Critical Analysis of Radiographic and Patient-Reported Outcomes Following Anterior/Posterior Staged Versus Same-Day Surgery in Patients Undergoing Identical Corrective Surgery for Adult Spinal Deformity

A retrospective cohort study of a prospectively collected multicenter adult spinal deformity (ASD) database. The aim of this study was to compare staged procedures to same-day interventions and identify the optimal time interval between staged surgeries for the treatment of ASD. Surgical interventio...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2024-07, Vol.49 (13), p.893
Main Authors: Passias, Peter G, Ahmad, Waleed, Tretiakov, Peter S, Lafage, Renaud, Lafage, Virginie, Schoenfeld, Andrew J, Line, Breton, Daniels, Alan, Mir, Jamshaid M, Gupta, Munish, Mundis, Gregory, Eastlack, Robert, Nunley, Pierce, Hamilton, D Kojo, Hostin, Richard, Hart, Robert, Burton, Douglas C, Shaffrey, Christopher, Schwab, Frank, Ames, Christopher, Smith, Justin S, Bess, Shay, Klineberg, Eric O
Format: Article
Language:English
Subjects:
Adult
Aged
Female
Humans
Male
Middle Aged
Patient Reported Outcome Measures
Propensity Score
Retrospective Studies
Spinal Curvatures - diagnostic imaging
Spinal Curvatures - surgery
Spinal Fusion - methods
Treatment Outcome
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Summary:A retrospective cohort study of a prospectively collected multicenter adult spinal deformity (ASD) database. The aim of this study was to compare staged procedures to same-day interventions and identify the optimal time interval between staged surgeries for the treatment of ASD. Surgical intervention for ASD is an invasive and complex procedure that surgeons often elect to perform on different days (staging). Yet, there remains a paucity of literature on the timing and effects of the interval between stages. ASD patients with 2-year data undergoing an anterior/posterior (A/P) fusion to the ilium were included. Propensity score matching was performed for the number of levels fused, number of interbody devices, surgical approaches, number of osteotomies/three-column osteotomy, frailty, Oswestry Disability Index, Charlson Comorbidity Index, revisions, sagittal vertical axis, pelvic incidence-lumbar lordosis, and upper instrumented vertebrae to create balanced cohorts of same-day and staged surgical patients. Staged patients were stratified by intervening time-period between surgeries, using quartiles. A total of 176 propensity score-matched patients were included. The median interval between A/P staged procedures was 3 days. Staged patients had greater operative time and lower intensive care unit stays postoperatively ( P
ISSN:1528-1159
1528-1159
DOI:10.1097/BRS.0000000000004774