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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
- 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
- Subjects :
- Adult
Male
musculoskeletal diseases
0301 basic medicine
medicine.medical_specialty
Blood transfusion
medicine.medical_treatment
Arthrodesis
Operative Time
Lumbar vertebrae
Transplantation, Autologous
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Lumbar
Humans
Surgical Wound Infection
Transplantation, Homologous
Medicine
Blood Transfusion
Autografts
Aged
Bone Transplantation
Lumbar Vertebrae
business.industry
Length of Stay
Middle Aged
Allografts
Surgery
Transplantation
Outcome and Process Assessment, Health Care
Spinal Fusion
surgical procedures, operative
030104 developmental biology
medicine.anatomical_structure
Anesthesia
Cohort
Cervical Vertebrae
Female
Neurology (clinical)
business
030217 neurology & neurosurgery
Cervical vertebrae
Cohort study
Subjects
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