Solid Organ Transplant is Associated with Increased Morbidity and Mortality in Patients Undergoing One or Two-Level Anterior Cervical Decompression and Fusion

Lawal A. Labaran, Andrew B. Harris, Varun Puvanesarajah, Raj Amin, Micheal Raad, Amit Jain, Hamid Hassanzadeh

Research output: Contribution to journalArticle

Abstract

The aim of this study was to analyze the implications of solid organ transplant (SOT) on postoperative outcomes following elective one or two-level anterior cervical discectomy and fusion (ACDF). Summary of Background Data: Although SOTs have been associated with increased morbidity, postoperative outcomes in SOT recipients undergoing cervical spinal surgery are not well studied. Methods: A retrospective database review of Medicare patients younger than 85 years who underwent an elective one to two-level ACDF from 2006-2013 was conducted. Following our exclusion criteria, patients were then divided into the following groups: those with a prior history of kidney, liver, heart or lung transplant (SOT group) and non-SOT patients. Both groups were compared for hospital length of stay, 90-day major medical complications, 90- day hospital readmission, 1-year surgical site infection (SSI), 1-year revision ACDF, and 1- year mortality.

Original languageEnglish (US)
JournalSpine
DOIs
Publication statusAccepted/In press - Jan 1 2019

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Keywords

  • ACDF
  • Anterior cervical decompression and fusion
  • cervical spine
  • degenerative disc disease
  • Kidney transplant
  • Solid organ transplant
  • SOT
  • Spinal Surgery

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

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