作者
Tariq Z Issa, Gregory R Toci, Mark J Lambrechts, Yunsoo Lee, Matthew Sherman, Parker L Brush, Nicholas Siegel, Delano Trenchfield, Dominic Lambo, Jory Parson, Erin Kim, Jose A Canseco, Alan S Hilibrand, Alexander R Vaccaro, Christopher K Kepler, Gregory D Schroeder
发表日期
2023/12/1
期刊
Clinical spine surgery
卷号
36
期号
10
页码范围
E435-E441
出版商
LWW
简介
Study Design:
Retrospective cohort study.
Objective:
To determine the effects of discontinuity in care by changing surgeons, health systems, or increased time to revision surgery on revision spine fusion surgical outcomes and patient-reported outcomes.
Summary of Background Information:
Patients undergoing revision spine fusion experience worse outcomes than those undergoing primary lumbar surgery. Those requiring complex revisions are often transferred to tertiary or quaternary referral centers under the assumption that those institutions may be more accustomed at performing those procedures. However, there remains a paucity of literature assessing the impact of discontinuity of care in revision spinal fusions.
Methods:
Patients who underwent revision 1–3 level lumbar spine fusion 2011–2021 were grouped based on (1) revision performed by the index surgeon versus a different surgeon,(2) revision …
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TZ Issa, GR Toci, MJ Lambrechts, Y Lee, M Sherman… - Clinical spine surgery, 2023