Abstract：
BACKGROUND:Sex has been known to significantly affect postoperative complications and length of stay after elective anterior cervical fusions. Current evidence on lumbar spine surgery is limited. METHODS:The 2012-2016 American College of Surgeons National Surgical Quality Improvement Program database was queried using Current Procedural Terminology codes 22612, 22630, and 22633 to identify patients undergoing posterior lumbar fusions. A total of 23,615 patients were included in the final cohort. RESULTS:Out of 23,615 patients, 10,810 (45.8%) were men and 12,805 (54.2%) were women. After controlling for demographic, comorbidities-specific, preoperative, and operative differences between the 2 groups, female sex was found to be an independent risk factor significantly associated with a length of stay longer than 3 days (odds ratio [OR], 1.43; 95% confidence interval [CI], 1.35-1.51; P < 0.001), occurrence of any complication within 30 days (OR, 1.31; 95% CI, 1.16-1.47; P < 0.001), wound complications (OR, 1.43; 95% CI, 1.18-1.74; P < 0.001), urinary tract infections (OR, 2.25; 95% CI, 1.79-2.83; P < 0.001), 30-day reoperations (OR, 1.19; 95% CI, 1.02-1.39; P = 0.025), 30-day readmissions (OR, 1.16; 95% CI, 1.03-1.31; P = 0.015), and nonhome discharge (OR, 1.83; 95% CI, 1.69-1.98; P < 0.001). Interestingly, the only adverse outcome associated with male sex was renal complication (OR, 2.28; 95% CI, 1.43-3.65; P = 0.001). CONCLUSIONS:Contrary to literature on cervical fusions, we found that female sex was independently tied to an increased risk of adverse outcomes after elective posterior lumbar fusion. The results from the study suggest that women may benefit from close surveillance during the postoperative period to minimize risk of complications and subsequent resource utilization in this group.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Malik AT,Jain N,Yu E,Kim J,Khan SNdoi
10.1016/j.wneu.2018.08.097subject
Has Abstractpub_date
2018-12-01 00:00:00pages
e428-e433eissn
1878-8750issn
1878-8769pii
S1878-8750(18)31880-1journal_volume
120pub_type
杂志文章abstract：BACKGROUND:Microscopic training is essential for development of neurosurgical skills. A range of models is reported in the literature for this purpose, including live animals, exvivo, and synthetic material. Among the factors involved in selection and development of a training station, cost is a decisive one. METHODS:...
journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:Neuroendoscopy is increasingly being used in the management of intraventricular brain tumors. The role of endoscopy in diagnostic biopsy is well established. Expansion of these techniques may allow for definitive resection of intraventricular tumors. We report the feasibility and outcomes of endoscopic resect...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.08.139
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.06.085
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2018.05.130
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abstract：OBJECTIVE:To investigate the association between single nucleotide polymorphisms or haplotypes of the COL4A1 gene and the risk of intracerebral hemorrhage (ICH). METHODS:We conducted a case-control study that included 181 patients from the Chinese Han population with hypertensive ICH and 197 hypertension patients with...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.01.072
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abstract：:In rare instances, extradural internal carotid artery aneurysms can present with massive epistaxis, which is often a fatal event. We present the case of a young female with an aneurysm eroding through the sphenoid sinus and whose timely diagnosis resulted in treatment of the aneurysm with coil embolization and satisfa...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.09.006
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Intraoperative use of positive end-expiratory pressure (PEEP) has a protective effect in patients with acute lung injury and is recommended during anesthesia to minimize postoperative pulmonary complications. However, high levels of pressure might also cause harm to the lung because of overdistension. This r...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.12.014
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.06.108
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2019.10.088
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:This manuscript discusses the case of huge presacral Tarlov cysts (TCs) and the substantial neurologic recovery noted in the patient following spontaneous rupture of the most prominent cyst. Perineural or TCs are nerve root cysts, which are usually incidental findings on magnetic resonance imaging (MRI) and ...
journal_title：World neurosurgery
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更新日期：2021-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2020-01-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2013.03.032
更新日期：2014-07-01 00:00:00
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pub_type： 杂志文章,随机对照试验
doi：10.1016/j.wneu.2018.06.005
更新日期：2018-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.08.100
更新日期：2017-11-01 00:00:00
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.07.108
更新日期：2017-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.02.036
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更新日期：2020-09-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
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更新日期：2018-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Frailty is an increasingly studied tool for preoperative risk stratification, but its prognostic value for anterior cervical discectomy and fusion (ACDF) patients is unclear. We sought to evaluate the association of the 5-item modified Frailty Index (5i-mFI) with 30-day adverse outcomes following ACDF and it...
journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2020-11-03 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.03.005
更新日期：2019-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2017.10.104
更新日期：2018-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.11.049
更新日期：2017-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.12.086
更新日期：2018-12-30 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.10.094
更新日期：2019-02-01 00:00:00
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journal_title：World neurosurgery
pub_type： 临床试验,杂志文章,多中心研究
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更新日期：2016-06-01 00:00:00
