Staged Versus Same-Day Circumferential Lumbar Fusion for Degenerative Disease: Which is the Safer Approach?

ABSTRACT: Study DesignRetrospective cohort study.ObjectivesTo evaluate utilization trends and outcomes of same-day vs staged circumferential lumbar fusion (cLF) in lumbar degenerative disease.MethodsThe PearlDiver national database was queried for patients with lumbar degenerative disease who underwent same-day or staged cLF, defined as anterior lumbar interbody fusion followed by posterior fusion within 1 to 14 days after. Annual utilization trends (2010-2021) were analyzed. Multivariate regression adjusted for age, gender, comorbidity index, obesity, smoking, and multi-level PSF was used to evaluate 30-day complications, readmissions, and revision rates at 1 and 2 years.ResultsOf 45,204 patients undergoing cLF, 40,052 (88.60%) underwent same-day cLF, and 5152 (11.40%) underwent staged procedures.

SUBMITTER: Avetisian H 

PROVIDER: S-EPMC11996812 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature