ArticleInternational journal of spine surgery2013
Safety and feasibility of outpatient ACDF in an ambulatory setting: A retrospective chart review.
Article in International journal of spine surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Safety of outpatient anterior cervical discectomy and fusion: a systematic review and meta-analysis.European journal of medical research · 2016Pooled it
- Retropharyngeal Hematoma after Anterior Cervical Spine Surgery: Timing of Symptom Onset and Implications for Postoperative Observation.Global spine journal · 2026Article
- The Impact of Surgeon Preference on Same-Day Discharge Following Anterior Cervical Discectomy and Fusion.Spine surgery and related research · 2025Article
- Evaluating the predictive value of multimodal intraoperative neuromonitoring in anterior cervical discectomy and fusion: a retrospective cohort study on 442 patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Observational
- The Impact of Multilevel Anterior Cervical Discectomy and Fusion on Cervical Sagittal Alignment: A Comparative Study of Single-, Two-, and Three-Level Procedures.Journal of clinical medicine · 2025Article
- Safety and efficacy of day anterior cervical discectomy and fusion procedure for degenerative cervical spondylosis: a retrospective analysis.BMC musculoskeletal disorders · 2024Article
- Outpatient Spine Procedures in Poland: Clinical Outcomes, Safety, Complications, and Technical Insights into an Ambulatory Spine Surgery Center.Healthcare (Basel, Switzerland) · 2023Article
- Outcomes following outpatient anterior cervical discectomy and fusion for the treatment of myelopathy.Journal of clinical orthopaedics and trauma · 2021Article
- Outcomes and value in elective cervical spine surgery: an introductory and practical narrative review.Journal of spine surgery (Hong Kong) · 2020Review
- Same-Day Anterior Cervical Discectomy and Fusion-Our Protocol and Experience: Same-Day Discharge After Anterior Cervical Discectomy and Fusion in Suitable Patients has Similarly Low Readmission Rates as Admitted Patients.International journal of spine surgery · 2019Article
- Future endeavors in ambulatory spine surgery.Journal of spine surgery (Hong Kong) · 2019Review
- Does the Day of the Week Affect Length of Stay and Hospital Charges Following Anterior Cervical Discectomy and Fusion?International journal of spine surgery · 2019Article
- Safety of 2-level Anterior Cervical Discectomy and Fusion (ACDF) Performed in an Ambulatory Surgery Setting With Same-day Discharge.Clinical spine surgery · 2019Article
- Safety and Efficiency of Cervical Disc Arthroplasty in Ambulatory Surgery Centers vs. Hospital Settings.International journal of spine surgery · 2018Article
- Ambulatory anterior cervical discectomy and fusion is associated with a higher risk of revision surgery and perioperative complications: an analysis of a large nationwide database.The spine journal : official journal of the North American Spine Society · 2018Article
- A Matched Cohort Analysis Comparing Stand-Alone Cages and Anterior Cervical Plates Used for Anterior Cervical Discectomy and Fusion.Global spine journal · 2017Article
- Outpatient Anterior Cervical Discectomy and Fusion: An Analysis of Readmissions from the New Jersey State Ambulatory Services Database.International journal of spine surgery · 2017Article
- Inpatient versus Outpatient Anterior Cervical Discectomy and Fusion: A Perioperative Complication Analysis of 259,414 Patients From the Healthcare Cost and Utilization Project Databases.International journal of spine surgery · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOutpatient spinal surgery is becoming increasingly common and in some areas is now the preferred course for certain procedures. Many different procedures, including ACDF, have been examined in the outpatient setting in the past few years but to our knowledge none have included the ambulatory setting.
methodsAll ACDF procedures performed during the time frame of the study were included. Charts were pulled and evaluated using the outcome measures. One and two-level ACDF were divided into respective cervical levels and individually analyzed.
resultsSingle level ACDF comprised 62% (n = 74) of the total surgeries. Single level ACDF patients averaged a total hospital stay time of 4.7 hours, with a maximum total stay time of 8.2 hours and a minimum stay time of 0.8 hours. Two-level ACDF made up 38% (n = 45) of the total surgeries. The average total stay time for two level ACDF was 5.4 hours, with a maximum time of 9.6 hours and a minimum of 3.4 hours. All patients were comparable in age and gender. There were no major operating complications and neither re-admissions nor deaths after discharge. There were two transfers from ambulatory surgical centers to inpatient status for observation only.
conclusionsOutpatient one and two-level ACDF with plate fixation can safely be done on an outpatient ambulatory basis. The data suggest that all subaxial cervical levels can be treated. Patient fusion and satisfaction data were not obtained and thus cannot be commented upon. CLINICAL RELEVANCE: Ambulatory ACDF should be considered as a feasible option for reducing hospital stay as well as the associated healthcare costs.
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