The Incidence, Risk Factors, and Complications Associated With Surgical Delay in Multilevel Fusion for Adult Spinal Deformity.
Sean M WadeDonald R FredericksMichael J ElsenbeckPatrick B MorrisseyArjun S SebastianI David KayeJoseph S ButlerScott C WagnerPublished in: Global spine journal (2020)
Delays in elective surgical care for spinal deformity are negatively related to patient outcomes. Advanced age, male sex, increased ASA class, and a history of smoking cigarettes place patients at risk for surgical delay of multilevel spinal fusion. Patients experiencing surgical delay are at higher risk for postoperative complications, including a 7-fold increase in mortality. These findings suggest that ASD surgery should be postponed in patients experiencing a delay, until modifiable risk factors can be medically optimized, and perhaps postponed indefinitely in those with nonmodifiable risk factors.
Keyphrases
- risk factors
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- prognostic factors
- spinal cord
- peritoneal dialysis
- minimally invasive
- attention deficit hyperactivity disorder
- cardiovascular disease
- palliative care
- patient reported outcomes
- atrial fibrillation
- acute coronary syndrome
- young adults
- pain management
- percutaneous coronary intervention