Risk factors associated with reoperation in posterior cervical fusions: A large-scale retrospective analysis

Royce W. Woodroffe, Logan C. Helland, Andrew J. Grossbach, Kirill V. Nourski, Patrick W. Hitchon

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objectives: To identify risk factors for reoperation in patients who have undergone posterior cervical fusion (PCF). Patients and Methods: A retrospective cohort analysis was performed of patients undergoing PCF during a 12-year period at a single institution. Demographic and surgical characteristics were collected from electronic medical records. This study addressed reoperations, from all causes, of PCF. Different strategies, including the addition of anterior fusion, were also compared. Results: Of the 370 patients meeting inclusion criteria there were 44 patients (11.9 %) that required a revision and of those 5 required a second revision. The most common reasons for revision were adjacent segment disease and infection, 13 (3.5 %) and 11 patients (3.0 %), respectively. There was not a higher revision rate (for any cause) for patients who had a subaxial fusion and compared with those that included C2 or those that failed to cross the cervicothoracic junction. Of patients who required reoperation, there was a statistically significant higher fraction of smokers (p = 0.023). Conclusion: The risks and benefits of posterior cervical instrumentation and fusion should be thoroughly discussed with patients. This report implicates smoking as a risk factor for all-cause reoperation in patients who have had this PCF and provides surgeons with additional data regarding this complication. When possible, preoperative optimization should include smoking cessation therapy.

Original languageEnglish (US)
Article number105828
JournalClinical Neurology and Neurosurgery
Volume195
DOIs
StatePublished - Aug 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020

Keywords

  • Adjacent segment disease
  • Cervical myelopathy
  • Cervical spondylosis
  • Posterior cervical fusion
  • Revision
  • Smoking
  • Tobacco

PubMed: MeSH publication types

  • Journal Article

Fingerprint

Dive into the research topics of 'Risk factors associated with reoperation in posterior cervical fusions: A large-scale retrospective analysis'. Together they form a unique fingerprint.

Cite this