Impact of Smoking on 30-day Morbidity and Mortality in Adult Spinal Deformity Surgery.

Abstract:

STUDY DESIGN:A retrospective cohort study of a prospectively collected surgical database. OBJECTIVE:The aim of this study was to investigate the effect of smoking on 30-day morbidity and mortality in patients undergoing surgery for adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA:There is conflicting evidence regarding the impact of smoking on short-term outcomes after spinal fusion. METHODS:A retrospective review of the prospectively collected American College of Surgeons National Surgical Quality Improvement database was performed for the years 2007 to 2013. Patients who underwent spinal fusion for ASD were identified. Thirty-day morbidity and mortality were compared between current smokers and nonsmokers. The independent effect of smoking was investigated via multivariate logistic regression analysis. RESULTS:A total of 1368 patients met inclusion criteria and were included in this study. Of the 1368 patients, 15.9% were smokers and 84.1% nonsmokers. The proportion of smokers who developed at least one complication was 9.7% versus 13.6% for nonsmokers (P = 0.119). Major complication rates (including 30-day mortality) were 6.5% for smokers and 8.4% for nonsmokers (P = 0.328). Current smoking status was not associated with increased odds of developing any complication [odds ratio (OR) 0.90; 95% confidence interval (95% CI), 0.47-1.71; P = 0.752] or major complications (OR 1.32; 95% CI 0.64-2.70; P = 0.447) after multivariate analysis. CONCLUSION:Smoking was not associated with higher 30-day complications or mortality after corrective surgery for ASD in this study. However, given the negative effects of smoking on overall health and spine surgery outcomes in the long term, smoking cessation before spinal fusion is still recommended. LEVEL OF EVIDENCE:3.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

De la Garza Ramos R,Goodwin CR,Qadi M,Abu-Bonsrah N,Passias PG,Lafage V,Schwab F,Sciubba DM

doi

10.1097/BRS.0000000000001795

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

465-470

issue

7

eissn

0362-2436

issn

1528-1159

pii

00007632-201704010-00009

journal_volume

42

pub_type

杂志文章,多中心研究

相关文献

SPINE文献大全
  • A ligamentum flavum-preserving approach to the lumbar spinal canal.

    abstract:STUDY DESIGN:This is a retrospective study of a consecutive series of patients undergoing spinal decompression or disc enucleation with preservation of the ligamentum flavum. MacNab criteria and Prolo scoring was used to assess them pre- and after surgery. OBJECTIVES:The aim of the study was to assess the incidence of...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000085100.10349.15

    authors: Askar Z,Wardlaw D,Choudhary S,Rege A

    更新日期:2003-10-01 00:00:00

  • Craniocervical junction subarachnoid hemorrhage associated with atlanto-occipital dislocation.

    abstract:STUDY DESIGN:The sensitivity of plain radiographs for diagnosing traumatic atlanto-occipital dislocation and its association with craniocervical junction subarachnoid hemorrhage was examined in a retrospective review of seven patients. OBJECTIVE:The purpose of this study was to demonstrate the frequency of nondiagnost...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199608010-00009

    authors: Przybylski GJ,Clyde BL,Fitz CR

    更新日期:1996-08-01 00:00:00

  • Amaurosis secondary to massive blood loss after lumbar spine surgery.

    abstract::Reported herein is the unusual complication of blindness resulting from massive blood loss during a lumbar spine surgery. Amaurosis resulting from distant hemorrhage is rare and, to the authors' knowledge, has not been reported in the orthopedic literature. Although there have been several case reports in the ophthalm...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199402001-00018

    authors: Katzman SS,Moschonas CG,Dzioba RB

    更新日期:1994-02-15 00:00:00

  • Fibronectin splicing variants in human intervertebral disc and association with disc degeneration.

    abstract:STUDY DESIGN:In this study, normal intervertebral disc (IVD) tissues and degenerative human IVD tissues were compared for presence of fibronectin (FN) mRNA splice variants and for FN fragments (FN-f). OBJECTIVE:To further understand FN RNA splice forms and protein fragments in disc degeneration. SUMMARY OF BACKGROUND...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181c6ef1a

    authors: Anderson DG,Markova D,Adams SL,Pacifici M,An HS,Zhang Y

    更新日期:2010-08-01 00:00:00

  • A profile of metastatic carcinoma of the spine.

    abstract::Metastatic bone disease in 322 patients was analyzed to assess the frequency and behavior of disseminated carcinoma to the vertebral column. Breast, lung, and prostate neoplasms were the most frequent tumors of origin in the 55% of patients who had vertebral lesions. The lumbar spine was the site of the greatest numbe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198501000-00003

    authors: Schaberg J,Gainor BJ

    更新日期:1985-01-01 00:00:00

  • Safety and efficacy of 1-stage surgical treatment of congenital spinal deformity associated with split spinal cord malformation.

    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

    authors: Hui H,Tao HR,Jiang XF,Fan HB,Yan M,Luo ZJ

    更新日期:2012-12-01 00:00:00

  • Using tissue expanders in spinal surgery for deficient soft tissue or postirradiation cases.

    abstract::Prior irradiation and scarring can complicate wound closure following spinal surgery. Implanted tissue expanders were used six times in four patients to aid skin closure. Three patients had prior irradiation for cancer, and one had myelomeningocele. The average interval between placement and removal of the expanders w...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Paonessa KJ,Zide B,Errico T,Engler GL

    更新日期:1991-08-01 00:00:00

  • Ventral discectomy with pmma interbody fusion for cervical disc disease: long-term results in 249 patients.

    abstract:STUDY DESIGN:Retrospective study of patients who underwent ventral discectomy and polymethyl-methacrylate (PMMA) interbody fusion for cervical radiculopathy. OBJECTIVES:To evaluate the long-term outcome after ventral discectomy and PMMA interbody fusion and to compare it with previous data from other surgical techniqu...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200102010-00009

    authors: Hamburger C,Festenberg FV,Uhl E

    更新日期:2001-02-01 00:00:00

  • Quantifying the stress induced by distress in patients with lumbar disc herniation in terms of natural killer cell activity measurements: chromium release assay versus multiparameter flow cytometric assay.

    abstract:STUDY DESIGN:A comparative study was conducted. OBJECTIVES:To attempt quantification of the stress in patients with lumbar disc herniation by measuring natural killer cell activity, and to evaluate the assay methodology. SUMMARY OF BACKGROUND DATA:Stressful events may have adverse effects on health. Distress in the p...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200210010-00004

    authors: Sato N,Kikuchi S,Sato K

    更新日期:2002-10-01 00:00:00

  • Augmented cerebral activation by lumbar mechanical stimulus in chronic low back pain patients: an FMRI study.

    abstract:STUDY DESIGN:Cerebral activation by lumbar mechanical stimulus was investigated by functional magnetic resonance imaging in healthy subjects and patients with chronic low back pain (LBP). OBJECTIVES:To characterize the cerebral substrates of LBP, and to explore a possible pathologic pattern of cerebral activation in c...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181b1fb76

    authors: Kobayashi Y,Kurata J,Sekiguchi M,Kokubun M,Akaishizawa T,Chiba Y,Konno S,Kikuchi S

    更新日期:2009-10-15 00:00:00

  • Incidence and aggravation of cervical spine instabilities in rheumatoid arthritis: a prospective minimum 5-year follow-up study of patients initially without cervical involvement.

    abstract:STUDY DESIGN:A prospective minimum 5-year follow-up study of the cervical spine in patients with rheumatoid arthritis (RA) initially without cervical involvement. OBJECTIVE:To clarify the incidence and aggravation of cervical spine instabilities and their predictive risk factors in patients with RA. SUMMARY OF BACKGR...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31826def1c

    authors: Yurube T,Sumi M,Nishida K,Miyamoto H,Kohyama K,Matsubara T,Miura Y,Sugiyama D,Doita M,Kobe Spine Conference.

    更新日期:2012-12-15 00:00:00

  • Postoperative spondylolisthesis at L4-5. The role of facet joint morphology.

    abstract::Thirty-three patients underwent decompression without fusion at the L4-5 level for spinal stenosis or degenerative spondylolisthesis. Using preoperative and 1-year postoperative lateral lumbar spine radiographs, the incidence of postoperative spondylolisthesis of greater than 5% was found to be 58%. Computed tomograph...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Robertson PA,Grobler LJ,Novotny JE,Katz JN

    更新日期:1993-09-01 00:00:00

  • Urgent surgical decompression compared to methylprednisolone for the treatment of acute spinal cord injury: a randomized prospective study in beagle dogs.

    abstract:STUDY DESIGN:Experimental dog model of acute spinal cord injury. OBJECTIVE:To compare the relative value of methylprednisolone, surgical decompression, or both for the treatment of traumatic spinal cord injury. SUMMARY OF BACKGROUND DATA:Acute spinal cord injury results from both primary damage to the spinal cord at ...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e31818786db

    authors: Rabinowitz RS,Eck JC,Harper CM Jr,Larson DR,Jimenez MA,Parisi JE,Friedman JA,Yaszemski MJ,Currier BL

    更新日期:2008-10-01 00:00:00

  • Characterization of an experimental spinal cord injury model using waveform and morphometric analysis.

    abstract:STUDY DESIGN:A weight-drop device based on a displacement transducer and feedback detection circuitry was designed to produce consistent experimental spinal cord injuries in a rat model. The device was characterized and evaluated based on biomechanical parameters, quantitative histology, and neurologic behavior. OBJEC...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199601010-00025

    authors: Falconer JC,Narayana PA,Bhattacharjee M,Liu SJ

    更新日期:1996-01-01 00:00:00

  • A controlled study of caudal epidural injections of triamcinolone plus procaine for the management of intractable sciatica.

    abstract::The management of sciatica due to lumbar nerve root compromise remains controversial, probably because few well-controlled studies of conservative management have been performed. This preliminary study assesses the efficacy of epidural injections of 80 mg triamcinolone acetonide plus 0.5% procaine hydrochloride in sal...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-199105000-00015

    authors: Bush K,Hillier S

    更新日期:1991-05-01 00:00:00

  • Radiological Evaluation of Craniocervical Region in Patients with Basilar Invagination.

    abstract:STUDY DESIGN:A retrospective analysis of collected data. OBJECTIVE:Our study aims to present the morphology of cranial-cervical spinal canal in basilar invagination (BI) patients. SUMMARY OF BACKGROUND DATA:BI is characterized by protrusion of the odontoid process into the foramen magnum (C0), leading to compression ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002706

    authors: Ji W,Xu X,Wu Z,Liu X,Kong G,Huang Z,Chen J

    更新日期:2018-11-15 00:00:00

  • Experimental vertebroplasty using osteoconductive granular material.

    abstract:STUDY DESIGN:Osteoporotic human cadaveric thoracic vertebral bodies and vertebral bodies from mature sheep were used as model systems to assess coral resorption and new bone formation after injection of coral granules. OBJECTIVE:To evaluate the use of natural coral exoskeleton, an osteoconductive material, for the fil...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200005010-00006

    authors: Cunin G,Boissonnet H,Petite H,Blanchat C,Guillemin G

    更新日期:2000-05-01 00:00:00

  • Denosumab Treatment for Giant Cell Tumor of the Spine Including the Sacrum.

    abstract:STUDY DESIGN:This was a subanalysis of an international, multicenter, open-label study. OBJECTIVE:The aim of this study was to assess the efficacy and safety of denosumab in a subset of patients with giant cell tumors of bone (GCTB) of the spine including the sacrum from an international, open-label, single-arm, phase...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003728

    authors: Bukata SV,Blay JY,Rutkowski P,Skubitz K,Henshaw R,Seeger L,Dai T,Jandial D,Chawla S

    更新日期:2020-10-08 00:00:00

  • Mobilization of patients after spinal surgery for acute spinal cord injury.

    abstract:STUDY DESIGN:A retrospective review was conducted covering records of patients who underwent spinal surgery after acute spinal cord injury. OBJECTIVE:To study the relation between time of operation and mobilization of patients. SUMMARY OF BACKGROUND DATA:No such report has existed in the literature. METHODS:Reviews ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200110150-00022

    authors: Wang D,Teddy PJ,Henderson NJ,Shine BS,Gardner BP

    更新日期:2001-10-15 00:00:00

  • The Effect of Core Stabilization Exercises on Trunk-Pelvis Three-Dimensional Kinematics During Gait in Non-Specific Chronic Low Back Pain.

    abstract:STUDY DESIGN:Controlled clinical trial study. OBJECTIVE:This study aimed to evaluate the effect of core stabilization exercise program (CSEP) on trunk-pelvis kinematics during gait in non-specific chronic low back pain (NCLBP). SUMMARY OF BACKGROUND DATA:NCLBP is a major public burden with variety of dysfunction incl...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002981

    authors: Bagheri R,Parhampour B,Pourahmadi M,Fazeli SH,Takamjani IE,Akbari M,Dadgoo M

    更新日期:2019-07-01 00:00:00

  • Measuring physical and psychosocial function in patients with low-back pain.

    abstract::Techniques for assessing daily function in Patients with back pain are generally crude and limited in scope. We therefore examined a "health status" questionnaire, the Sickness Impact Profile (SIP) to assess its measurement characteristics in such patients. Eighty patients with mechanical low-back pain completed the S...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198309000-00009

    authors: Deyo RA,Diehl AK

    更新日期:1983-09-01 00:00:00

  • Comparison of 6-year Follow-up Result of Hybrid Surgery and Anterior Cervical Discectomy and Fusion for the Treatment of Contiguous Two-segment Cervical Degenerative Disc Diseases.

    abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To compare the mid-term outcomes of hybrid surgery (HS) and anterior cervical discectomy and fusion (ACDF) for the treatment of contiguous two-segment cervical degenerative disc diseases. SUMMARY OF BACKGROUND DATA:HS has become one of the most controversial subjects in s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002639

    authors: Xiong Y,Xu L,Yu X,Yang Y,Zhao D,Hu Z,Li C,Zhao H,Duan L,Zhang B,Chen S,Liu T

    更新日期:2018-10-15 00:00:00

  • Magnetic resonance imaging of the spinal cord in cervical ossification of the posterior longitudinal ligament. Can it predict surgical outcome?

    abstract:STUDY DESIGN:Magnetic resonance imaging findings of an increased signal in the cervical cord in patients undergoing surgery for ossification of the posterior longitudinal ligament were analyzed to determined whether an increased signal on T2-weighted images correlated with a poorer outcome. OBJECTIVES:To clarify wheth...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199801010-00008

    authors: Nakamura M,Fujimura Y

    更新日期:1998-01-01 00:00:00

  • Range of motion in reconstruction situations following corpectomy in the lumbar spine: a question of bone mineral density?

    abstract:STUDY DESIGN:In vitro biomechanical study to evaluate the stability of different types of instrumentation in the lumbar spine following corpectomy in relation to bone mineral density (BMD). OBJECTIVES:To investigate the relation between the stability of a spinal instrumentation and BMD. To determine a threshold value ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000161000.36376.c5

    authors: Knöller SM,Meyer G,Eckhardt C,Lill CA,Schneider E,Linke B

    更新日期:2005-05-01 00:00:00

  • The value of lumbar spine magnetic resonance imaging in the demonstration of anular tears.

    abstract:STUDY DESIGN:Retrospective review of magnetic resonance imaging and discography in patients investigated for low back pain before spinal fusion. OBJECTIVE:To determine the sensitivity of magnetic resonance imaging in the detection of painful anular tears manifested by the high-intensity zone. SUMMARY OF BACKGROUND DA...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199802150-00009

    authors: Saifuddin A,Braithwaite I,White J,Taylor BA,Renton P

    更新日期:1998-02-15 00:00:00

  • An unusual cause of sciatica. A case report.

    abstract:STUDY DESIGN:This case report illustrates the need to be aware of extraspinal causes of sciatica. A patient with a strangulated sciatic hernia showed the clinical features of sciatic leg pain, intestinal obstruction, and a left gluteal abscess. OBJECTIVE:To highlight the need to examine the course of the sciatic nerve...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199810010-00019

    authors: Servant CT

    更新日期:1998-10-01 00:00:00

  • Association of Duration of Preoperative Opioid Use with Reoperation After One-Level Anterior Cervical Discectomy and Fusion in Non-Myelopathic Patients.

    abstract:STUDY DESIGN:Retrospective Cohort Study OBJECTIVE.: To determine that rates of preoperative opioid use in patients undergoing single-level ACDF without myelopathy and determine the association with reoperations over 5 years SUMMARY OF BACKGROUND DATA.: Preoperative opioid use before cervical spine surgery has been link...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003861

    authors: Samuel AM,Lovecchio FC,Premkumar A,Vaishnav AS,Kim HJ,Qureshi SA

    更新日期:2020-12-07 00:00:00

  • The Relationship Between Endplate Pathology and Patient-reported Symptoms for Chronic Low Back Pain Depends on Lumbar Paraspinal Muscle Quality.

    abstract:STUDY DESIGN:Cross-sectional cohort study of chronic low back pain (CLBP) patients and matched controls. OBJECTIVE:To explore the interplay between vertebral endplate damage and adjacent paraspinal muscle (PSM) quality, and to test their association in a cohort of patients with CLBP and matched controls. SUMMARY OF B...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003035

    authors: Bailey JF,Fields AJ,Ballatori A,Cohen D,Jain D,Coughlin D,O'Neill C,McCormick Z,Han M,Krug R,Demir-Deviren S,Lotz JC

    更新日期:2019-07-15 00:00:00

  • Family stature in idiopathic scoliosis.

    abstract::The standing heights of 40 children with scoliosis and 110 persons from their immediate families were compared with those of a group of 349 contemporary control subjects. Skeletal bone ages and puberty ratings did not differ from normal, but the children with scoliosis were found to be significantly taller than the co...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199301000-00004

    authors: Carr AJ,Jefferson RJ,Turner-Smith AR

    更新日期:1993-01-01 00:00:00

  • Preoperative Radiographic Parameters to Predict a Higher Pseudarthrosis Rate After Anterior Cervical Discectomy and Fusion.

    abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:To determine whether postoperative pseudarthrosis can be predicted from specific preoperative radiograph measurements. SUMMARY OF BACKGROUND DATA:Various factors reportedly influence the occurrence of pseudarthrosis after anterior cervical discectomy and fusion (ACDF). Howe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002219

    authors: Choi SH,Cho JH,Hwang CJ,Lee CS,Gwak HW,Lee DH

    更新日期:2017-12-01 00:00:00