Risk Factors for Unplanned Readmissions Following Anterior Cervical Discectomy and Fusion and Posterior Lumbar Fusion Procedures: Comparison of Two National Databases

2020 ◽  
Vol 143 ◽  
pp. e613-e630
Author(s):  
Shyam J. Kurian ◽  
Waseem Wahood ◽  
Yagiz Ugur Yolcu ◽  
Elena Blaginykh ◽  
Anshit Goyal ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lumbar Fusion ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Posterior Lumbar Fusion ◽  
National Databases

Post-Operative Dysphagia in Anterior Cervical Discectomy and Fusion

2021 ◽  
pp. 000348942110155
Author(s):  
Leonard Haller ◽  
Khush Mehul Kharidia ◽  
Caitlin Bertelsen ◽  
Jeffrey Wang ◽  
Karla O’Dell
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Assessment Tool ◽  
Demographic Data ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Long Term Follow Up

Objective: We sought to identify risk factors associated with long-term dysphagia, characterize changes in dysphagia over time, and evaluate the incidence of otolaryngology referrals for patients with long-term dysphagia following anterior cervical discectomy with fusion (ACDF). Methods: About 56 patients who underwent ACDF between May 2017 to February 2019 were included in the study. All patients were assessed for dysphagia using the Eating Assessment Tool (EAT-10) survey preoperatively and late postoperatively (≥1 year). Additionally, 28 patients were assessed for dysphagia early postoperatively (2 weeks—3 months). Demographic data, medical comorbidities, intraoperative details, and post-operative otolaryngology referral rates were collected from electronic medical records. Results: Of the 56 patients enrolled, 21 patients (38%) had EAT-10 scores of 3 or more at long-term follow-up. None of the demographics, comorbidities, or surgical factors assessed were associated with long-term dysphagia. Patients who reported no long-term dysphagia had a mean EAT-10 score of 6.9 early postoperatively, while patients with long-term symptoms had a mean score of 18.1 ( P = .006). Of the 21 patients who reported persistent dysphagia symptoms, 3 (14%) received dysphagia testing or otolaryngology referrals post-operatively. Conclusion: Dysphagia is a notable side effect of ACDF surgery, but there are no significant demographics, comorbidities, or surgical risk factors that predict long-term dysphagia. Early postoperative characterization of dysphagia using the EAT-10 questionnaire can help predict long-term symptoms. There is inadequate screening and otolaryngology follow-up for patients with post-ACDF dysphagia.

National Rates, Reasons, and Risk Factors for 30- and 90-Day Readmission and Reoperation Among Patients Undergoing Anterior Cervical Discectomy and Fusion

Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Blake E. S. Taylor ◽  
Patrick Hilden ◽  
Rosemary T. Behmer Hansen ◽  
Anil Nanda ◽  
John L. Gillick
Keyword(s):  
Risk Factors ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

scholarly journals Risk factors of cage nonunion after anterior cervical discectomy and fusion

Medicine ◽  
2020 ◽  
Vol 99 (12) ◽  
pp. e19550 ◽  
Author(s):  
Bao Ren ◽  
Wenshan Gao ◽  
Jilong An ◽  
Menghui Wu ◽  
Yong Shen
Keyword(s):  
Risk Factors ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

Return to golf after spine surgery

2011 ◽  
Vol 14 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Adib A. Abla ◽  
Joseph C. Maroon ◽  
Richard Lochhead ◽  
Volker K. H. Sonntag ◽  
Adara Maroon ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Lumbar Fusion ◽  
Well Being ◽  
Anterior Cervical Discectomy ◽  
Return To Play ◽  
Cervical Fusion ◽  
Medical Practitioners ◽  
Cervical Discectomy ◽  
Lumbar Microdiscectomy ◽  
Published Evidence

Object No published evidence indicates when patients can resume golfing after spine surgery. The objective of this study is to provide data from surveys sent to spine surgeons. Methods A survey of North American Spine Society members was undertaken querying the suggested timing of return to golf. Of 1000 spine surgeons surveyed, 523 responded (52.3%). The timing of recommended return to golf and the reasons were questioned for college/professional athletes and avid and recreational golfers of both sexes. Responses were tallied for lumbar laminectomy, lumbar microdiscectomy, lumbar fusion, and anterior cervical discectomy with fusion. Results The most common recommended time for return to golf was 4–8 weeks after lumbar laminectomy and lumbar microdiscectomy, 2–3 months after anterior cervical fusion, and 6 months after lumbar fusion. The results showed a statistically significant increase in the recommended time to resume golf after lumbar fusion than after cervical fusion in all patients (p < 0.01). The same holds true for the return to play after cervical fusion compared with either lumbar laminectomy or lumbar microdiscectomy for all golfer types (p < 0.01). There was a statistically significant shorter recommended time for professional and college golfers compared with noncompetitive golfers after lumbar fusion (p < 0.01), anterior cervical discectomy and fusion (p < 0.01), and lumbar microdiscectomy (p < 0.01). Conclusions The return to golf after spine surgery depends on many variables, including the general well-being of patients in terms of pain control and comfort when golfing. This survey serves as a guide that can assist medical practitioners in telling patients the average times recommended by surgeons across North America regarding return to golf after spine surgery.

scholarly journals Hidden blood loss and the risk factors after posterior lumbar fusion surgery

Medicine ◽  
2020 ◽  
Vol 99 (19) ◽  
pp. e20103
Author(s):  
Fei Lei ◽  
Zhongyang Li ◽  
Wen He ◽  
Xinggui Tian ◽  
Lipeng Zheng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Loss ◽  
Lumbar Fusion ◽  
Fusion Surgery ◽  
Posterior Lumbar Fusion ◽  
Lumbar Fusion Surgery ◽  
Hidden Blood Loss

P121. Utilizing double machine learning to discern risk factors for preoperative depression among anterior cervical discectomy and fusion (ACDF) patients

2021 ◽  
Vol 21 (9) ◽  
pp. S199-S200
Author(s):  
Conor Lynch ◽  
Elliot Cha ◽  
James Parrish ◽  
Nathaniel Jenkins ◽  
Caroline Jadczak ◽  
...  
Keyword(s):  
Machine Learning ◽  
Risk Factors ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

Risk Factors for Cerebrospinal Fluid Leak Following Anterior Cervical Discectomy and Fusion

2019 ◽  
Vol 32 (2) ◽  
pp. E86-E90 ◽  
Author(s):  
Bhaveen H. Kapadia ◽  
Samuel I. Decker ◽  
Matthew R. Boylan ◽  
Neil V. Shah ◽  
Carl B. Paulino
Keyword(s):  
Risk Factors ◽  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Leak ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Fluid Leak
Sign in / Sign up

Export Citation Format

Share Document