ArticleSpine deformity2021
Unplanned return to the operating room (UPROR) after surgery for adolescent idiopathic scoliosis.
Article in Spine deformity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Disclosure of Long-Term Complications in Informed Consent for Adolescent Idiopathic Scoliosis Undergoing Posterior Spinal Fusion Surgery: A Systematic Review of Online Resources.Journal of clinical medicine · 2026Review
- Utility of routine postoperative imaging following posterior spinal fusion for AIS.Spine deformity · 2025Article
- Prevalence and Risk Factors for Postoperative Neurological Complications in Spinal Deformity Surgery: A Systematic Review and Proportional Meta-Analysis.Neurospine · 2025Article
- Fully automated determination of robotic pedicle screw accuracy and precision utilizing computer vision algorithms.Journal of robotic surgery · 2024Article
- A 10-year perspective on the question of whether surgeries for adolescent idiopathic scoliosis are "one and done"?Spine deformity · 2024Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective analysis of a prospectively collected multi-center database. PURPOSE: UPROR (Unplanned Return to the Operating Room) is an inclusive metric for unexpected surgery after the index procedure. Given the many quality and safety improvements in AIS surgery over the past 20 years, it is useful for spine deformity surgeons to understand the current rate of UPROR, the etiologies, and trends over time. A report from a very large data set, including multiple surgeons and centers, with longer follow-up, would provide the clearest picture.
methodsWe performed a retrospective review of a prospective multi-center database of patients who had AIS deformity correction surgery to analyze all cases of UPROR, using linear regression models, survival analysis, and descriptive statistics.
resultsAmong 3464 patients who had surgery (ASF, PSF, or ASF + PSF) for AIS from 1995 to 2017, 4.8% had an UPROR event in one of the following categories: surgical-site-related (43.3%), instrument failures (34.3%), revisions (8.4%), neurologic (5.1%), pulmonary (5.1%), medical (0.6%), and other (3.4%). The average time from initial surgery to UPROR was 734.4 days. 45.5% of UPRORs occurred within 1 year, 12.4% between 1 and 2 years, 30.9% between 2 and 5 years, and 11.2% between 5 and 10 years. In patients with at least 2-year, 5-year, and 10-year follow-up, the UPROR rates were 6.6, 7.3, and 9.2%, respectively. Between 1997 and 2013, the UPROR rate decreased by 0.46% per year (95% CI 0.25-0.68, p < 0.001).
conclusionUPROR has decreased significantly over time but as expected, increases with increased follow-up. LEVEL OF EVIDENCE: Level III, therapeutic.
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