@article{JSS3754,
author = {Aladine A. Elsamadicy and Owoicho Adogwa and Shay Behrens and Amanda Sergesketter and Angel Chen and Ankit I. Mehta and Raul A. Vasquez and Joseph Cheng and Carlos A. Bagley and Isaac O. Karikari},
title = {Impact of surgical approach on complication rates after elective spinal fusion (≥3 levels) for adult spine deformity},
journal = {Journal of Spine Surgery},
volume = {3},
number = {1},
year = {2017},
keywords = {},
abstract = {Background: While there are variations in techniques and surgical approaches to spinal fusion, there is not a defined consensus on a recommended surgical approach. The aim of this study is to determine if there was a difference in intra- and post-operative complication rates between different surgical approaches after elective spinal fusion (≥3 levels) for adult spine deformity.
Methods: The medical records of 443 adult spine deformity patients undergoing elective spinal fusion (≥3) at a major academic institution from 2005 to 2015 were reviewed. We identified 96 (21.7%) anterior only, 225 (50.8%) posterior only, and 122 (27.5%) combined anterior/posterior approaches taken for spinal fusion (anterior: n=96; posterior: n=225). Patient demographics, comorbidities, anatomical location, and complication rates were collected for each patient. The primary outcome investigated in this study was the rate of intra- and post-operative complications.
Results: Patient demographics and comorbidities were similar between all groups. The posterior approach had significantly higher EBL (P},
issn = {2414-4630}, url = {https://jss.amegroups.org/article/view/3754}
}