Outcomes of anterior vs. posterior approach to single-level lumbar spinal fusion with interbody device: An analysis of the nationwide inpatient sample

Stefano, Frank De; Haddad, Hannah; Mayo, Timothy; Nouman, Muhammad Tahir

doi:10.1016/j.clineuro.2021.107061

Cited by 7 publications

(9 citation statements)

References 23 publications

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“…showed that patients who underwent anterior fixation surgery had more complications and morbidity than posterior approach. [ 3 ] In our study, rate of complications was low and had acceptable results.…”

Section: Discussionmentioning

confidence: 57%

Radiological outcome of operative treatment with posterior approach in patients with thoracolumbar junction traumatic injuries: A single-center pilot study in a developing country

Safdari

Pishjoo

et al. 2022

Surgical Neurology International

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Background: The thoracolumbar junction (TLJ) represents a transition zone of the spine that leads to a high incidence of fractures. The treatment of burst fractures remains controversial regarding the ideal management. This study assessed the postoperative radiological outcome of TLJ fixation in patients with TLJ injuries who underwent surgery. Methods: All traumatic patients with TLJ injuries who were referred to the Khatam hospital of Zahedan between 2015 and 2020, with their thoracolumbar injury classification and severity score (TLICS) of four or more and who underwent surgery, were included in this study. The patients who entered the study were called for a follow-up examination. The degree of kyphosis, proximal junctional kyphosis, and fusion were assessed in these patients. Results: Among 273 patients, the average age was 43.5 ± 12.3 (21–73) years. One hundred and ninety-eight patients (72.5%) had no neurological symptoms at admission. Based on the above criteria, the kyphosis angle of these patients was calculated before surgery, which in 46 patients (16.8%), the kyphosis angle was more than 25°. Preoperation kyphosis was significantly associated with follow-up kyphosis (P < 0.001). Evidence of no fusion was also observed in 22 patients (8.1%). According to the Chi-square test, no association was observed between preoperative kyphosis and postoperative complications, including PJK and fusion (P > 0.05). Conclusion: According to our study, the posterior spinal fixation procedure is a low-complication method with an acceptable radiological outcome. Although kyphosis before surgery is a factor in developing long-term kyphosis, it is not associated with nonfusion and PJK.

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Section: Discussionmentioning

confidence: 57%

Radiological outcome of operative treatment with posterior approach in patients with thoracolumbar junction traumatic injuries: A single-center pilot study in a developing country

Safdari

Pishjoo

et al. 2022

Surgical Neurology International

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“…Patients were first identified by ICD-9(805.2, 806.2×, 805.4, 806.4) and ICD-10 (S22.0xxA, S32.0sxxA) diagnostic codes for thoracolumbar fractures. Patients who underwent non-elective anterior or posterior fusion for thoracolumbar fracture were then subsequently identified using specific ICD-9 (81.02, 81.04, 81.06, 81.03, 81.05, 81.07, 81.08), and ICD-10 (0RGsxy1, 0RGsxyJ, OSGsxyJ1) diagnostic codes for fusion ( De Stefano et al, 2022 ). All patients received in hospital treatment for their surgery.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of perioperative care and drivers of cost in geriatric thoracolumbar trauma

Tarawneh,

Narayanan,

McCurdy

et al. 2024

Brain and Spine

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“…A colelitíase é a doença cirúrgica abdominal mais comum nos indivíduos idosos e diversos estudos descrevem o aumento das colecistectomias em octagenários. O delírio foi apontado como complicação pós-operatória em idosos em alguns estudos, podendo estar presente em cirurgias abdominais de grande porte (Stefano et al, 2022;Tran et al, 2022).…”

Section: Estudo Prospectivounclassified

“…As complicações pós-operatórias representam importante causa de óbito e motivo para admissão na Unidade de Terapia Intensiva (UTI) (Stefano et al, 2022). Como o envelhecimento está associado a maior prevalência de comorbidades, os pacientes mais idosos tendem a apresentar mais eventos mórbidos (Tran et al, 2022).…”

Section: Introductionunclassified

Complicações pós-cirúrgicas em pacientes idosos: revisão integrativa de literatura

Barros

Pena

Silva

et al. 2022

RSD

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ResumoObjetivo: O objetivo deste estudo é identificar e analisar as produções científicas na literatura mundial sobre complicações no pós-operatório em pacientes idosos. Método: Trata-se de uma revisão integrativa da literatura cuja busca de dados foi realizada em diferentes bases de dados utilizando os descritores "Health of the Elderly", "Perioperative Care", "Postoperative Complications", "Patient Care" nas bases de dados eletrônicas: Medical Literature Analysis and Retrieval System Online (MEDLINE) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) via via Biblioteca Virtual de Saúde (BVS). Scientific Eletronic Library Online (SciELO), Web of Science (WOS), Cinahl e Scopus via Portal de Periódicos CAPES e Cochrane Library. Resultados e Discussão: Identificou-se, um total de 938 estudos nas referidas bases de dados. Sendo 163 Medline, 86 no LILACS, 73 na SciELO, 296 na base de dados Scopus, 208 no Web of Science, 54 na base da Cochrane Library e 58 na CINAHL, após critérios de exclusão a amostra final foi 13 artigos. Complicações foram observadas em diversas especialidades cirúrgicas, sendo a fragilidade na saúde do idoso um potencial para complicações e aumento do tempo de internação hospitalar. Conclusão: O fator "idade" predispõe às complicações no perioperatório. Foram observadas complicações em várias especialidades cirúrgicas, sendo a fragilidade na saúde do idoso o potencial para complicações e aumento do tempo de internação hospitalar. Procedimentos invasivos e de longa duração está sendo realizados cada vez mais em idosos. O controle e vigilância da anestesia e os protocolos hospitalares são de grande utilidade nessa fase. Palavras-chave: Complicações pós-operatórias; Assistência perioperatória; Assistência ao paciente; Saúde do idoso.

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Outcomes of anterior vs. posterior approach to single-level lumbar spinal fusion with interbody device: An analysis of the nationwide inpatient sample

Cited by 7 publications

References 23 publications

Radiological outcome of operative treatment with posterior approach in patients with thoracolumbar junction traumatic injuries: A single-center pilot study in a developing country

Radiological outcome of operative treatment with posterior approach in patients with thoracolumbar junction traumatic injuries: A single-center pilot study in a developing country

Evaluation of perioperative care and drivers of cost in geriatric thoracolumbar trauma

Complicações pós-cirúrgicas em pacientes idosos: revisão integrativa de literatura

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