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Perioperative Outcomes Of Cervical Disc Arthroplasty: No Difference Between Orthopaedic And Neurologic Surgeons – Cervical Disc Replacement

This article examines the differences in perioperative outcomes of cervical disc arthroplasty (CDA) between orthopaedic surgeons (OS) and neurosurgeons (NS). The study analyzed data from the American College of Surgeons National Surgical Quality Improvement Program database and compared patients who underwent CDA with OS versus NS. After adjusting for patient characteristics, the study found no significant differences in medical or surgical complications, reoperations, readmissions, or lengths-of-stay (LOS) between the two groups. However, there was a statistically significant shorter operative time of four minutes for OS compared to NS, although this difference is unlikely to have clinical relevance

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced spinal centre in UK

Published article

CONCLUSIONS: There were no differences in medical or surgical complications, as well as in reoperations, readmissions, and LOS in patients who underwent a single-level CDA between OS and NS. There was a statistically significant shorter operative time of four minutes for OS as compared to NS, which is unlikely to have clinical relevance.

Cervical Disc Arthroplasty Surgery Expert. Best Spinal Surgeon UK
Abstract Background: Given differences in residency training background, there has been increasing interest in characterizing differential outcomes between orthopaedic surgeons (OS) and neurosurgeons (NS) with regards to outcomes after cervical disc arthroplasty (CDA). This study aimed to assess if there were differences in perioperative outcomes of CDA between OS and NS. Methods: Patients who underwent,

Abstract

Background: Given differences in residency training background, there has been increasing interest in characterizing differential outcomes between orthopaedic surgeons (OS) and neurosurgeons (NS) with regards to outcomes after cervical disc arthroplasty (CDA). This study aimed to assess if there were differences in perioperative outcomes of CDA between OS and NS.

Methods: Patients who underwent a single-level CDA between 2012 and 2019 were identified from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database using current procedural terminology codes. The patients were subsequently stratified into those who underwent CDA with OS versus NS, and propensity score-matched to adjust for differences in patient characteristics. Differences were assessed in medical and surgical complications, as well as operative time and healthcare utilization parameters [reoperations, readmissions, and lengths-of-stay (LOS)].

Results: A total of 2,148 patients were identified (NS: n=1,395; OS: n=753). After 1:1 propensity score matching (n=741 each), there were no differences in characteristics between patients who underwent CDA by OS versus NS (P>0.05). There were no significant differences in any of the medical or surgical complications between the two groups (P>0.05 for each). There was a significant difference in the operative time between NS and OS (103.7±36.18 vs. 98.75±36.69 minutes; P=0.009). There were no significant differences in readmissions, reoperations, or LOS between the two groups (P>0.05 for each).

Conclusions: There were no differences in medical or surgical complications, as well as in reoperations, readmissions, and LOS in patients who underwent a single-level CDA between OS and NS. There was a statistically significant shorter operative time of four minutes for OS as compared to NS, which is unlikely to have clinical relevance.

Keywords: Cervical disc arthroplasty (CDA); complications; healthcare utilization; outcomes; surgeon training.

The London Spine Unit : most experienced spinal centre in UK

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Perioperative outcomes of cervical disc arthroplasty: no difference between orthopaedic and neurologic surgeons

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Abstract Background: Given differences in residency training background, there has been increasing interest in characterizing differential outcomes between orthopaedic surgeons (OS) and neurosurgeons (NS) with regards to outcomes after cervical disc arthroplasty (CDA). This study aimed to assess if there were differences in perioperative outcomes of CDA between OS and NS. Methods: Patients who underwent

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