Cargando…
Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series
BACKGROUND: Spinal surgery is increasingly being done in the outpatient setting. We reviewed our experience with inpatient and outpatient single-level anterior cervical discectomy and fusion with plating (ACDF+P). METHODS: All patients undergoing single-level anterior cervical discectomy and fusion...
Autores principales: | , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2009
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657115/ https://www.ncbi.nlm.nih.gov/pubmed/19265540 http://dx.doi.org/10.1186/1471-2482-9-3 |
_version_ | 1782165557670313984 |
---|---|
author | Liu, Jeffrey T Briner, Rudy P Friedman, Jonathan A |
author_facet | Liu, Jeffrey T Briner, Rudy P Friedman, Jonathan A |
author_sort | Liu, Jeffrey T |
collection | PubMed |
description | BACKGROUND: Spinal surgery is increasingly being done in the outpatient setting. We reviewed our experience with inpatient and outpatient single-level anterior cervical discectomy and fusion with plating (ACDF+P). METHODS: All patients undergoing single-level anterior cervical discectomy and fusion with plating between August 2005 and May 2007 by two surgeons (RPB or JAF) were retrospectively reviewed. All patients underwent anterior cervical microdiscectomy, arthrodesis using structural allograft, and titanium plating. A planned change from doing ACDF+P on an inpatient basis to doing ACDF+P on an outpatient basis was instituted at the midpoint of the study. There were no other changes in technique, patient selection, instrumentation, facility, or other factors. All procedures were done in full-service hospitals accommodating outpatient and inpatient care. RESULTS: 64 patients underwent ACDF+P as inpatients, while 45 underwent ACDF+P as outpatients. When outpatient surgery was planned, 17 patients were treated as inpatients due to medical comorbidities (14), older age (1), and patient preference (2). At a mean follow-up of 62.4 days, 90 patients had an excellent outcome, 19 patients had a good outcome, and no patients had a fair or poor outcome. There was no significant difference in outcome between inpatients and outpatients. There were 4 complications, all occurring in inpatients: a hematoma one week post-operatively requiring drainage, a cerebrospinal fluid leak treated with lumbar drainage, syncope of unknown etiology, and moderate dysphagia. CONCLUSION: In this series, outpatient ACDF+P was safe and was not associated with a significant difference in outcome compared with inpatient ACDF+P. |
format | Text |
id | pubmed-2657115 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-26571152009-03-18 Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series Liu, Jeffrey T Briner, Rudy P Friedman, Jonathan A BMC Surg Research Article BACKGROUND: Spinal surgery is increasingly being done in the outpatient setting. We reviewed our experience with inpatient and outpatient single-level anterior cervical discectomy and fusion with plating (ACDF+P). METHODS: All patients undergoing single-level anterior cervical discectomy and fusion with plating between August 2005 and May 2007 by two surgeons (RPB or JAF) were retrospectively reviewed. All patients underwent anterior cervical microdiscectomy, arthrodesis using structural allograft, and titanium plating. A planned change from doing ACDF+P on an inpatient basis to doing ACDF+P on an outpatient basis was instituted at the midpoint of the study. There were no other changes in technique, patient selection, instrumentation, facility, or other factors. All procedures were done in full-service hospitals accommodating outpatient and inpatient care. RESULTS: 64 patients underwent ACDF+P as inpatients, while 45 underwent ACDF+P as outpatients. When outpatient surgery was planned, 17 patients were treated as inpatients due to medical comorbidities (14), older age (1), and patient preference (2). At a mean follow-up of 62.4 days, 90 patients had an excellent outcome, 19 patients had a good outcome, and no patients had a fair or poor outcome. There was no significant difference in outcome between inpatients and outpatients. There were 4 complications, all occurring in inpatients: a hematoma one week post-operatively requiring drainage, a cerebrospinal fluid leak treated with lumbar drainage, syncope of unknown etiology, and moderate dysphagia. CONCLUSION: In this series, outpatient ACDF+P was safe and was not associated with a significant difference in outcome compared with inpatient ACDF+P. BioMed Central 2009-03-05 /pmc/articles/PMC2657115/ /pubmed/19265540 http://dx.doi.org/10.1186/1471-2482-9-3 Text en Copyright © 2009 Liu et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Liu, Jeffrey T Briner, Rudy P Friedman, Jonathan A Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series |
title | Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series |
title_full | Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series |
title_fullStr | Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series |
title_full_unstemmed | Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series |
title_short | Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series |
title_sort | comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657115/ https://www.ncbi.nlm.nih.gov/pubmed/19265540 http://dx.doi.org/10.1186/1471-2482-9-3 |
work_keys_str_mv | AT liujeffreyt comparisonofinpatientvsoutpatientanteriorcervicaldiscectomyandfusionaretrospectivecaseseries AT brinerrudyp comparisonofinpatientvsoutpatientanteriorcervicaldiscectomyandfusionaretrospectivecaseseries AT friedmanjonathana comparisonofinpatientvsoutpatientanteriorcervicaldiscectomyandfusionaretrospectivecaseseries |