The timing of surgical staging has a significant impact on the complications and functional outcomes of adult spinal deformity surgery

Abstract Background context To our knowledge, the effect of the staging regimen on the surgical outcome in patients undergoing combined anterior/posterior surgery for the treatment of spinal deformity has not been previously studied. Purpose To compare outcomes of anterior/posterior surgery for adul...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The spine journal 2013-12, Vol.13 (12), p.1717-1722
Hauptverfasser: Hassanzadeh, Hamid, MD, Gjolaj, Joseph P., MD, El Dafrawy, Mostafa H., MD, Jain, Amit, MD, Skolasky, Richard L., ScD, Cohen, David B., MD, Kebaish, Khaled M., MD
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Abstract Background context To our knowledge, the effect of the staging regimen on the surgical outcome in patients undergoing combined anterior/posterior surgery for the treatment of spinal deformity has not been previously studied. Purpose To compare outcomes of anterior/posterior surgery for adult spinal deformity staged less than 21 days apart versus those 21 or more days apart. Study design A retrospective comparison study. Patient sample Patients aged 40 years or older who underwent combined anterior/posterior fusions for spinal deformities. Outcome measures Self-reported measures, physiological measures, and functional measures. Methods We retrospectively reviewed prospectively collected data for 63 consecutive patients (50 females and 13 males) older than 40 years who underwent combined anterior/posterior fusions for spinal deformities and who had a minimum of 2-year follow-up. We divided them into those who had surgery staged less than 21 days apart (Group 1, N=29) and those who had surgery staged 21 or more days apart (Group 2, N=34). The groups were not statistically different in age; preoperative American Society of Anesthesiologists, Scoliosis Research Society-22 (SRS-22) patient questionnaire, and Oswestry Disability Index (ODI) scores; number of previous surgeries; number of levels fused; or total operative time. Hotelling t square test and the chi-squared test were used to compare clinical and radiographic parameters, complications, and functional outcomes between groups (significance, p
ISSN:1529-9430
1878-1632
DOI:10.1016/j.spinee.2013.03.005