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Alcoholism as a predictor for pseudarthrosis in primary spine fusion: An analysis of risk factors and 30-day outcomes for 52,402 patients from 2005 to 2013.
- Source :
-
Journal of orthopaedics [J Orthop] 2018 Dec 20; Vol. 16 (1), pp. 36-40. Date of Electronic Publication: 2018 Dec 20 (Print Publication: 2019). - Publication Year :
- 2018
-
Abstract
- Introduction: This study assessed the incidence and risk factors for pseudarthrosis among primary spine fusion patients.<br />Methods: Retrospective review of ACS-NSQIP (2005-2013). Differences in comorbidities between spine fusion patients with and without pseudarthrosis (Pseud, N-Pseud) were assessed using chi-squared tests and Independent Samples t -tests. Binary logistic regression assessed patient-related and procedure-related predictors for pseudarthrosis.<br />Results: 52,402 patients (57yrs, 53%F, 0.4% w/pseudarthrosis). Alcohol consumption (OR:2.6[1.2-5.7]) and prior history of surgical revision (OR:1.6[1.4-1.8]) were risk factors for pseudarthrosis operation. Pseud patients at higher risk for deep incisional SSI (at 30-days:OR:6.6[2.0-21.8]). Pseud patients had more perioperative complications (avg:0.24 ± 0.43v0.18 ± 0.39, p =0.026).<br />Conclusions: Alcoholism and surgical revision are major risk factors for pseudarthrosis in patients undergoing spine fusion.
Details
- Language :
- English
- ISSN :
- 0972-978X
- Volume :
- 16
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of orthopaedics
- Publication Type :
- Academic Journal
- Accession number :
- 30662235
- Full Text :
- https://doi.org/10.1016/j.jor.2018.12.011