The impact of preoperative motor weakness on postoperative opioid use after ACDF.
Publication/Presentation Date
1-1-2021
Abstract
This study aims to determine if preoperative weakness is an isolated risk factor for prolonged postoperative opioid use after anterior cervical discectomy and fusion (ACDF). Patients with preoperative weakness were significantly more likely to have prolonged and inappropriate opioid use and have a single prescription mean morphine equivalent (MME) ≥ 200. Logistic regression isolated preoperative weakness, opioid tolerance, depression, and VAS Neck pain as independent predictors of extended opioid use. High postoperative opioid dose (MME ≥ 90) correlated with opioid tolerance, younger age, male sex, greater CCI, prior cervical surgery, and preoperative VAS Neck pain on regression.
Volume
26
First Page
23
Last Page
28
ISSN
0972-978X
Published In/Presented At
Levy, H. A., Karamian, B. A., Henstenburg, J., Larwa, J., Canseco, J. A., Haislup, B., Chang, M., Patel, P., Radcliff, K. E., Woods, B. I., Kurd, M. F., Hilibrand, A. S., Kepler, C. K., Vaccaro, A. R., & Schroeder, G. D. (2021). The impact of preoperative motor weakness on postoperative opioid use after ACDF. Journal of orthopaedics, 26, 23–28. https://doi.org/10.1016/j.jor.2021.06.003
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
34276147
Department(s)
Administration and Leadership
Document Type
Article