289. Risk of spinal surgery among individuals who have been revascularized for coronary artery disease

• Published in: The spine journal 2020-09, Vol.20 (9), p.S143-S144
• Main Authors: Passias, Peter G., Ahmad, Waleed, Bell, Joshua, Naessig, Sara, Pierce, Katherine E., Segreto, Frank A., Vira, Shaleen N., Lafage, Virginie, Diebo, Bassel G., Hassanzadeh, Hamid
• Format: Article
• Language: English
• ISSN: 1529-9430; 1878-1632
• DOI: 10.1016/j.spinee.2020.05.391

For patients with coronary artery disease, the two most common options for intervention are a cardiac stent or a coronary artery bypass graft. Although less invasive, stents may pose a long-term risk for patients undergoing further invasive procedures such as elective spine surgery. This study aimed to provide surgeons with insight on possible major complications for elective spine surgery patients with a history of coronary artery disease. Investigate outcomes of elective spine fusion patients with prior history of cardiac intervention Retrospective review of the PearlDiver database between the years 2006-2013 A total of 731,173 elective spine fusion patients Comorbidity burden, 30-day and 90-day complications, readmission Elective spine fusion patients were isolated with ICD-9 and CPT procedures codes in the PearlDiver database. Patients were stratified by having previous history of a coronary stent (Stent), coronary artery bypass graft (CABG), and no previous heart procedure (No-HP). Means comparison tests (chi-squared and independent samples t-tests, as appropriate) compared differences in demographics, diagnoses, and comorbidities. Logistic regression assessed the odds of 30-day and 90-day postoperative (postop) complications associated with each heart procedure (Odds Ratio [95% confidence interval]). Statistical significance was set p