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Complications following single-level interbody fusion procedures: an ACS-NSQIP study

  
@article{JSS4088,
	author = {Jamal N. Shillingford and Joseph L. Laratta and Joseph M. Lombardi and John D. Mueller and Meghan Cerpa and Hemant P. Reddy and Comron Saifi and Charla R. Fischer and Ronald A. Lehman Jr},
	title = {Complications following single-level interbody fusion procedures: an ACS-NSQIP study},
	journal = {Journal of Spine Surgery},
	volume = {4},
	number = {1},
	year = {2018},
	keywords = {},
	abstract = {Background: Controversy exists over the ability of various lumbar interbody fusion techniques to realign global and regional balance and their effect on patient outcomes. This is a retrospective cohort study to compare thirty-day postoperative outcomes between anterior and posterior interbody fusion techniques within a large national database.
Methods: A retrospective cohort study utilizing the NSQIP database included 2,372 (29.9%) single-level anterior/direct lateral interbody fusions (ALIF/DLIF) and 5,563 (70.1%) single-level posterior/transforaminal interbody fusions (PLIF/TLIF) between 2013 and 2014. Emergent cases, fracture cases, and preoperative compromised wounds were not analyzed. Primary thirty-day outcomes included mortality, return to operating room, readmission, length of stay, and other major complications. Minor outcomes included urinary tract infection, superficial incisional site infection, and perioperative blood transfusion within 72 hours.
Results: ALIF/DLIF was performed more for degenerative lumbar disc disease (31.0% vs. 13.9%, P},
	issn = {2414-4630},	url = {https://jss.amegroups.org/article/view/4088}
}