Comparison of Two-level Cervical Disc Replacement Versus Two-level Anterior Cervical Discectomy and Fusion in the Outpatient Setting

Retrospective cohort study. The aim of this study was to evaluate the safety of two-level cervical disc replacement (CDR) in the outpatient setting. Despite growing interest in CDR, limited data exist evaluating the safety of two-level CDR in the outpatient setting. The National Surgical Quality Imp...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2021-05, Vol.46 (10), p.658-664
Main Authors: Doan, Matthew K., Chung, Andrew S., Makovicka, Justin L., Hassebrock, Jeffrey D., Polveroni, Thomas M., Patel, Karan A.
Format: Article
Language:English
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Summary:Retrospective cohort study. The aim of this study was to evaluate the safety of two-level cervical disc replacement (CDR) in the outpatient setting. Despite growing interest in CDR, limited data exist evaluating the safety of two-level CDR in the outpatient setting. The National Surgical Quality Improvement Program (NSQIP) database was queried for all two-level anterior cervical discectomy and fusion (ACDF) and CDR procedures between 2015 and 2018. Demographics, comorbidities, and 30-day postoperative complication rates of outpatient two-level CDR were compared to those of inpatient two-level CDR and outpatient two-level ACDF. Radiographic data are not available in the NSQIP. A total of 403 outpatient CDRs were compared to 408 inpatient CDRs and 4134 outpatient ACDFs. Outpatient CDR patients were older and more likely to have pulmonary comorbidities compared to inpatient CDR (P 
ISSN:0362-2436
1528-1159
DOI:10.1097/BRS.0000000000003871