Effect of Start Time, Intraoperative Shift Change, and Case Order on Outcomes After Cervical Spinal Fusion
In a cohort of patients with similar demographics and comorbidities, intraoperative shift changes independently predicted increased LOS (2.04 days longer) and nonhome discharge, and second-case or later case order independently predicted LOS (1.62 days longer). However, second-case or later case order independently predicted lower odds of 1-year spine revision surgery. Additional work is needed to evaluate the potential reasons for these findings.
Authors
- Gregory Douglas Schroeder (ORCID: https://orcid.org/0000-0002-8895-1964)
- Yunsoo Lee (ORCID: https://orcid.org/0000-0003-1542-3519)
- José A. Canseco (ORCID: https://orcid.org/0000-0002-2152-5725)
- Teeto Ezeonu (ORCID: https://orcid.org/0000-0002-3000-6556)
- Christopher K. Kepler (ORCID: https://orcid.org/0000-0002-0996-4346)
- I. David Kaye (ORCID: https://orcid.org/0000-0002-0797-8760)
- William T. DiCiurcio
- Rachel Huang (ORCID: https://orcid.org/0000-0002-7683-8702)
- Brandon J. Martinazzi (ORCID: https://orcid.org/0000-0001-6251-7433)
- Alan S. Hilibrand (ORCID: https://orcid.org/0000-0001-8811-9687)
- Barrett I. Woods (ORCID: https://orcid.org/0000-0002-4136-3612)
- Robert J. Oris (ORCID: https://orcid.org/0000-0001-8743-0860)
- Jeffrey A. Rihn (ORCID: https://orcid.org/0000-0002-0423-3675)
- Jonathan Dalton (ORCID: https://orcid.org/0000-0002-7452-2712)
- Hassan Siddiqui
- Mark F. Kurd
- Alexander R. Vaccaro
- Evan Bradley
- Anthony Labarbiera
- Rajkishen Narayanan
- Thomas Swiderski
- Lauren Micou
Institutions
- Thomas Jefferson University Hospital (US)
- Rothman Institute (US)
Publication Details
- Journal
- Journal of the American Academy of Orthopaedic Surgeons
- Published
- 2025-11-11
- DOI
- https://doi.org/10.5435/jaaos-d-25-00377
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 0.00