Increased Emergency Department Utilization After Revision Compared With Primary Lumbar Fusion
Revision lumbar fusion was an independent predictor of visiting the ED, especially from 14 to 30 days postoperatively, but the absolute increase in risk was mild at 3.4%. Cut-to-close time was also statistically predictive, although with an effect size that is not clinically significant. However, visits to the ED after revision surgery were less likely to require readmission compared with visits after primary lumbar surgery. These findings may suggest that patients undergoing lumbar fusion should be appropriately counseled regarding postoperative pain expectations and appropriate acute care utilization, especially in the revision setting.
Authors
- Nicholas B. Pohl (ORCID: https://orcid.org/0000-0002-9438-904X)
- Teeto Ezeonu (ORCID: https://orcid.org/0000-0002-3000-6556)
- Emily A. Berthiaume (ORCID: https://orcid.org/0000-0001-5428-7359)
- Mark F. Kurd (ORCID: https://orcid.org/0000-0001-9680-1088)
- Sam B. Duggan
- Matthew Meade (ORCID: https://orcid.org/0000-0003-3796-2732)
- Jarod Olson (ORCID: https://orcid.org/0000-0002-3523-1680)
- Robert J. Oris (ORCID: https://orcid.org/0000-0001-8743-0860)
- Jonathan Dalton (ORCID: https://orcid.org/0000-0002-7452-2712)
- Jose A. Canseco
- Alan S. Hilibrand
- I. David Kaye
- Gregory D. Schroeder
- Mark Miller
- Alexander R. Vaccaro
- Rajkishen Narayanan
- Pranav Jain
- Christopher K. Kepler
- Marco Goldberg
- Omar H. Tarawneh
Institutions
- Thomas Jefferson University Hospital (US)
- Rothman Orthopaedics (US)
Publication Details
- Journal
- Clinical Spine Surgery A Spine Publication
- Published
- 2025-12-30
- DOI
- https://doi.org/10.1097/bsd.0000000000001928
- Primary Topic
- Emergency and Acute Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00