@article{JSS4158,
author = {Kris Siemionow and William Smith and Mark Gillespy and Bruce M. McCormack and Mukund I. Gundanna and Jon E. Block},
title = {Length of stay associated with posterior cervical fusion with intervertebral cages: experience from a device registry},
journal = {Journal of Spine Surgery},
volume = {4},
number = {2},
year = {2018},
keywords = {},
abstract = {Background: Using a multi-center medical device registry, we prospectively collected a set of perioperative and clinical outcomes among patients treated with tissue-sparing, posteriorly-placed intervertebral cage fusion used in the management of symptomatic, degenerative neural compressive disorders of the cervical spine.
Methods: Cervical fusion utilizing posteriorly-placed intervertebral cages offers a tissue-sparing alternative to traditional instrumentation for the treatment of symptomatic cervical radiculopathy. A registry was established to prospectively collect perioperative and clinical data in a real-world clinical practice setting for patients treated via this approach. This study evaluated length of stay as well as estimated blood loss and procedural time in 271 registry patients.
Results: The median length of stay was 1.1, 1.1 and 1.2 days for patients having a stand-alone arthrodesis, revision of a pseudoarthrosis, and circumferential fusion (360°), respectively, and was not related to number of levels treated. Historical comparison to published literature demonstrated that average lengths of stay associated with open, posterior lateral mass fixation were consistently ≥4 days. Average blood loss (range, 32–75 mL) and procedural time (range, 51–88 min) were also diminished in patients having tissue-sparing, cervical intervertebral cage fusion compared to open posterior lateral mass fixation.
Conclusions: Adoption of this tissue-sparing procedure may offer substantial cost-constraining benefits by reducing the length of post-operative hospitalization by, at least, 3 days compared to traditional lateral mass fixation.},
issn = {2414-4630}, url = {https://jss.amegroups.org/article/view/4158}
}