Spine surgery and readmission: Risk factors in lumbar corpectomy patients
Background: A corpectomy of the lumbar spine is a widely performed surgical procedure with numerous indications. Previous research predominantly focused on various surgical techniques and their outcomes, lacking a general and comprehensive analysis of factors affecting this procedure. With this stud...
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Elsevier
2025-03-01
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| Series: | North American Spine Society Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666548425000071 |
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| author | Julius Gerstmeyer, MD Anna Gorbacheva August Avantaggio Clifford Pierre, MD Emre Yilmaz, MD Thomas A. Schildhauer, MD Amir Abdul-Jabbar, MD Rod J Oskouian, MD Jens R Chapman, MD |
| author_facet | Julius Gerstmeyer, MD Anna Gorbacheva August Avantaggio Clifford Pierre, MD Emre Yilmaz, MD Thomas A. Schildhauer, MD Amir Abdul-Jabbar, MD Rod J Oskouian, MD Jens R Chapman, MD |
| author_sort | Julius Gerstmeyer, MD |
| collection | DOAJ |
| description | Background: A corpectomy of the lumbar spine is a widely performed surgical procedure with numerous indications. Previous research predominantly focused on various surgical techniques and their outcomes, lacking a general and comprehensive analysis of factors affecting this procedure. With this study, we aimed to assess the all-cause 90-day readmission rate and identify risk factors for adverse events following a lumbar corpectomy. Methods: Utilizing the 2020 Nationwide Readmissions Database adults (>18 years) were selected by ICD-10 procedure category codes for lumbar corpectomy. Patients with adult deformity or degenerative conditions were excluded due to coding inconsistencies. Demographic information and clinical data, including comorbidities, was extracted. Patients were categorized by their readmission status. The primary outcome was readmission, with multivariable logistic regression analysis used to identify independent risk factors. Results: A total of 3,238 patients were included, with 20.8% readmitted. The readmission group was significantly older and had higher comorbidity burdens. Malignancy had the greatest odds of readmission (OR 3.172, p=.002), with spondylodiscitis also showing significant association (OR 2.177, p=.030). Fractures were significantly more frequent in the single admission group and not associated with readmission (OR 1.235, p=.551). Medical comorbidities differed significantly between the groups with a variety of them being identified as risk factors. Conclusions: We established an all-cause 90-day readmission rate of 20.8%, which is in range of other procedures in spine surgery but underscores the severity of lumbar corpectomy. Underlying pathologies have a greater impact on the readmission rate compared to medical comorbidities. These findings highlight the importance of preoperative patient selection, especially when performing more invasive procedures. However, the study's limitations may limit the generalizability of the findings. |
| format | Article |
| id | doaj-art-11d0096a971745259da21d6d33b4063d |
| institution | Kabale University |
| issn | 2666-5484 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | North American Spine Society Journal |
| spelling | doaj-art-11d0096a971745259da21d6d33b4063d2025-02-08T05:01:21ZengElsevierNorth American Spine Society Journal2666-54842025-03-0121100587Spine surgery and readmission: Risk factors in lumbar corpectomy patientsJulius Gerstmeyer, MD0Anna Gorbacheva1August Avantaggio2Clifford Pierre, MD3Emre Yilmaz, MD4Thomas A. Schildhauer, MD5Amir Abdul-Jabbar, MD6Rod J Oskouian, MD7Jens R Chapman, MD8Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA. 550 17th Avenue, Suite 500, Seattle, WA 98122, United States; Seattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA 98122, United States; Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany; Corresponding author. Seattle Science Foundation, Department Swedish neuroscience institute, 550 17th Avenue, Suite 600, Seattle, WA, 98122, USASeattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA 98122, United StatesSeattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA 98122, United StatesSwedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA. 550 17th Avenue, Suite 500, Seattle, WA 98122, United States; Seattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA 98122, United StatesDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, GermanyDepartment of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, GermanySwedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA. 550 17th Avenue, Suite 500, Seattle, WA 98122, United States; Seattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA 98122, United StatesSwedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA. 550 17th Avenue, Suite 500, Seattle, WA 98122, United States; Seattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA 98122, United StatesSwedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA. 550 17th Avenue, Suite 500, Seattle, WA 98122, United States; Seattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA 98122, United StatesBackground: A corpectomy of the lumbar spine is a widely performed surgical procedure with numerous indications. Previous research predominantly focused on various surgical techniques and their outcomes, lacking a general and comprehensive analysis of factors affecting this procedure. With this study, we aimed to assess the all-cause 90-day readmission rate and identify risk factors for adverse events following a lumbar corpectomy. Methods: Utilizing the 2020 Nationwide Readmissions Database adults (>18 years) were selected by ICD-10 procedure category codes for lumbar corpectomy. Patients with adult deformity or degenerative conditions were excluded due to coding inconsistencies. Demographic information and clinical data, including comorbidities, was extracted. Patients were categorized by their readmission status. The primary outcome was readmission, with multivariable logistic regression analysis used to identify independent risk factors. Results: A total of 3,238 patients were included, with 20.8% readmitted. The readmission group was significantly older and had higher comorbidity burdens. Malignancy had the greatest odds of readmission (OR 3.172, p=.002), with spondylodiscitis also showing significant association (OR 2.177, p=.030). Fractures were significantly more frequent in the single admission group and not associated with readmission (OR 1.235, p=.551). Medical comorbidities differed significantly between the groups with a variety of them being identified as risk factors. Conclusions: We established an all-cause 90-day readmission rate of 20.8%, which is in range of other procedures in spine surgery but underscores the severity of lumbar corpectomy. Underlying pathologies have a greater impact on the readmission rate compared to medical comorbidities. These findings highlight the importance of preoperative patient selection, especially when performing more invasive procedures. However, the study's limitations may limit the generalizability of the findings.http://www.sciencedirect.com/science/article/pii/S2666548425000071Readmission rateCorpectomyLumbar corpectomyRisk factorsSpine surgeryOutcomes |
| spellingShingle | Julius Gerstmeyer, MD Anna Gorbacheva August Avantaggio Clifford Pierre, MD Emre Yilmaz, MD Thomas A. Schildhauer, MD Amir Abdul-Jabbar, MD Rod J Oskouian, MD Jens R Chapman, MD Spine surgery and readmission: Risk factors in lumbar corpectomy patients North American Spine Society Journal Readmission rate Corpectomy Lumbar corpectomy Risk factors Spine surgery Outcomes |
| title | Spine surgery and readmission: Risk factors in lumbar corpectomy patients |
| title_full | Spine surgery and readmission: Risk factors in lumbar corpectomy patients |
| title_fullStr | Spine surgery and readmission: Risk factors in lumbar corpectomy patients |
| title_full_unstemmed | Spine surgery and readmission: Risk factors in lumbar corpectomy patients |
| title_short | Spine surgery and readmission: Risk factors in lumbar corpectomy patients |
| title_sort | spine surgery and readmission risk factors in lumbar corpectomy patients |
| topic | Readmission rate Corpectomy Lumbar corpectomy Risk factors Spine surgery Outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S2666548425000071 |
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