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Trends in lumbar interbody fusion: A study of American Board of Orthopedic Surgery (ABOS) candidate data – Lumbar Fusion

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The article examines the trends in interbody fusion use among American Board of Orthopedic Surgery (ABOS) Part II candidates. The study analyzed data from the ABOS database from 2003 to 2012, focusing on lumbar interbody fusion procedures. The results showed a significantly higher use of posterior lumbar interbody fusion (PLIF) or transforaminal lumbar interbody fusion (TLIF) compared to anterior lumbar interbody fusion (ALIF) over the study period. Geographical variation was also observed, with patients in the Northwest having higher odds of undergoing PLIF/TLIF, while those in the Southwest had lower odds. The overall complication rate was 22.2%, with vascular-related complications more common in ALIF cases and unspecified medical complications more common in TLIF/PLIF cases. The study concludes that there has been a significant increase in posterior interbody fusion among ABOS Part II candidates over the study period

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative day surgery hospital on Harley Street UK

Published article

: Over the 10-year study period, there has been a significantly increased rate of posterior interbody fusion among candidates taking part II ABOS examination.

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Surg Neurol Int. 2023 Dec 15;14:426. doi: 10.25259/SNI_502_2023. eCollection 2023.ABSTRACTBACKGROUND: There has been an increase in posterior-based interbody fusions over the past two decades. Our objective was to evaluate trends in interbody fusion use among the American Board of Orthopedic Surgery (ABOS) Part II candidates.METHODS: The ABOS database from 2003 to 2012 was queried for,

Surg Neurol Int. 2023 Dec 15;14:426. doi: 10.25259/SNI_502_2023. eCollection 2023.

ABSTRACT

BACKGROUND: There has been an increase in posterior-based interbody fusions over the past two decades. Our objective was to evaluate trends in interbody fusion use among the American Board of Orthopedic Surgery (ABOS) Part II candidates.

METHODS: The ABOS database from 2003 to 2012 was queried for common procedural terminology (CPT) codes indicating lumbar interbody fusion (22,558 anterior lumbar interbody fusion [ALIF] and 22,630 and 22,633 posterior lumbar interbody fusion [PLIF] or transforaminal lumbar interbody fusion [TLIF]). Trends in the use of interbody fusion technique, associated complications, and geographical variation were evaluated. We also queried utilization of the anterior and posterior interbody fusions by the International Classification of Diseases-9 code.

RESULTS: 6841 interbody fusion cases were identified (2329 ALIF and 4512 PLIF/TLIF). There was a significantly higher use of PLIF/TLIF than ALIF over the study period (P < 0.001). As compared to patients in the Midwest, those in the Northwest had significantly higher odds of undergoing PLIF/TLIF (odds ratio [OR]: 4.79, 95% confidence interval [CI]: 3.61-6.35, P <0.001), and those in the Southwest had significantly lower odds of PLIF/TLIF (OR: 0.81, 95% CI: 0.69-0.95, P = 0.01). The overall complication rate was 22.2% (n = 1,519). Vascular-related complications were significantly higher among patients undergoing ALIF (31 vs. 1, P <0.001), while those undergoing TLIF/PLIF were more likely to experience unspecified medical complications. On multivariate analysis, patients undergoing PLIF/TLIF had lower odds of experiencing a complication (P = 0.03, OR 0.87, CI 95%).

: Over the 10-year study period, there has been a significantly increased rate of posterior interbody fusion among candidates taking part II ABOS examination.

PMID:38213447 | PMC:PMC10783666 | DOI:10.25259/SNI_502_2023

The London Spine Unit : innovative day surgery hospital on Harley Street UK

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Trends in lumbar interbody fusion: A study of American Board of Orthopedic Surgery (ABOS) candidate data

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Surg Neurol Int. 2023 Dec 15;14:426. doi: 10.25259/SNI_502_2023. eCollection 2023.ABSTRACTBACKGROUND: There has been an increase in posterior-based interbody fusions over the past two decades. Our objective was to evaluate trends in interbody fusion use among the American Board of Orthopedic Surgery (ABOS) Part II candidates.METHODS: The ABOS database from 2003 to 2012 was queried for

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