Anterior lumbar interbody fusion: single institutional review of complications and associated variables. | Anterior Lumbar Interbody Fusion: Single Institutional Review of Complications and Associated Variables. (Record no. 6726)

MARC details
000 -LEADER
fixed length control field 04154nam a22005417a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 211101s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1529-9430
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34600108
245 ## - TITLE STATEMENT
Title Anterior lumbar interbody fusion: single institutional review of complications and associated variables.
245 ## - TITLE STATEMENT
Title Anterior Lumbar Interbody Fusion: Single Institutional Review of Complications and Associated Variables.
251 ## - Source
Source Spine Journal: Official Journal of the North American Spine Society. 22(3):454-462, 2022 03.
252 ## - Abbreviated Source
Abbreviated source Spine J. 22(3):454-462, 2022 03.
252 ## - Abbreviated Source
Former abbreviated source Spine J. 2021 Sep 29
253 ## - Journal Name
Journal name The spine journal : official journal of the North American Spine Society
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2022
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2021-11-01
268 ## - Previous citation
-- Spine Journal: Official Journal of the North American Spine Society. 2021 Sep 29
520 ## - SUMMARY, ETC.
Abstract BACKGROUND CONTEXT: As more patients undergo anterior lumbar interbody fusion (ALIF) procedures and more devices are created for that purpose, it is important to understand the complications that can arise and the variables that mitigate risk for major and minor complications.
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: Our study reveals variables associated with complications at our institution, including age of the patient, BMI, and ASA status leading to higher complications and greater LOS, higher readmission rates, and disposition to skilled facilities. Copyright (c) 2021. Published by Elsevier Inc.
520 ## - SUMMARY, ETC.
Abstract METHODS: Complications were recorded and presented as percentages. Patient demographics, perioperative, and postoperative data were also collected and analyzed between patients who had no complications and those that had any complication. Subgroup analysis of surgical complications were performed by nonparametric Chi-square tests. Continuous variables were compared using Mann-Whitney U tests.
520 ## - SUMMARY, ETC.
Abstract PATIENT SAMPLE: All adult patients who underwent ALIF between 2017 and 2019 was performed OUTCOME MEASURES: Postoperative major and minor complications were evaluated.
520 ## - SUMMARY, ETC.
Abstract PURPOSE: To assess complication rates after ALIF with or without posterior instrumentation and variables associated with increased likelihood of postoperative complications. We aim to provide this data as benchmarking to improve patient safety and surgical care.
520 ## - SUMMARY, ETC.
Abstract RESULTS: 95/362 (26.2%) of patients experienced a minor or major complication. Among the most common complications found were surgical site infections (5.8%), neurological complications (4.1%), vascular complications (3.6%), and urinary tract infections (3.3%). Patients undergoing ALIF alone with postoperative complications had higher mean age, higher BMI, higher ASA status, and experienced higher estimated blood loss. Patients undergoing ALIF and posterior instrumentation with postoperative complications were more likely to have diabetes and had a higher ASA status. Patients with any complications from both groups had longer length of stay, discharge to a non-home setting and were more likely to be readmitted or return to the operating room.
520 ## - SUMMARY, ETC.
Abstract STUDY DESIGN: A single-center retrospective cohort study.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Spinal Fusion
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Adult
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Lumbar Vertebrae/su [Surgery]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Lumbosacral Region
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Postoperative Complications/ep [Epidemiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Postoperative Complications/et [Etiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Postoperative Period
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Spinal Fusion/ae [Adverse Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Spinal Fusion/mt [Methods]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Treatment Outcome
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital
656 ## - INDEX TERM--OCCUPATION
Department Neurosurgery Residency
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Dowlati, Ehsan
790 ## - Authors
All authors Alexander H, Dowlati E, Margolis M, Mortazavi A, Mualem W, Rotter J, Voyadzis JM, Withington C
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.spinee.2021.09.010">https://dx.doi.org/10.1016/j.spinee.2021.09.010</a>
Public note https://dx.doi.org/10.1016/j.spinee.2021.09.010
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 11/01/2021   34600108 34600108 11/01/2021 11/01/2021 Journal Article

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