication rates after elective spinal fusion (≥3 levels) for adult spine deformity. Journal of spine surgery (Hong Kong). 2017 Mar;3(1):31–37.

Published In

Journal of spine surgery (Hong Kong)

DOI

EISSN

2414-4630

ISSN

2414-469X

Publication Date

March 2017

Volume

3

Issue

1

Start / End Page

31 / 37