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Angevine, Peter D.; Arons, Ray; Mccormick, Paul

doi:10.1097/00007632-200305010-00016

Cited by 17 publications

(22 citation statements)

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“…19 The present study selects for a unique population and finds the same regional inclination. Higher rates of surgery in the south could be due to a higher distribution of surgeons and the larger population in the South.…”

Section: Discussionmentioning

confidence: 99%

National trends in the management of central cord syndrome: an analysis of 16,134 patients

et al. 2015

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Background Context Central cord syndrome (CCS) is a common cause of incomplete spinal cord injury. However, to date, national trends in the management and mortality following central cord syndrome are not fully understood. Purpose To analyze how patient, surgical and institutional factors influence surgical management and mortality following CCS. Study Design/Setting Retrospective cohort analysis Patient Sample The Nationwide Inpatient Sample (NIS) was queried for records of patients with a diagnosis of CCS from 2003 through 2010. Outcome Measures In-hospital mortality and surgical management, including anterior cervical decompression and fusion (ACDF), posterior cervical decompression and fusion (PCDF), and posterior cervical decompression (PCD). Methods Using ICD9-CM codes, patient records with a diagnosis of CCS from 2003–2010 were selected from the NIS database and sorted by in-patient mortality and surgical management. Demographic information (age, gender, race) and hospital characteristics were evaluated with χ2-tests for categorical variables and T-tests for continuous variables. Multivariate logistic regression models controlled for confounding. The authors report no sources of funding or conflicts of interest related to this study. Results In this sample of 16,134 patients, a total of 39.7% of patients (6,351) underwent surgery. ACDF was most common (19.4%), followed by PCDF (7.4%) and PCD (6.8%). From 2003–10, surgical management increased by an average of 40% each year. The overall inpatient mortality rate was 2.6% Increasing age and comorbidities were associated with higher rates of patient mortality and a decreasing surgical rate (p < 0.01). Hospitals greater than 249 beds (p < 0.01) and the south (p < 0.01) were associated with a higher surgical rate. Rural hospitals (p < 0.01) and persons in the second income quartile (p < 0.01) were associated with higher inpatient mortality. Conclusion Elderly patients with medical comorbidities are associated with a lower surgical rate and a higher mortality rate. Surgical management was more prevalent in the south and large hospitals. Mortality was higher in rural hospitals. It is important for surgeons to understand how patient, surgical and institutional factors influence surgical management and mortality.

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Section: Discussionmentioning

confidence: 99%

National trends in the management of central cord syndrome: an analysis of 16,134 patients

et al. 2015

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“…1-6 The number of patients undergoing anterior surgery has increased during the past few decades and this approach has generally been accepted as a safe and reliable procedure. 7,8 Increasing rates of anterior surgery are likely due to technical advances and improved safety and because of expanding indications to older and sicker populations. 8 Anterior cervical surgery often results in significant improvements in functional status and quality of life in patients with a wide range of neurological deficits.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Outcomes in Patients Undergoing Reintubation After Anterior Cervical Spine Surgery: Results From the AOSpine North America Multicenter Study on 8887 Patients

Nagoshi

Fehlings

Nakashima

et al. 2017

Global Spine Journal

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Study Design:A multicenter, retrospective cohort study.Objective:To evaluate clinical outcomes in patients with reintubation after anterior cervical spine surgery.Methods:A total of 8887 patients undergoing anterior cervical spine surgery were enrolled in the AOSpine North America Rare Complications of Cervical Spine Surgery study. Patients with or without complications after surgery were included. Demographic and surgical information were collected for patients with reintubation. Patients were evaluated using a variety of assessment tools, including the modified Japanese Orthopedic Association scale, Nurick score, Neck Disability Index, and Short Form-36 Health Survey.Results:Nine cases of postoperative reintubation were identified. The total prevalence of this complication was 0.10% and ranged from 0% to 0.59% across participating institutions. The time to development of airway symptoms after surgery was within 24 hours in 6 patients and between 5 and 7 days in 3 patients. Although 8 patients recovered, 1 patient died. At final follow-up, patients with reintubation did not exhibit significant and meaningful improvements in pain, functional status, or quality of life.Conclusions:Although the prevalence of reintubation was very low, this complication was associated with adverse clinical outcomes. Clinicians should identify their high-risk patients and carefully observe them for up to 2 weeks after surgery.

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“…It has excellent clinical results and relatively safe so that it has been the one of the most common procedure for degenerative spinal cervical disease and more than 5 milion operations have been conducted in the United States between the period of 1990-1999 [1]. A various trials and experiments have been carried out in the last decades to get better results from the procedure, and it was essential to develop new graft materials and implants for this, but these changes could not always guarantee the better results.…”

Section: Introductionmentioning

confidence: 99%

Current Concepts of Anterior Cervical Discectomy and Fusion: A Review of Literature

Song

Choi

2014

Asian Spine J

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Anterior cervical discectomy and fusion (ACDF) is a safe and effective procedure for degenerative cervical spinal disease unresponsive to conservative management and its outstanding results have been reported. To increase fusion rates and decrease complications, numerous graft materials, cage, anterior plating and total disc replacement have been developed, and better results were reported from those, but still there are areas that have not been established. Therefore, we are going to analyze the treatment outcome with the various procedure through the literature review and determine the efficacy of ACDF.

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Abstract: Although the rate of surgery for cervical disc disease did not increase significantly during the 1990s, the rate of fusion procedures did rise significantly.

Cited by 17 publications

References 0 publications

National trends in the management of central cord syndrome: an analysis of 16,134 patients

National trends in the management of central cord syndrome: an analysis of 16,134 patients

Prevalence and Outcomes in Patients Undergoing Reintubation After Anterior Cervical Spine Surgery: Results From the AOSpine North America Multicenter Study on 8887 Patients

Current Concepts of Anterior Cervical Discectomy and Fusion: A Review of Literature

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