Smoking Is an Independent Risk Factor for 90-Day Readmission and Reoperation Following Posterior Cervical Decompression and Fusion.

摘要: Background Posterior cervical decompression and fusion (PCF) is a common procedure used to treat various spine pathologies, but the 90-d outcomes following PCF surgery continue be incompletely defined. Objective To identify risk factors associated with readmission reoperation surgery. Methods Adults undergoing from 2012 2020 were identified. Demographic radiographic data, surgical characteristics, collected. Univariate analysis was performed using Student's t-test, chi square, Fisher exact tests as appropriate. Multivariable logistic regression models lasso penalty analyze factors. Results A total of 259 patients included. The rates 9.3% 4.6%, respectively. most reason for site infection (SSI) (33.3%) followed by new neurological deficits (16.7%). Patients who smoked tobacco had 3-fold greater odds compared nonsmokers (odds ratio [OR]: 3.48; 95% CI 1.87-6.67; P = .0001). Likewise, SSI seroma implant failure (25.0% each). Smoking also an independent factor reoperation, nearly 4-fold return operating room (OR: 3.53; 1.53-8.57; .003). Conclusion significant predictor in cessation should strongly considered preoperatively elective cases minimize reoperation.