Preoperative Opioid Prescribers and Lumbar Fusion: Their Effect on Clinical Outcomes and Postoperative Opioid Usage.
Mark J LambrechtsGregory R TociTristan B FriedTariq Z IssaBrian A KaramianMichael V CarterGarrett M BreyerJohn G CurranWaqas HassanHareindra JeyamohanPaul D MinetosDavid StolzenbergMichael MehnertJose A CansecoBarrett I WoodsIan David KayeAlan S HilibrandChristopher K KeplerAlexander R VaccaroGregory D SchroederPublished in: Clinical spine surgery (2023)
Multiple preoperative opioid prescribers predicted increased improvement in postoperative back pain, whereas preoperative involvement of a nonoperative spine provider predicted improvements in leg pain after surgery. The number of preoperative opioid prescriptions was a better metric for predicting poor postoperative outcomes and increased opioid consumption compared with the number of preoperative opioid prescribers.