Inpatient Outcomes in Dialysis Dependent Patients Undergoing Elective Cervical Spine Surgery for Degenerative Cervical Conditions

Study Design: Retrospective cohort study. Objective: To evaluate inpatient outcomes in dialysis dependent patients undergoing elective cervical spine surgery. Methods: A total of 1605 dialysis dependent patients undergoing elective primary or revision cervical spine surgery for degenerative conditions were identified from the National Inpatient sample from 2002 to 2012 and compared to 1 450 642 nondialysis-dependent patients undergoing the same procedures. The National Inpatient Sample is a de-identified database; thus, no institutional review board approval was needed. Results: Dialysis dependence was associated with higher inpatient mortality rates (7.5% vs 1.9%; P < .001) as well as both major (17.3% vs 0.6%; P < .001) and minor (36.8% vs 10.5%; P < .001) complication rates as compared with nondialysis-dependent patients. Dialysis-dependent patients had substantially increased mean lengths of stay (9.8 days compared with 2.0 days; P < .001) and total hospital charges ($141 790 compared with $46 562; P < .001). Conclusion: Dialysis-dependence is associated with drastically increased complication rates, risk of mortality, and represent a significant financial and psychosocial burden to patients undergoing elective cervical spine surgery. Both surgeons and patients should be aware of these risks while planning elective surgeries.

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Trends in Utilization and Cost of Cervical Spine Surgery Using the National Inpatient Sample Database, 2001 to 2013

Spine ◽

10.1097/brs.0000000000001999 ◽

2017 ◽

Vol 42 (15) ◽

pp. E906-E913 ◽

Cited By ~ 39

Author(s):

Caterina Y. Liu ◽

Corinna C. Zygourakis ◽

Seungwon Yoon ◽

Tamara Kliot ◽

Christopher Moriates ◽

...

Keyword(s):

Cervical Spine ◽

Spine Surgery ◽

National Inpatient Sample ◽

Cervical Spine Surgery

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Health Care Burden of Anterior Cervical Spine Surgery: National Trends in Hospital Charges and Length of Stay, 2000 to 2009

The Spine Journal ◽

10.1016/j.spinee.2013.07.112 ◽

2013 ◽

Vol 13 (9) ◽

pp. S34

Author(s):

Richard L. Skolasky

Keyword(s):

Health Care ◽

Cervical Spine ◽

Length Of Stay ◽

Spine Surgery ◽

Hospital Charges ◽

Care Burden ◽

Cervical Spine Surgery ◽

Anterior Cervical Spine Surgery ◽

Health Care Burden ◽

National Trends

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Application of Smith-Robinson approach for C2/3 cervical spine surgery

Academic Journal of Second Military Medical University ◽

10.3724/sp.j.1008.2012.01199 ◽

2013 ◽

Vol 32 (11) ◽

pp. 1199-1202

Author(s):

Ying ZHANG ◽

Jun MA ◽

Yuan-yuan CHEN ◽

Xin-wei WANG ◽

De-yu CHEN ◽

...

Keyword(s):

Cervical Spine ◽

Spine Surgery ◽

Cervical Spine Surgery

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Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament

Journal of Clinical Medicine ◽

10.3390/jcm10153375 ◽

2021 ◽

Vol 10 (15) ◽

pp. 3375

Author(s):

Atsushi Kimura ◽

Katsushi Takeshita ◽

Toshitaka Yoshii ◽

Satoru Egawa ◽

Takashi Hirai ◽

...

Keyword(s):

Diabetes Mellitus ◽

Cervical Spine ◽

Postoperative Complications ◽

Spine Surgery ◽

Posterior Longitudinal Ligament ◽

Lower Extremity Function ◽

Cervical Spine Surgery ◽

The Impact

Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up.

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