Evidence map›Paper›PMID 41000484›Full record

ArticleJournal of craniovertebral junction & spine

Impact of surgical delay on 30-day reoperation rates and length of stay after anterior fixation of odontoid fractures.

Ryan Hoang, Haiyue Jin, Pirooz Fereydouni, Arthur Cowman, Junho Song, Timothy Hoang, David Essig, Sohrab Virk, Austen Katz

Abstract read
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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. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ryan HoangDepartment of Orthopaedic Surgery, School of Medicine, The University of California, Irvine, CA, USA.
Haiyue JinDepartment of Orthopaedic Surgery, School of Medicine, The University of California, Irvine, CA, USA.
Pirooz FereydouniDepartment of Orthopaedic Surgery, School of Medicine, The University of California, Irvine, CA, USA.
Arthur CowmanDepartment of Orthopaedic Surgery, School of Medicine, The University of California, Irvine, CA, USA.
Junho SongDepartment of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Timothy HoangDepartment of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
David EssigDepartment of Orthopedic Surgery, North Shore University Hospital-Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra University, New Hyde Park, NY, USA.
Sohrab VirkDepartment of Orthopedic Surgery, North Shore University Hospital-Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra University, New Hyde Park, NY, USA.
Austen KatzDepartment of Orthopedic Surgery, North Shore University Hospital-Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra University, New Hyde Park, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Surgical management of odontoid fractures in the cervical spine is utilized to promote higher fusion rates, reduce medical complications, and limit mortality. Delay in surgical management of operative odontoid fractures after hospital admission, however, may be associated with greater rates of adverse events and length of stay. We sought to evaluate the effect of surgical delay on unplanned reoperation and increased length of stay following anterior fixation of odontoid fractures. Materials and Methods: A retrospective observational study was conducted on patients who underwent anterior fixation for an odontoid fracture from 2013 to 2022, utilizing the National Surgical Quality Improvement Program database. Eligibility for inclusion was age >18 years and current procedural terminology codes 22,318 and 22,319. Outcomes, including length of stay, mortality, and reoperation, were compared between cohorts. Prolonged time between hospital admission and surgery ≥48 h was assessed as a predictor of clinical outcomes. Results: Among 265 patients, 85 (32.1%) had a surgical delay. Age, sex, race, body mass index, and other medical comorbidities were statistically similar at baseline between groups. Surgical delay was associated with greater length of stay (8.2 vs. 4.5 days, Conclusion: Surgical delay was an independent and significant predictor of increased length of stay and reoperation. These results suggest that surgery should be performed promptly within 48 h when indicated to minimize the risk of adverse outcomes.

Indexed as

Anterior fixationcervical spineodontoid fracturesurgical delay

Identifiers

PMID41000484
PMCPMC12459928

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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.