Background: Although published data support the utilization of circumferential fusion to treat select cervical spine pathologies, it is unclear whether the posterior-anterior-posterior (PAP) fusion has increased risks compared with the anterior-posterior fusion.
Objective: To evaluate the differences in perioperative complications between the 2 circumferential cervical fusion approaches.
Methods: One hundred fifty-three consecutive adult patients who underwent single-staged circumferential cervical fusion for degenerative pathologies from 2010 to 2021 were retrospectively reviewed. Patients were stratified into the anterior-posterior ( n = 116) and PAP ( n = 37) groups. The primary outcomes assessed were major complications, reoperation, and readmission.
Results: Although the PAP group was older ( P = .024), predominantly female ( P = .024), with higher baseline neck disability index ( P = .026), cervical sagittal vertical axis ( P = .001), and previous cervical operation rate ( P < .00001), the major complication, reoperation, and readmission rates were not significantly different from the 360° group. Although the PAP group had higher urinary tract infection ( P = .043) and transfusion ( P = .007) rates, higher estimated blood loss ( P = .034), and longer operative times ( P < .00001), these differences were insignificant after the multivariable analysis. Overall, operative time was associated with older age (odds ratio [OR] 17.72, P = .042), atrial fibrillation (OR 158.30, P = .045), previous cervical operation (OR 5.05, P = .051), and lower baseline C1 - 7 lordosis (OR 0.93, P = .007). Higher estimated blood loss was associated with older age (OR 1.13, P = .005), male gender (OR 323.31, P = .047), and higher baseline cervical sagittal vertical axis (OR 9.65, P = .022).
Conclusion: Despite some differences in preoperative and intraoperative variables, this study suggests both circumferential approaches have comparable reoperation, readmission, and complication profiles, all of which are high.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1227/neu.0000000000002422 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A non-local dual-stream fusion network for laryngoscope recognition.
Am J Otolaryngol
December 2024
Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Tianjin 300192, China; Institute of Otolaryngology of Tianjin, Tianjin, China; Key Laboratory of Auditory Speech and Balance Medicine, Tianjin, China; Key Clinical Discipline of Tianjin (Otolaryngology), Tianjin, China; Otolaryngology Clinical Quality Control Centre, Tianjin, China.
Purpose: To use deep learning technology to design and implement a model that can automatically classify laryngoscope images and assist doctors in diagnosing laryngeal diseases.
Materials And Methods: The experiment was based on 3057 images (normal, glottic cancer, granuloma, Reinke's Edema, vocal cord cyst, leukoplakia, nodules and polyps) from the dataset Laryngoscope8. A classification model based on deep neural networks was developed and tested.
An adaptive and lightweight YOLOv5 detection model for lung tumor in PET/CT images.
Sci Rep
December 2024
School of Computer Science and Engineering, North Minzu University, Yinchuan, 750021, China.
Multi-modal medical images are important in tumor lesion detection. However, the existing detection models only use single-modal to detect lesions, a multi-modal semantic correlation is not enough to consider and lacks ability to express the shape, size, and contrast degree features of lesions. A Cross Modal YOLOv5 model (CMYOLOv5) is proposed.
View Article and Find Full Text PDFFastQAFPN-YOLOv8s-Based Method for Rapid and Lightweight Detection of Walnut Unseparated Material.
J Imaging
December 2024
College of Big Data and Intelligent Engineering, Southwest Forestry University, Kunming 650224, China.
Walnuts possess significant nutritional and economic value. Fast and accurate sorting of shells and kernels will enhance the efficiency of automated production. Therefore, we propose a FastQAFPN-YOLOv8s object detection network to achieve rapid and precise detection of unsorted materials.
View Article and Find Full Text PDFA Rare Case of Fetal Neural Tube Defect; Iniencephaly Clausus.
AJP Rep
July 2024
Department of Obstetrics and Gynecology, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Iniencephaly is an extremely rare type of neural tube defect characterized by the fusion of the cervical and cervicothoracic vertebrae. This condition results in acute retroflexion of the head, a short neck, significant lordosis of the cervical spine, and an upturned facial appearance. This condition typically results in poor fetal outcomes, with many cases ending in stillbirth or neonatal death.
View Article and Find Full Text PDFExploring Spine Surgeons' Perspectives on Salah (Islamic prayer) Performance Post-Surgery. Time for consensus?
World Neurosurg
December 2024
Neurosurgery and Spine Departments, National Neuroscience Institution, King Fahad Medical City Riyadh, Saudi Arabia.
Background: Post-surgical recovery following spine surgeries poses challenges for Muslim patients wishing to resume Salah (Islamic prayer), which involves physical movements like kneeling and prostration. This study aims to examine spine surgeons' perspectives on the appropriate timing and conditions for resuming Salah after spine surgery without restrictions.
Methods: This cross-sectional survey study included surgeons in Saudi Arabia who perform spine surgeries.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!