دورية أكاديمية
Four-level anterior versus posterior cervical fusions: Perioperative outcomes and five-year reoperation rates
| العنوان: | Four-level anterior versus posterior cervical fusions: Perioperative outcomes and five-year reoperation rates |
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| المؤلفون: | Peter Y. Joo, Rahul H. Jayaram, William M. McLaughlin, Bijan Ameri, Alexander J. Kammien, Paul M. Arnold, Jonathan N. Grauer |
| المصدر: | North American Spine Society Journal, Vol 10, Iss , Pp 100115- (2022) |
| بيانات النشر: | Elsevier, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Orthopedic surgery LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | Cervical myelopathy, Radiculopathy, Spinal arthrodesis, Big data, Multi-level cervical fusion, Stenosis, Orthopedic surgery, RD701-811, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Background: Multilevel cervical pathology can often be addressed via anterior cervical discectomy and fusion (ACDF) or posterior cervical fusion (PCF). While posterior procedures may be technically easier for four-level pathology, there are advantages and disadvantages to both approaches that make it of interest to compare outcomes. The purpose was to compare perioperative adverse events and long-term cervical reoperation rates of four-level ACDF and PCF. Methods: The 2010 to Q1 2020 PearlDiver MSpine database was queried. Patients undergoing isolated elective four-level ACDF or PCF were identified (excluding cases performed for trauma, neoplasm, and/or infections) and 1:1 matched based on age, sex, and comorbidities. Ninety-day adverse events were compared with univariate and multivariate analyses. Five-year incidences of subsequent cervical reoperations were also compared. Results: A total of 3,714 patients 1:1 matched for four-level ACDF and PCF performed for degenerative pathologies were identified (1,857 for each of the study groups). On multivariate analysis controlling for age, sex, and comorbidities, PCF was found to have significantly greater odds ratios (OR) for any (OR 2.12), serious (OR 2.31), and minor (OR 1.95) adverse events, as well as for length of stay ≥3 days (OR 1.76), p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2666-5484 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S266654842200018X; https://doaj.org/toc/2666-5484 |
| DOI: | 10.1016/j.xnsj.2022.100115 |
| URL الوصول: | https://doaj.org/article/558b39f33728499eb46d3e65e17a92d0 |
| رقم الأكسشن: | edsdoj.558b39f33728499eb46d3e65e17a92d0 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 26665484 |
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| DOI: | 10.1016/j.xnsj.2022.100115 |