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Early Diet Liberalization After Anterior Lumbar Interbody Fusion Improves Postoperative Recovery – Lumbar Fusion

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This article is a retrospective cohort study that aimed to evaluate the impact of diet liberalization on short-term outcomes in patients who underwent anterior interbody lumbar fusion (ALIF). The researchers reviewed the medical records of 515 patients who underwent ALIF at a tertiary care center from 2010 to 2022. They found that patients who received a full diet on the same day as their operation had a higher rate of postoperative ileus and urinary retention compared to those who had a delayed full diet. However, immediate full diet was associated with a shorter length of hospital stay and decreased odds of developing urinary retention. The study suggests that reconsideration of postoperative diet protocols may help optimize patient outcomes and recovery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : finest treatment hospital on Harley Street UK

Published article

S: An immediate postoperative full diet following an anterior approach to the lumbar spine was not found to be associated with an increased risk of postoperative ileus in patients deemed appropriate for early diet liberalization. Moreover, an early full diet was found to reduce length of hospitalization and risk of postoperative urinary retention. Reconsideration of postoperative diet protocols may help optimize patient outcomes and recovery.

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Global Spine J. 2023 Dec 27:21925682231223461. doi: 10.1177/21925682231223461. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective Cohort Study.OBJECTIVES: The objective of this study was to assess the impact of diet liberalization on short-term outcomes in patients undergoing anterior interbody lumbar fusion (ALIF).METHODS: A retrospective review was performed for patients undergoing ALIF at our tertiary care center institution,

Global Spine J. 2023 Dec 27:21925682231223461. doi: 10.1177/21925682231223461. Online ahead of print.

ABSTRACT

STUDY DESIGN: Retrospective Cohort Study.

OBJECTIVES: The objective of this study was to assess the impact of diet liberalization on short-term outcomes in patients undergoing anterior interbody lumbar fusion (ALIF).

METHODS: A retrospective review was performed for patients undergoing ALIF at our tertiary care center institution from 2010 to 2022. Electronic medical records were reviewed for demographics, surgical characteristics, and 90-day postoperative outcomes.

RESULTS: We included 515 patients in this study with 102 patients receiving a full diet on the same day as their operation. All other patients had a delay of at least 1 day (average 1.6 days) until a full diet was provided. This group was found to have a higher rate of postoperative ileus (10.2% vs 2.9%) and urinary retention (16.0% vs 3.9%). The readmission rate and percent of patients presenting to the emergency department within 90 days postoperatively were similar. On multivariate regression analysis, same-day, full-diet patients had decreased odds of developing urinary retention (OR = .17) and a shorter length of hospital stay (Estimate: -.99). Immediate full diet had no impact on the development of ileus (OR: .33).

S: An immediate postoperative full diet following an anterior approach to the lumbar spine was not found to be associated with an increased risk of postoperative ileus in patients deemed appropriate for early diet liberalization. Moreover, an early full diet was found to reduce length of hospitalization and risk of postoperative urinary retention. Reconsideration of postoperative diet protocols may help optimize patient outcomes and recovery.

PMID:38149647 | DOI:10.1177/21925682231223461

The London Spine Unit : finest treatment hospital on Harley Street UK

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Early Diet Liberalization After Anterior Lumbar Interbody Fusion Improves Postoperative Recovery

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Global Spine J. 2023 Dec 27:21925682231223461. doi: 10.1177/21925682231223461. Online ahead of print.ABSTRACTSTUDY DESIGN: Retrospective Cohort Study.OBJECTIVES: The objective of this study was to assess the impact of diet liberalization on short-term outcomes in patients undergoing anterior interbody lumbar fusion (ALIF).METHODS: A retrospective review was performed for patients undergoing ALIF at our tertiary care center institution
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