Evidence map›Paper›PMID 40292176›Full record

ArticleJournal of craniovertebral junction & spine

National trends in postoperative complications for lumbar spinal fusion from 2009 to 2022.

Ryan Hoang, Ryan Le, Joshua Lee, Hannah Cho, Noah Makaio Ross, Arthur Wesley Cowman, Don Young Park, Sohaib Hashmi, Hao-Hua Wu, Nitin Bhatia and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ryan HoangDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Ryan LeDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Joshua LeeDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Hannah ChoDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Noah Makaio RossDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Arthur Wesley CowmanDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Don Young ParkDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Sohaib HashmiDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Hao-Hua WuDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Nitin BhatiaDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.
Yu-Po LeeDepartment of Orthopaedic Surgery, University of California, School of Medicine, Irvine, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although posterior lumbar fusions (PLFs) have risen in popularity due to minimally invasive techniques and favorable outcomes, complications still arise. Studies show relatively constant rates of postoperative complications from 2006 to 2016, but there are limited studies evaluating outcomes after 2016. Consequently, we aim to investigate trends in postoperative complications for PLFs from 2009 to 2022. Methods: The American College of Surgeons National Surgical Quality Improvement Program was queried for single-level PLFs between 2006 and 2022. Patients between 2006 and 2008 were excluded due to limited sample size. Inclusion criteria included >18 years old and Current Procedural Terminology code 22612. Baseline demographics and comorbidities were recorded. Annual 30-day complication rates of wound infection, readmission, reoperation, length of stay, intraoperative blood transfusions (IBTs), and mortality were recorded. Analysis of variance and multivariable Poisson log-linear regression were performed to compare complication rates between years and outcomes between 2020-2022 and 2017-2019. Results: Wound infection rates declined from 3.7% in 2009 to 2.7% in 2019, with an increase to 3.0% by 2022 (P = 0.015). IBT decreased significantly, from 20.58% in 2010 to 9.40% in 2022 (P < 0.001). Sepsis rates fell from 2.15% in 2009 to 0.88% in 2022 (P = 0.017). The average length of stay decreased from 2009 to 2019 (P < 0.001). Wound infection (P = 0.006) and pneumonia (P = 0.039) rates significantly increased between 2020 and 2022. Conclusion: Rates of older age, diabetes, and hypertension increased among PLF patients between 2009 and 2022, while most complication rates remained constant. Rates of wound infection, IBT, sepsis, and average length of stay have improved since 2009 despite an increase in wound infection and pneumonia from 2020 to 2022.

Indexed as

American College of Surgeons National Surgical Quality Improvement ProgramCOVID-19posterior lumbar spinal fusionpostoperative complications

Identifiers

PMID40292176
PMCPMC12029380

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.