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Allograft versus autograft in cervical and lumbar spinal fusions: an examination of operative time, length of stay, surgical site infection, and blood transfusions

Allograft versus autograft in cervical and lumbar spinal fusions: an examination of operative time, length of stay, surgical site infection, and blood transfusions

Authors :
Meghan E. Murphy
Daniel Shepherd
Brandon A. McCutcheon
Panagiotis Kerezoudis
Jeremy L. Fogelson
Ahmad Nassr
Mohamad Bydon
Lorenzo Rinaldo
Patrick R. Maloney
Jennifer Grauberger
Source :
Journal of Neurosurgical Sciences. 63
Publication Year :
2018
Publisher :
Edizioni Minerva Medica, 2018.

Abstract

BACKGROUND Autograft harvesting for spine arthrodesis has been associated with longer operative times and increased blood loss. Allograft compared to autograft in spinal fusions has not been studied in a multicenter cohort. METHODS Patients enrolled in the ACS-NSQIP registry between 2012 and 2013 who underwent cervical or lumbar spinal fusion with either allograft or autograft through a separate incision were included for analysis. The primary outcomes of interest were operative time, length of stay, blood transfusion, and surgical site infection (SSI). RESULTS A total of 6790 and 6718 patients received a cervical or lumbar spinal fusion, respectively. On unadjusted analysis in both cervical and lumbar cohorts, autograft was associated with increased rates of blood transfusion (cervical: 2.9% vs. 1.0%, P

Details

ISSN :
18271855 and 03905616
Volume :
63
Database :
OpenAIRE
Journal :
Journal of Neurosurgical Sciences
Accession number :
edsair.doi.dedup.....4cd7564e3228266f4e5e9c22788af631
Full Text :
https://doi.org/10.23736/s0390-5616.16.03847-9