ArticleInternational journal of spine surgery2018
Comparison of Surgical Outcome Between Diabetic Versus Nondiabetic Patients After Lumbar Fusion.
Article in International journal of spine surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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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
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Pooled it
- Pathway for enhanced recovery after spinal surgery-a systematic review of evidence for use of individual components.BMC anesthesiology · 2021Pooled it
- Standardizing Preoperative Care for Elective Spine Surgery: The University of Oklahoma Elective Spine Surgery Protocol.GeroScience · 2026Review
- Adverse Impact of Smoking on Spine Fusion and Patient-Reported Outcomes: A Systematic Review and Meta-Analysis.Global spine journal · 2026Review
- Association of Elevated Perioperative Blood Glucose With Complications and Postoperative Outcomes Following Traumatic Spine Surgery.International journal of spine surgery · 2024Article
- The Effects of Blood Glucose Control in the Operative Spine Patient: A Systematic Review.International journal of spine surgery · 2023Article
- Do Diabetic Patients Have Poorer Clinical and Radiological Outcomes Following Minimally Invasive Transforaminal Lumbar Interbody Fusion?International journal of spine surgery · 2023Article
- A nomogram for accurately predicting the surgical site infection following transforaminal lumbar interbody fusion in type 2 diabetes patients, based on glycemic variability.International wound journal · 2023Article
- Does type 2 diabetes affect the efficacy of therapeutic exercises for degenerative lumbar spinal stenosis?BMC musculoskeletal disorders · 2023Article
- The Effect of Diabetes and Metabolic Syndrome on Spine Surgery Outcomes.Current reviews in musculoskeletal medicine · 2023Review
- Diabetes mellitus and perioperative outcomes: a scoping review of the literature.British journal of anaesthesia · 2022Article
- Prediction of Long-Term Recovery From Disability Using Hemoglobin-Based Models: Results From a Cohort of 1,392 Patients Undergoing Spine Surgery.Frontiers in surgery · 2022Article
- Spine Surgery and Preoperative Hemoglobin, Hematocrit, and Hemoglobin A1c: A Systematic Review.Global spine journal · 2022Article
- Outcomes of infratentorial cranial surgery for tumor resection in older patients: An analysis of the National Surgical Quality Improvement Program.Surgical neurology international · 2021Article
- Preoperative measures to prevent/minimize risk of surgical site infection in spinal surgery.Surgical neurology international · 2018Review
- Insulin dependence predicts adverse outcomes following lumbar spine surgery.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevalence of diabetes mellitus (DM) is increasing worldwide. Thereby, an increasing rate of patients with DM are subjecting to spine surgery. Reviewing the literature, a higher rate of surgery-related complications is reported in DM patients. There is no prospective study comparing the outcomes of lumbar fusion surgery in patients with and without DM. We aimed to investigate whether DM is associated with worse patient-reported outcomes, lower fusion rate, and higher complication rate in subjects undergoing spinal lumbar fusion surgery.
methodsForty-eight subjects with DM (DM group) and 48 controls (control group) were recruited. Data regarding age, duration of diabetes, comorbidities, fasting blood sugar, HbA1c, insulin dependence, duration of operation and the volume of bleeding, and the number of infused packed cell were recorded for all patients. Pain and functional status of the patients using the visual analogue scale (VAS) and Oswestry Disability Index (ODI) were measured before operation and 2 weeks, 6 months, and 1 year after lumbar spinal fusion surgery. Using lumbar computed tomography scan and anteroposterior and lateral x-ray 1 year after the surgery, fusion was assessed.
resultsFusion rate after 1 year was 78% in the control group and 53% in the DM group (
conclusionRate of fusion among diabetic patients who undergo lumbar spinal fusion surgery is lower than healthy controls. Spine surgeons should consider this to provide the best possible facilities during the surgery to increase the fusion rate in these patients.
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