2024
Surgical site infection following isolated lumbar discectomy increases odds of revision lumbar surgery within first 6 months, but not beyond
Kim L, Halperin S, Grauer J. Surgical site infection following isolated lumbar discectomy increases odds of revision lumbar surgery within first 6 months, but not beyond. The Spine Journal 2024, 24: 1459-1466. PMID: 38570035, DOI: 10.1016/j.spinee.2024.03.017.Peer-Reviewed Original ResearchSurgical site infectionRevision lumbar surgeryLumbar discectomyLumbar surgeryElixhauser Comorbidity IndexSite infectionFactors associated with surgical site infectionPreoperative diagnosis of infectionIncidence of secondary surgeryLumbar discectomy patientsDiagnosis of infectionMultivariate logistic regressionPreoperative diagnosisDiscectomy patientsPostoperative complicationsIndex surgeryPatient ageSecondary surgerySpinal surgeryIndependent predictorsAdult patientsLumbar fusionPerforming surgeryDiscectomyI&D
2023
The correlation of psoriasis and its treatment medications with lumbar discectomy postoperative infections
Day W, Ch'en P, Ratnasamy P, Jeong S, Varthi A, Grauer J. The correlation of psoriasis and its treatment medications with lumbar discectomy postoperative infections. The Spine Journal 2023, 23: 1623-1629. PMID: 37355045, DOI: 10.1016/j.spinee.2023.06.392.Peer-Reviewed Original ResearchSurgical site infectionRisk of SSIPostoperative surgical site infectionElixhauser Comorbidity IndexMultivariable logistic regressionTopical therapyComorbidity indexReoperation rateSite infectionTreatment medicationsMultivariable analysisDiscectomy patientsGreater oddsFive-Year Reoperation RatesSingle-level lumbar discectomyLogistic regressionCorrelation of psoriasisOral systemic treatmentInfection-related complicationsAdministrative database studyDay of surgeryLog-rank testNational administrative databaseRetrospective case controlUS adult populationRheumatoid arthritis patients are at increased risk for adverse events following lumbar discectomy
Ratnasamy P, Rudisill K, Gouzoulis M, Kammien A, Grauer J. Rheumatoid arthritis patients are at increased risk for adverse events following lumbar discectomy. The Spine Journal 2023, 23: 990-996. PMID: 36990283, DOI: 10.1016/j.spinee.2023.03.012.Peer-Reviewed Original ResearchConceptsLumbar discectomy patientsAdverse eventsRheumatoid arthritisLumbar discectomyPatient ageDiscectomy patientsMinor adverse eventsRetrospective cohort studyLumbar spinal surgeryPatient's medication regimenElixhauser Comorbidity IndexExclusion of patientsRA medicationsComorbidity indexCohort studyMedication regimenPrior diagnosisPredictive factorsAdverse outcomesSubgroup analysisSpinal surgeryInfection diagnosisAutoinflammatory diseasesHigher oddsDiscectomy
2018
Discrepancies in the Definition of “Outpatient” Surgeries and Their Effect on Study Outcomes Related to ACDF and Lumbar Discectomy Procedures
Bovonratwet P, Webb ML, Ondeck NT, Gala RJ, Nelson SJ, McLynn RP, Cui JJ, Grauer JN. Discrepancies in the Definition of “Outpatient” Surgeries and Their Effect on Study Outcomes Related to ACDF and Lumbar Discectomy Procedures. Clinical Spine Surgery A Spine Publication 2018, 31: e152-e159. PMID: 29351096, DOI: 10.1097/bsd.0000000000000615.Peer-Reviewed Original ResearchConceptsACDF patientsLumbar discectomy patientsDiscectomy procedureDiscectomy patientsSurgeons National Surgical Quality Improvement Program databaseNational Surgical Quality Improvement Program databaseQuality Improvement Program databaseACS-NSQIP databaseAnterior cervical discectomyImprovement Program databaseSame-day dischargePossibility of patientsCervical discectomyOutpatient statusRetrospective studyOutpatient surgeryAdverse outcomesOutpatient settingOutpatient procedureProgram databaseBACKGROUND DATADay dischargeAmerican CollegeACDFOutpatients
2014
Comparison of the lumbar disc herniation patients randomized in SPORT to 6,846 discectomy patients from NSQIP: demographics, perioperative variables, and complications correlate well
Golinvaux NS, Bohl DD, Basques BA, Yacob A, Grauer JN. Comparison of the lumbar disc herniation patients randomized in SPORT to 6,846 discectomy patients from NSQIP: demographics, perioperative variables, and complications correlate well. The Spine Journal 2014, 15: 685-691. PMID: 25499208, DOI: 10.1016/j.spinee.2014.12.008.Peer-Reviewed Original ResearchConceptsSpine Patient Outcomes Research TrialElective lumbar discectomyDiscectomy patientsPerioperative factorsLumbar discectomyClinical trialsNational Surgical Quality Improvement Program databaseSuperficial wound infection rateQuality Improvement Program databaseLumbar disc herniation patientsHigher body mass indexTotal wound complicationsRetrospective cohort studyDeep wound infectionImprovement Program databaseStatistical differenceWound infection rateAverage operative timeDisc herniation patientsBody mass indexNational patient sampleNinth Revision codesRandomized clinical trialsLength of stayResearch trialsExtrapolating the Discectomy Arm of the SPORT Trial: 243 Surgical Discectomy Patients from SPORT Compared to 8,350 Discectomy Patients from ACS NSQIP
Golinvaux N, Bohl D, Basques B, Grauer J. Extrapolating the Discectomy Arm of the SPORT Trial: 243 Surgical Discectomy Patients from SPORT Compared to 8,350 Discectomy Patients from ACS NSQIP. The Spine Journal 2014, 14: s34-s35. DOI: 10.1016/j.spinee.2014.08.091.Peer-Reviewed Original Research