Comparing Postoperative Opioid Use in Primary and Revision Lumbar Fusion: A Propensity-Matched Analysis
Postoperative opioid requirements were similar amongst patients undergoing primary versus revision lumbar fusion. In the revision cohort, persistent postoperative opioid users had higher preoperative opioid use, which is supported by prior literature. Although revision lumbar fusion has been reported to lead to less pain improvement, this study's findings suggest these procedures may not lead to higher rates of persistent opioid use postoperatively.
Authors
- Nicholas B. Pohl (ORCID: https://orcid.org/0000-0002-9438-904X)
- Aayush Mehta (ORCID: https://orcid.org/0009-0008-8851-8811)
- Michael V. Carter (ORCID: https://orcid.org/0000-0002-3591-7869)
- Lars Witt (ORCID: https://orcid.org/0000-0002-9490-7775)
- Mark F. Kurd (ORCID: https://orcid.org/0000-0001-9680-1088)
- John J. Mangan (ORCID: https://orcid.org/0000-0003-4408-1036)
- Alan S. Hilibrand (ORCID: https://orcid.org/0000-0001-8811-9687)
- Jarod Olson (ORCID: https://orcid.org/0000-0002-3523-1680)
- Jonathan Dalton (ORCID: https://orcid.org/0000-0002-7452-2712)
- Yunsoo Lee (ORCID: https://orcid.org/0000-0002-6039-5142)
- Gregory D Schroeder
- G Karthikeyan (ORCID: https://orcid.org/0000-0002-2509-5179)
- Omar H. Tarawneh (ORCID: https://orcid.org/0000-0002-3523-9359)
- Christopher K. Kepler
- Jose A Canseco
- Alexander R Vaccaro
- Rajkishen Narayanan
Institutions
- Thomas Jefferson University (US)
- Rothman Institute (US)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-03-18
- DOI
- https://doi.org/10.1016/j.wneu.2025.123800
- Primary Topic
- Opioid Use Disorder Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00