ArticleWorld neurosurgery2020
Implications of Drug Use Disorders on Spine Surgery.
Article in World neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Post-operative opioid utilization after surgery for spinal trauma: a retrospective study at a level 1 trauma center.Journal of spine surgery (Hong Kong) · 2025Article
- Opioid-use disorder and reported pain after spine surgery: Risk-group patterns in cognitive-appraisal processes in a longitudinal cohort study.North American Spine Society journal · 2025Article
- Spine surgery and readmission: Risk factors in lumbar corpectomy patients.North American Spine Society journal · 2025Article
- Rates and Characteristics of Patients Leaving against Medical Advice after Spine Surgery.Spine surgery and related research · 2024Article
- Elective surgery for acute pain in patients with substance use disorder: lessons learned at a rural neurosurgical center. Patient series.Journal of neurosurgery. Case lessons · 2022Article
- Review of Neurologic Comorbidities in Hospitalized Patients With Opioid Abuse.Neurology. Clinical practice · 2021Review
- The influence of modifiable risk factors on short-term postoperative outcomes following cervical spine surgery: A retrospective propensity score matched analysis.EClinicalMedicine · 2021Article
- Stigmatizing Diagnoses in Neurosurgery: A Narrative Review.World neurosurgery · 2021Review
- Evaluating new paralysis, mortality, and readmission among subgroups of patients with spinal epidural abscess: A latent class analysis.PloS one · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe opioid crisis has been declared a "public health emergency." Spine surgeons are treating more patients with substance use disorders (SUDs).
objectiveTo investigate the outcomes of patients with SUD who undergo spine surgery.
methodsA retrospective chart review was performed on patients with SUD who underwent nonelective spine surgery by orthopedic or neurosurgical staff from 2012 to 2017 at a level 1 trauma center and spine referral center. Three elective cases were excluded.
resultsA total of 49 patients undergoing 72 surgeries were reviewed. The most common substances of abuse were opioids (44/49 patients; 90%). Of 31 patients using multisubstances (63%), 29 misused opioids. The most common indications for surgery were infection (26/49, 53%), trauma (13/49, 27%), and myelopathy (7/49, 14%). Fusions (35/49, 71%) and irrigation and debridement surgeries (12/49, 24%) predominated. Twenty-nine percent (14/49) of patients had complications, the most common being hardware failure (7/49, 14%). Twenty percent (10/49) of patients left against medical advice and 22% (11/49) did not follow up after hospital discharge. The average length of hospital stay was 22 days. Forty-five percent (22/49) of patients were known to be in a drug program preoperatively versus 39% (19/49) postoperatively. Sixty-five percent (32/49) were prescribed opioids in the immediate postoperative period and 47% (23/49) continued to abuse drugs postoperatively.
conclusionsPatients with SUD are at increased risk of complications and inadequate follow-up. Additional studies are warranted to determine whether additional perioperative education, psychiatry consultations, or prescription of opioid addiction treatment regimens will improve drug use cessation and outcomes.
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