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Updated: Jan 23, 2026
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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Outcomes and Complications After Spinal Fusion in Patients With Obstructive Sleep Apnea
Charles C Lin1, Young Lu1, Nilay A Patel1
1University of California, Irvine, Orange, CA, USA.
Global Spine Journal
|June 14, 2019
Summary
Obstructive sleep apnea (OSA) patients undergoing spinal fusion have higher complication rates but not higher inpatient mortality. Current preoperative and inpatient management strategies for OSA appear satisfactory on a national level.
Area of Science:
- Neurosurgery
- Pulmonology
- Health Services Research
Background:
- Obstructive sleep apnea (OSA) is a common condition that can affect perioperative outcomes.
- Spinal fusion surgery is a complex procedure with potential for significant complications.
Purpose of the Study:
- To investigate the impact of OSA on perioperative complications, inpatient mortality, and costs in patients undergoing spinal fusions.
- To assess the association between OSA and outcomes following spinal fusion surgery.
Main Methods:
- Retrospective analysis of a large national inpatient database (2009-2011).
- Comparison of patients with and without OSA undergoing spinal fusion.
- Multivariable logistic regression to identify independent predictors of outcomes.
Main Results:
- OSA patients had a higher comorbidity burden, were older, and more likely male.
- OSA was independently associated with slightly increased respiratory, urinary/renal, and overall inpatient complications.
- OSA was independently associated with significantly lower inpatient mortality.
Conclusions:
- OSA is linked to increased inpatient complications after spinal fusion but not increased mortality.
- Current national-level preoperative optimization and inpatient management of OSA patients undergoing spinal fusion appear adequate.
- Further research may explore specific interventions to mitigate complication risks in OSA patients.
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