Duration and Magnitude of Opioid Use After Minimally Invasive Sacroiliac Joint Fusion

Retrospective cohort study performed in a nationwide insurance claims database. To evaluate the duration and magnitude of post-operative opioid prescriptions after minimally invasive surgical sacroiliac joint fusion (MIS SIJF) as compared to other common spine surgeries. MIS SIJF has been reported t...

Full description

Saved in:
Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2024-06, Vol.49 (12), p.857
Main Authors: Benson, Dillon, Litvak, Audrey, Zhang, Douglas, Johnson, Christopher, El Dafrawy, Mostafa, Lee, Michael
Format: Article
Language:English
Subjects:
Adult
Aged
Analgesics, Opioid - therapeutic use
Female
Humans
Male
Middle Aged
Minimally Invasive Surgical Procedures - methods
Pain, Postoperative - drug therapy
Retrospective Studies
Sacroiliac Joint - surgery
Spinal Fusion - adverse effects
Spinal Fusion - methods
Time Factors
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Retrospective cohort study performed in a nationwide insurance claims database. To evaluate the duration and magnitude of post-operative opioid prescriptions after minimally invasive surgical sacroiliac joint fusion (MIS SIJF) as compared to other common spine surgeries. MIS SIJF has been reported to significantly improve quality of life and reduce pain. However, there is a paucity of reported data on post-operative opioid use in patients undergoing MIS SIJF for sacroiliac joint dysfunction. A nationwide insurance claims database was queried to identify 4,666 patients who underwent MIS SIJF. Patients were stratified by pre-operative opioid use: Opioid naïve, sporadic use, or chronic use were respectively defined as 0,1, or≥2 opioid prescriptions filled within 6 months prior to surgery. Duration of opioid use was defined by the time between MIS SIJF and last opioid prescription filled while magnitude of opioid use was determined by milligram morphine equivalents filled by 30 days post-operation. This opioid use data was compared to that of other common spine surgeries. Patients undergoing MIS SIJF continued to fill opioid prescriptions 1-year post-operatively at significantly higher proportions than those undergoing other common spine procedures assessed by prior literature within each of the pre-operative opioid use cohorts (chronic: 73% vs. 49-62%; P
ISSN:0362-2436
1528-1159
1528-1159
DOI:10.1097/BRS.0000000000004881