Perioperative neurologic complications during spinal fusion surgery: incidence and trends

The Spine Journal : Official Journal of the North American Spine Society
Parthasarathy ThirumalaD K Hamilton

Abstract

Perioperative neurologic complications after spine surgery may increase morbidity and health-care costs related to the procedure. We estimate the national incidence of perioperative neurologic complications following anterior cervical discectomy and fusion (ACDF), posterior cervical fusion, and thoracolumbar fusion procedures using the Nationwide Inpatient Sample (NIS) data from 1999 to 2011. Additionally, we identify risk factors for developing perioperative neurologic complications and the effects of these injuries on quantifiable patient outcomes. A cross-sectional study was carried out. All patients included in the NIS databases from 1999 to 2011 comprised the sample. The primary outcome evaluated was the incidence of new neurologic deficits following elective spine surgery. Secondary outcomes evaluated include length of hospital stay, total hospital charges, hospital mortality rate, and discharge disposition. A retrospective analysis of the NIS databases from the years 1999 to 2011 was conducted to identify the proportion of patients who underwent ACDFs, posterior cervical fusions, and thoracolumbar fusions who also developed perioperative neurologic complications. Statistical analyses were also conducted to identify stati...Continue Reading

Citations

Nov 20, 2019·Neurosurgery·Nishant Ganesh KumarBrian C Drolet
Oct 23, 2020·World Neurosurgery·François DantasFernando Luiz Rolemberg Dantas
May 5, 2021·The Neurodiagnostic Journal·Ryan C Hofler, Richard G Fessler
Jun 24, 2021·JBJS Case Connector·Alba Díaz-BaamondeSedat Ulkatan
Oct 12, 2021·World Neurosurgery·Imad S KhanTimothy C Ryken

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