USF-LVHN SELECT
Comparison of Postoperative Complications and Reoperation Rates Following Surgical Management of Cervical Spondylotic Myelopathy in the Privately Insured Patient Population.
Publication/Presentation Date
11-1-2021
Abstract
STUDY DESIGN: This was a large database study.
OBJECTIVE: The objective of this study was to compare the incidence of complications and reoperation rates between the most common surgical treatments for cervical spondylotic myelopathy (CSM): anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF), and posterior laminectomy and fusion (Lamifusion).
SUMMARY OF BACKGROUND DATA: CSM is a major contributor to disability and reduced quality of life worldwide.
METHODS: Humana insurance database was queried for CSM diagnoses between 2007 and 2016. The initial population was divided based on the surgical treatment and matched for age, sex, and Charlson Comorbidity index. Specific postoperative complications or revisions were analyzed at individual time points. Pearson χ2 analysis with Yate continuity correction was used.
RESULTS: Lamifusion had significantly higher rates of wound infection/disruption than ACDF or ACCF (5.03%, 2.19%, 2.29%; P=0.0008, 0.002, respectively) as well as iatrogenic deformity (4.75%, 2.19%, 2.10%; P=0.0036, 0.0013). Lamifusion also had a significantly higher rate of shock and same-day transfusion than ACDF (4.75%, 2.01%, P=0.0005), circulatory complications (2.01%,
CONCLUSIONS: The data shows that posterior Lamifusion has higher overall rate of complications compared with ACDF or ACCF. Furthermore, when comparing the anterior approaches, ACDF was associated with lower rate of complication and revision. ACCF had the highest overall rate of revision surgery.
Volume
34
Issue
9
First Page
531
Last Page
531
ISSN
2380-0194
Published In/Presented At
Nguyen, W., Chang, K. E., Formanek, B., Ghayoumi, P., Buser, Z., & Wang, J. (2021). Comparison of Postoperative Complications and Reoperation Rates Following Surgical Management of Cervical Spondylotic Myelopathy in the Privately Insured Patient Population. Clinical spine surgery, 34(9), E531–E536. https://doi.org/10.1097/BSD.0000000000001216
Disciplines
Medical Education | Medicine and Health Sciences
PubMedID
34091490
Department(s)
USF-LVHN SELECT Program, USF-LVHN SELECT Program Students
Document Type
Article