Patient factors rather than surgical approach are associated with readmission and reoperation for cervical spondylotic myelopathy

In our cohort, we observe advantages and limitations for each surgical approach. On examination of patient factors, patients undergoing PCDF and PCD tended to have a higher burden of comorbidities compared to those treated via an anterior approach. Upon controlling for comorbidity index, the observed difference in reoperation rates was no longer apparent. Thus, patient comorbidities, rather than surgical approach, may be the major driver for postoperative complications for treatment of CSM.

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Publication Details

Journal
Journal of Spine Surgery
Published
2026-01-01
DOI
https://doi.org/10.21037/jss-24-101
Primary Topic
Cervical and Thoracic Myelopathy
Type
article
Field-Weighted Citation Impact
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article

Patient factors rather than surgical approach are associated with readmission and reoperation for cervical spondylotic myelopathy

Dominick Macaluso, Connor A. Wathen, Brendan F. Judy, Yohannes Ghenbot et al.
Journal of Spine Surgery
Cervical and Thoracic Myelopathy
article

Patient factors rather than surgical approach are associated with readmission and reoperation for cervical spondylotic myelopathy

Dominick Macaluso, Connor A. Wathen, Brendan F. Judy, Yohannes Ghenbot, Mert Marcel Dagli, Christopher Sollenberger, Ben Jiahe Gu, Zarina Ali, Gabrielle Santangelo, William C. Welch, Ali K. Ozturk, Jang W. Yoon, Neil Malhotra
article en

Abstract

In our cohort, we observe advantages and limitations for each surgical approach. On examination of patient factors, patients undergoing PCDF and PCD tended to have a higher burden of comorbidities compared to those treated via an anterior approach. Upon controlling for comorbidity index, the observed difference in reoperation rates was no longer apparent. Thus, patient comorbidities, rather than surgical approach, may be the major driver for postoperative complications for treatment of CSM.

Journal of Spine SurgeryVol. 12(1)
University of California, San Francisco (US), University of Rochester (US), University of Pennsylvania (US)
Good health and well-being
Openalex Percentile: Top 91%
Cervical and Thoracic Myelopathy
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Patient factors rather than surgical approach are associated with readmission and reoperation for cervical spondylotic myelopathy — Dominick Macaluso, Connor A. Wathen, et al. · Journal of Spine Surgery (2026) | TGRS Research Map | TGRS