Thirty-Day Morbidity After Single-Level Anterior Cervical Discectomy and Fusion: Identification of Risk Factors and Emphasis on the Safety of Outpatient Procedures

• DOI: 10.2106/jbjs.m.00767
• Publication Date: 2014-08-06T18:09:52Z
• Authors: Christopher T. Ma...; Andrew J. Pugely; Yubo Gao; Sergio Mendoza-La...
• Keywords: Univariate analysis

Background: Risk factors for complication after single-level anterior cervical discectomy and fusion remain poorly defined. The purpose of this study was to identify the incidence risk from a large, prospectively collected database, with separate emphasis on safety outpatient procedures. Methods: American College Surgeons National Surgical Quality Improvement Program collects thirty-day morbidity mortality data more than 480 hospitals around United States. We retrospectively queried database cases elective fusion. Univariate multivariate analyses were used complication, propensity score model create matched inpatient cohorts. Results: Of 2914 identified, 597 (20.5%) received treatment 2317 (79.5%) treatment. overall any systemic 3.2%. There five mortalities (0.2%), four in cohort one cohort. Patient age over sixty-five years, body mass index >30 kg/m2, Society Anesthesiologists class 3 or 4, current dialysis, corticosteroid use, recent sepsis, operative times longer 120 minutes each independent analysis. After matching control comorbidities, there no significant differences rates between inpatients outpatients, not factor Conclusions: Single-level had low rates, additional seen as compared It seems reasonable consider admission patient identified here, particularly difficult airways. This information may be useful surgeons performing informed consents medical optimization selecting patients most appropriate Level Evidence: Prognostic III. See Instructions Authors complete description levels evidence.