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Azizkhanian I, Alcantara R, Ballinger Z, Cho E, Dore S, Gatzofilas S, Hossain RH, Honig J, Matluck N, Ogulnick JV, Rothbaum M, Rybkin I, Smith H, Tung B, Kazim SF, Miller I, Schmidt MH, Cole CD, Bowers CA. Spine surgery complexity score predicts outcomes in 671 consecutive spine surgery patients. Surg Neurol Int 2021; 12:206. [PMID: 34084633 PMCID: PMC8168653 DOI: 10.25259/sni_46_2021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 04/14/2021] [Indexed: 11/25/2022] Open
Abstract
Background: The spine surgery complexity score (SSCS), previously reported by us, is a simple grading system to predict postoperative complications and hospital length of stay (LOS). This scale is based on the technical difficulty of the spinal procedures being performed. Methods: We performed a retrospective chart review to validate SSCS in 671 consecutive patients undergoing spine procedures at a quaternary academic hospital. Results: The SSCS was predictive of the hospital LOS and postoperative complications (defined by the ClavienDindo score), based on linear regression analysis (P < 0.001 for both). Conclusion: Categorizing procedures according to the SSCS may enable neurosurgeons to assess surgical risk and predict longer LOS courses after spine surgery. Thus, it may prove useful in preoperative patient evaluation/ education and determining a prognosis based on surgical complexity.
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Affiliation(s)
- Ida Azizkhanian
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Ryan Alcantara
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Zachary Ballinger
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Edward Cho
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Silvi Dore
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Stergios Gatzofilas
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | | | - Jesse Honig
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Nicole Matluck
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Jonathan V Ogulnick
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Michael Rothbaum
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Iliya Rybkin
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Harrison Smith
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Brian Tung
- School of Medicine, New York Medical College, Valhalla, New York, United States
| | - Syed Faraz Kazim
- Department of Neurosurgery, University of New Mexico Hospital, Albuquerque, New Mexico, United States
| | - Ivan Miller
- Department of Emergency Medicine, New York Medical College, Valhalla, New York, United States
| | - Meic H Schmidt
- Department of Neurosurgery, University of New Mexico Hospital, Albuquerque, New Mexico, United States
| | - Chad D Cole
- Department of Neurosurgery, University of New Mexico Hospital, Albuquerque, New Mexico, United States
| | - Christian A Bowers
- Department of Neurosurgery, University of New Mexico Hospital, Albuquerque, New Mexico, United States
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