Thirty day postoperative outcomes following anterior lumbar interbody fusion using the National Surgical Quality Improvement Program database.

摘要: Abstract Objective Anterior lumbar interbody fusion (ALIF) is a common procedure used to treat various degenerative pathologies. The purpose of this study describe 30-day postoperative outcomes following ALIF on national scale.Methods American College Surgeons National Surgery Quality Improvement Program (ACS NSQIP) was searched for patients between 2005 and 2011. top preoperative diagnoses were determined using ICD-9 codes. All available complications grouped as overall composite morbidity compared diagnosis groups by univariable multivariable analyses.Results There total 1352 patients. Overall, 6.73% experienced complication. Unplanned reoperations (2.48%), urinary tract infection (1.55%), superficial surgical site (1.41%), sepsis (1.11%) the most events. rates each sub-group were: intervertebral disc degeneration (4.41%), spondylosis (6.72%), lumbosacral spinal stenosis(8.21%), spondylolisthesis (8.41%). After extensive adjustment patient characteristics morbidities, analysis revealed (OR=3.29; 95% CI:1.04–10.46) stenosis (OR=3.76; CI:1.33–10.63) be associated with significantly higher odds when degeneration. Lumbosacral similar disease (OR =1.70; CI:0.48–6.06).Conclusions Diverse need managed ALIF. Patients may carry increased profiles in those disease. Prospective studies are needed better delineate procedures, particularly populations.