作者
Dhruv S Shankar, Jinseong Kim, Dennis M Bienstock, Michael Gao, Yunsoo Lee, Nicole J Zubizarreta, Jashvant Poeran, James D Lin, Saad B Chaudhary, Andrew C Hecht
发表日期
2024/3
期刊
Global Spine Journal
卷号
14
期号
2
页码范围
561-567
出版商
SAGE Publications
简介
Study Design
Retrospective cohort study.
Objective
To compare patterns in opioid usage and prescriptions between patients who undergo cervical laminectomy with instrumented fusion (LF) vs cervical laminoplasty with reconstruction (LP) within single surgeon and national database cohorts.
Methods
We identified patients with cervical myelopathy undergoing primary LF or LP in both a single-surgeon series cohort (2004-2018) and a nationally representative cohort drawn from the IBM® Marketscan® database (2014-2016). We recorded opioid usage within 6 months of surgery and identified differences in unadjusted opioid use rates between LF and LP patients. Multivariable logistic regression was used to evaluate the association between procedure type and postoperative opioid use.
Results
Without adjusting for covariates, LF patients had a higher rate of 6-month opioid use in the single-surgeon cohort (15.7% vs 5 …
学术搜索中的文章
DS Shankar, J Kim, DM Bienstock, M Gao, Y Lee… - Global Spine Journal, 2024