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Osteoporosis in Cervical Spine Surgery
Javier Z Guzman1, Zachary M Feldman, Steven McAnany
1From the Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Spine
|December 15, 2015
Summary
Osteoporosis (OS) significantly increases risks for patients undergoing cervical spine surgery, leading to longer hospital stays, higher costs, and a greater need for revision surgery compared to non-osteoporotic patients.
Area of Science:
- Orthopedics
- Spine Surgery
- Bone Health
Background:
- Osteoporosis (OS) is a prevalent bone disease impacting bone quality and healing.
- Spine surgeons frequently encounter patients with OS, posing challenges for spinal procedures.
Purpose of the Study:
- To assess the impact of OS on complications and outcomes in patients undergoing cervical spine surgery.
- To compare surgical approaches and revision rates between osteoporotic and non-osteoporotic patients.
Main Methods:
- Retrospective analysis of a nationwide inpatient database (2002-2011).
- Patients undergoing cervical spine surgery were stratified into OS and non-OS cohorts.
- Multivariate regression analysis was used to determine the odds of revision surgery.
Main Results:
- 2% of patients undergoing degenerative cervical spine surgery had OS.
- Osteoporotic patients were more likely to undergo posterior and circumferential fusion.
- Increased odds of postoperative hemorrhage, longer hospitalizations (3.5 vs. 2.5 days), and 30% higher costs were observed in the OS cohort.
- Osteoporotic patients had significantly increased odds of requiring revision surgery (OR=1.54).
Conclusions:
- Osteoporotic patients face higher risks, including increased need for revision surgery.
- Longer hospitalizations and elevated hospitalization costs are associated with OS in this patient group.
- These findings highlight the importance of considering OS in surgical planning for cervical spine procedures.
