ArticleInternational journal of spine surgery2021
Outpatient Versus Inpatient Anterior Lumbar Spine Surgery: A Multisite, Comparative Analysis of Patient Safety Measures.
Article in International journal of spine surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Same-day discharge does not increase complications or readmissions in carefully selected patients undergoing aseptic lower extremity nonunion surgery.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Intraoperative and Postoperative Safety of Outpatient Anterior Lumbar Spine Surgery: A Multicenter Experience.International journal of spine surgery · 2026Article
- Demonstrating the feasibility of facet arthroplasty using the Total Posterior Spine System (TOPS) in the ambulatory surgery center (the TOPS outpatient experience).Journal of spine surgery (Hong Kong) · 2026Article
- Feasibility and Early Safety of Single-Position Lateral Lumbar Interbody Fusion With Posterior Pedicle Screw Instrumentation and Fusion at the Ambulatory Surgery Center: A Preliminary Case Series.International journal of spine surgery · 2026Article
- Safety and efficacy of outpatient versus inpatient adult brachial plexus surgery.Journal of hand and microsurgery · 2025Article
- Safety of Outpatient Anterior Lumbar Interbody Fusion Surgery: A Systematic Review With Meta-Analyses.International journal of spine surgery · 2024Article
- Prospective same day discharge instrumented lumbar spine surgery - a forty patient consecutive series.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 · 2024Article
- Database analysis comparing incidence and complication rates between inpatient and outpatient laminotomies for lumbar disc herniation.North American Spine Society journal · 2024Article
- Outpatient Spine Procedures in Poland: Clinical Outcomes, Safety, Complications, and Technical Insights into an Ambulatory Spine Surgery Center.Healthcare (Basel, Switzerland) · 2023Article
- Outpatient minimally invasive spine surgeries during the COVID-19 pandemic - A retrospective analysis of 164 consecutive cases.World neurosurgery: X · 2023Article
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe frequency and complexity of spinal surgery performed in an ambulatory surgery center (ASC) is increasing. However, safety and efficacy data of most spinal procedures adapted to the ASC are sparse and have focused on anterior cervical surgery. The purpose of this study was to compare the 90-day complication and readmission rates of anterior lumbar spine surgery performed in an ASC or inpatient setting.
methodsWe performed a retrospective comparative analysis of 226 consecutive anterior lumbar surgeries (283 levels treated) completed in an ASC (
resultsThe two study groups had similar baseline characteristics. While there was a trend toward fewer complications, reoperations, and readmissions for the ASC cohort, the differences were not statistically significant. There were 7 intraoperative complications (5.6% minor vascular injury) in the inpatient cohort and 0 in the ASC cohort. The overall 90-day postoperative complication rate was 5.6% for the inpatient cohort and 0.9% for the ASC cohort. The 90-day readmission rate was 1.9% in the ASC cohort and 1.6% in the inpatient cohort. The 90-day reoperation rate was 0.8% for the inpatient cohort and 0% in the ASC cohort. The average hospital stay was 2.3 ± 1.5 days for the inpatient cohort.
conclusionThe 90-day readmission rates were lower for outpatients than for inpatients, while the complication and reoperation rates were similar. Our results demonstrate that anterior lumbar procedures, including single-level and multilevel ALIF, ADR, and hybrid procedures, can be performed safely in an ASC. This has significant cost savings implications for the ASC setting.
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