TY  - BOOK
AU  - Dowlati, Ehsan
TI  - Anterior lumbar interbody fusion: single institutional review of complications and associated variables
SN  - 1529-9430
PY  - 2022///
KW  - *Spinal Fusion
KW  - Adult
KW  - Humans
KW  - Lumbar Vertebrae/su [Surgery]
KW  - Lumbosacral Region
KW  - Postoperative Complications/ep [Epidemiology]
KW  - Postoperative Complications/et [Etiology]
KW  - Postoperative Period
KW  - Retrospective Studies
KW  - Spinal Fusion/ae [Adverse Effects]
KW  - Spinal Fusion/mt [Methods]
KW  - Treatment Outcome
KW  - MedStar Georgetown University Hospital
KW  - Neurosurgery Residency
KW  - Journal Article
N2  - 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; 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; 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; PATIENT SAMPLE: All adult patients who underwent ALIF between 2017 and 2019 was performed OUTCOME MEASURES: Postoperative major and minor complications were evaluated; 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; 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; STUDY DESIGN: A single-center retrospective cohort study
UR  - https://dx.doi.org/10.1016/j.spinee.2021.09.010
ER  -