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Related Experiment Video

Updated: Jan 7, 2026

Novel Mini-open Transforaminal Lumbar Interbody Fusion
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Novel Mini-open Transforaminal Lumbar Interbody Fusion

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Increased Emergency Department Utilization After Revision Compared With Primary Lumbar Fusion.

Omar H Tarawneh1, Rajkishen Narayanan, Jonathan Dalton

  • 1Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, PA.

Clinical Spine Surgery
|December 31, 2025
PubMed
Summary

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This summary is machine-generated.

Revision lumbar fusion increases emergency department (ED) visits, particularly 14-30 days post-surgery. Patients undergoing revision surgery are less likely to require readmission after ED visits compared to primary cases.

Area of Science:

  • Spine Surgery
  • Health Services Research
  • Patient Outcomes

Background:

  • Emergency department (ED) utilization after lumbar fusion presents a significant financial burden.
  • Understanding ED visit patterns post-lumbar fusion can identify cost-saving opportunities.

Purpose of the Study:

  • To compare the incidence, timing, and reasons for ED visits following primary versus revision lumbar fusion.
  • To identify predictors of postoperative ED visits.

Main Methods:

  • Retrospective cohort study of 2360 patients undergoing primary or revision lumbar fusion.
  • Analysis of ED visit incidence and characteristics at 2 weeks, 30 days, and 90 days.
  • Logistic regression to determine independent predictors of ED visits.
Keywords:
degenerative spine diseaseemergency department visitsfusion surgeryhealth care costshigh-value carelumbar spineprimary surgeryreadmissionreoperationrevision

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Main Results:

  • Revision lumbar fusion patients had a higher 90-day ED visit rate (10.2% vs. 6.86%).
  • The difference was significant between 14-30 days postoperatively (3.35% vs. 1.30%).
  • Revision surgery, cut-to-close time, and length of stay (LOS) independently predicted ED visits.

Conclusions:

  • Revision lumbar fusion is an independent predictor of ED visits, with a mild absolute risk increase.
  • ED visits post-revision surgery were less likely to require readmission than post-primary surgery.
  • Counseling patients on pain expectations and acute care is crucial, especially after revision lumbar fusion.