Abstract:
STUDY DESIGN:Retrospective cohort study of 13,927 patients, 820 of whom received iliac crest bone graft (ICBG). OBJECTIVE:To compare adverse events, length of stay (LOS), and readmission for patients receiving ICBG with those who did not using multivariate analysis to control for potentially confounding factors. SUMMARY OF BACKGROUND DATA:The use of ICBG in spinal fusion has been associated with increased surgical time, LOS, and donor site morbidity. Development of expensive bone graft substitutes has been predicated on these issues. Data on the effect of bone graft harvest on LOS and readmission rate are sparse, and multivariate analysis has not been used to control for confounding factors. METHODS:Prospectively collected data from the American College of Surgeons National Surgical Quality Improvement Project 2010-2012 database were retrospectively reviewed. This includes demographics, comorbidities, surgical data, and hospital and 30-day follow-up outcomes data including adverse events, LOS, and readmission. RESULTS:Only 5.9% of spinal fusions use ICBG. Bivariate logistic regression (used for categorical variables) found the ICBG cohort was more likely to have a postoperative blood transfusion (11.6% vs. 5.5%, P < 0.001). Bivariate linear regression (used for continuous variables) found the ICBG cohort to have an extended operative time (+36.0 min, P < 0.001) and extended LOS (+0.6 d, P < 0.001).Multivariate analyses controlling for comorbidities, demographics, and approach-determined postoperative blood transfusion (odds ratio, 1.5), extended operative time (+22.0 min, P < 0.001), and LOS (+0.2 d, P = 0.037) to be significantly associated with ICBG use.No other adverse event was significantly associated with ICBG use. Readmission rates were not significantly different. CONCLUSION:This study used a large national database cohort and identified increased postoperative blood transfusion, extended operative time, and increased LOS as short-term outcomes associated with ICBG on multivariate analysis. Other short-term morbidities were not significantly associated with ICBG. Readmission rates were not affected. LEVEL OF EVIDENCE:4.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Gruskay JA,Basques BA,Bohl DD,Webb ML,Grauer JNdoi
10.1097/BRS.0000000000000476subject
Has Abstractpub_date
2014-09-15 00:00:00pages
1718-24issue
20eissn
0362-2436issn
1528-1159journal_volume
39pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Translation, cross-cultural adaptation and psychometric testing of self-report outcome measurements. OBJECTIVES:The aims of this study were to adapt the Functional Rating Index (FRI) to Brazilian-Portuguese and to test the psychometric properties of this new questionnaire and the Brazilian-Roland Morris D...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31811eab33
更新日期:2007-08-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To analyze the cerebrospinal fluid (CSF) leak during the thoracic pedicle screw fixation in spinal deformities, the relative intraoperative neuromonitoring changes and the strategy for management. SUMMARY OF BACKGROUND DATA:CSF leak may occur during the preparation of tra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000058
更新日期:2014-01-01 00:00:00
abstract:STUDY DESIGN:Trunk sway occurring during clinical stance and gait tasks was compared between a group of subjects with a chronic whiplash injury, resulting from an automobile collision, and a normal collective. OBJECTIVES:To examine if population specific trunk sway patterns for stance and gait could be identified for ...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.BRS.0000083170.34304.A3
更新日期:2003-08-01 00:00:00
abstract:STUDY DESIGN:A sample of 486 Helsinki City Council workers, 35 to 54 years of age, was examined twice at a 1-year interval. OBJECTIVES:To investigate the speed of repetitive arm motion for its ability to predict neck pain. SUMMARY OF BACKGROUND DATA:Psychomotor factors have been suggested to play a role in the etiolo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199709150-00006
更新日期:1997-09-15 00:00:00
abstract:STUDY DESIGN:A retrospective case control analysis of 48 cases of postoperative infection following spinal procedures. OBJECTIVES:Spinal procedures that became infected after surgery were analyzed to identify the significance of preoperative and intraoperative risk factors. Characterization of the nature and timing of...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000166532.58227.4f
更新日期:2005-06-15 00:00:00
abstract:STUDY DESIGN:Systematic review and modified Delphi technique. OBJECTIVE:To use an evidence-based medicine process using the best available literature and expert opinion consensus to develop a comprehensive classification system to diagnose neoplastic spinal instability. SUMMARY OF BACKGROUND DATA:Spinal instability i...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181e16ae2
更新日期:2010-10-15 00:00:00
abstract:STUDY DESIGN:Retrospective clinical study. OBJECTIVE:The aim of this study was to evaluate retrospectively the safety and efficacy of 1-stage surgical treatment of 45 consecutive patients, who had progressive congenital spinal deformity associated with split spinal cord malformation (SSCM). SUMMARY OF BACKGROUND DATA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182608988
更新日期:2012-12-01 00:00:00
abstract:STUDY DESIGN:Retrospective matched cohort. OBJECTIVE:To investigate the factors that may affect the decision-making process of adult deformity patients. SUMMARY OF BACKGROUND DATA:Adult deformity is a significant cause of morbidity in the elderly population. Despite high complication rates a significant number of pat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181851ba6
更新日期:2009-04-15 00:00:00
abstract:STUDY DESIGN:Questionnaires administered to practicing orthopedic and neurosurgical spine surgeons from various regions of the United States and abroad. OBJECTIVES:To determine similarities and differences in the treatment of spinal trauma. SUMMARY OF BACKGROUND DATA:Spinal trauma is generally referred to subspeciali...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000115137.11276.0e
更新日期:2004-03-15 00:00:00
abstract::Electrically evoked compound action potentials were used to quantify the neurophysiologic abnormalities caused by application of chymopapain into the lumbar spinal canal in rats. A branch of the sciatic nerve was stimulated with voltage impulses of constant amplitude (40 V) and duration (0.1 msec) at the right externa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198901000-00013
更新日期:1989-01-01 00:00:00
abstract:STUDY DESIGN:Prospective measurement of rhBMP-2 from drains in a cohort of patients undergoing posterolateral spinal fusion. OBJECTIVE:To quantify the amount of rhBMP-2 that extravasates into drains after posterolateral fusion using its current commercially available form, rhBMP-2 within an absorbable collagen sponge....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817b6229
更新日期:2008-07-01 00:00:00
abstract:STUDY DESIGN:A retrospective, cohort study of the kinematics of the lumbar spine of patients with spondylolisthesis compared with asymptomatic normal subjects. OBJECTIVE:To determine if abnormal motion could be detected in the radiographs of patients with spondylolisthesis. SUMMARY OF BACKGROUND DATA:Contrary to the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000162400.06685.37
更新日期:2005-05-15 00:00:00
abstract:STUDY DESIGN:A fully randomized experiment was conducted in a laboratory with a breath-by-breath monitor to control accurately the two factors of breathing maneuvers: breathholding duration and air volume within the thoracic cavity. OBJECTIVES:To resolve the controversy in previous reports about the effect of breathho...
journal_title:Spine
pub_type:
doi:10.1097/00007632-200210010-00014
更新日期:2002-10-01 00:00:00
abstract::The purpose of this study is to describe the biology of spinal lengthening (vertebrodiatasis) in a juvenile goat model. A small Orthofix dynamic fixator was affixed to 5.5 mm pedicular halfpins placed bilaterally at T12, L1, L5 and L6 in six juvenile goats. Distraction was performed across vertebral endplates between ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199309000-00008
更新日期:1993-09-15 00:00:00
abstract:STUDY DESIGN:Retrospective database study. OBJECTIVE:We sought to identify trends in demographics, comorbidities, and postoperative complications among patients undergoing ACDF and PLF. SUMMARY OF BACKGROUND DATA:As demand for anterior cervical discectomy and fusion (ACDF) and posterior lumbar fusion (PLF) surgery co...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003280
更新日期:2020-09-15 00:00:00
abstract:STUDY DESIGN:Validation of a self-report questionnaire, Functional Rating Index (FRI). OBJECTIVE:To evaluate the psychometric properties of the simplified Chinese (SC) version of FRI in patients with nonspecific neck pain (NP). SUMMARY OF BACKGROUND DATA:FRI has been cross-culturally validated in few languages with e...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000806
更新日期:2015-05-01 00:00:00
abstract:STUDY DESIGN:This retrospective study analyzes the timing of spinal metastases and the survivability of patients with cancer after the detection of spinal metastases. OBJECTIVE:To evaluate the timing of spinal metastases in primary lesions and the survivability of patients with metastatic spinal tumors. SUMMARY OF BA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199609150-00017
更新日期:1996-09-15 00:00:00
abstract:STUDY DESIGN:Clinical, radiographic, and outcomes assessment comparing two surgical techniques. Clinical data were collected prospectively. The radiographic analysis was done retrospectively. OBJECTIVES:Smith-Petersen (chevron type) osteotomy (SPO) and pedicle subtraction osteotomy (PSO) have been used to correct fixe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000179085.92998.ee
更新日期:2005-09-15 00:00:00
abstract:STUDY DESIGN:A descriptive cadaveric study. OBJECTIVE:To investigate the anatomy and innervation of the uncovertebral joint to determine if it is synovial in nature and capable of generating pain. SUMMARY OF BACKGROUND DATA:There is controversy with regard to the anatomic and histological makeup of the uncovertebral ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31819b2b5d
更新日期:2009-05-20 00:00:00
abstract:STUDY DESIGN:We performed a retrospective review of 126 cases of infectious spondylodiscitis over a 4-year period. OBJECTIVE:Differentiation between pyogenic spondylodiscitis (PS) and tuberculous spondylodiscitis (TS) is essential for deciding on the appropriate therapeutic regimen. The aim of this study was to compar...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181e04dd3
更新日期:2010-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVES:To determine the risk of postlaminectomy thoracolumbar kyphosis in skeletally immature achondroplasts and evaluate the need for concurrent fusion at multilevel decompression. SUMMARY OF BACKGROUND DATA:Spinal stenosis is a relatively common complication of achondroplasia....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000194778.60486.a3
更新日期:2006-01-15 00:00:00
abstract:STUDY DESIGN:A comparison of the latencies and amplitudes of the somatosensory-evoked potential in different stages of scoliosis surgery. OBJECTIVES:To investigate the normal variability of the somatosensory-evoked potential at different stages of scoliosis surgery and to improve the reliability of spinal cord monitor...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199909010-00009
更新日期:1999-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of a multicenter, prospective adult spinal deformity (ASD) database. OBJECTIVE:We hypothesized that increased age and increased preoperative disability would negatively impact both the length of time needed to achieve maximal recovery and the amount of functional improvement achieved....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001062
更新日期:2015-10-01 00:00:00
abstract:STUDY DESIGN:A case report and literature review are presented. OBJECTIVE:To describe and review the clinical presentations, characteristic findings from imaging studies, types, differential diagnosis, prognosis, and treatment of amyloidoma arising within the vertebrae. SUMMARY OF BACKGROUND DATA:Amyloidoma can occur...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000251016.54203.71
更新日期:2007-01-01 00:00:00
abstract:STUDY DESIGN:Prospective, randomized, controlled, multicenter clinical trial. OBJECTIVE:To compare outcomes of cervical disc arthroplasty with those of anterior cervical decompression and fusion (ACDF) in a Chinese population. SUMMARY OF BACKGROUND DATA:Cervical disc arthroplasty has been found to be superior to ACDF...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e31822699fa
更新日期:2012-03-15 00:00:00
abstract:STUDY DESIGN:An amalgamated review of the current state of knowledge about psychosocial factors in low back pain (LBP), as presented at the plenary session at the Fourth International Forum on LBP Research in Primary Care (March 16-18, 2000, Israel). OBJECTIVES:To outline evidence-based theories that have lead to the ...
journal_title:Spine
pub_type:
doi:10.1097/00007632-200203010-00020
更新日期:2002-03-01 00:00:00
abstract:STUDY DESIGN:Analytical cross-sectional study. OBJECTIVE:To assess the association of "nonorganic somatic components" together with physical and other psychosocial factors on functional capacity evaluation (FCE) in patients with chronic nonspecific low back pain (NSLBP) undergoing fitness-for-work evaluation. SUMMARY...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31822e6088
更新日期:2012-02-15 00:00:00
abstract:STUDY DESIGN:We performed a retrospective study of spinal roentgenograms of a large cohort of patients suffering from osteogenesis imperfecta. OBJECTIVE:To determine the prevalence of vertebral pars defects (spondylolysis) in patients with osteogenesis imperfecta. SUMMARY OF BACKGROUND DATA:Patients suffering from os...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181a39646
更新日期:2009-06-01 00:00:00
abstract:STUDY DESIGN:Prospective randomized controlled animal model. OBJECTIVE:The purpose of this study is to determine whether the readministration of human recombinant bone morphogenetic protein-2 (rhBMP-2) induces an immune response and inhibits successful fusion in repeat posterolateral spinal surgery. SUMMARY OF BACKGR...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181cdd396
更新日期:2011-02-01 00:00:00
abstract::Details of ten new cases of spondylothoracic dysplasia (the Jarcho-Levin syndrome) are presented. During follow-up, lasting between 8 and 21 years, two children in this group died. Our observations did not confirm Heilbronner's theory concerning the existence of two distinctive types of this syndrome: Type 1 or fatal,...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1988-05-01 00:00:00