{"id":"375bf8a3-f12b-45e9-bd9d-72942c3b0170","slug":"prolonged-length-of-stay-and-discharge-disposition-to-rehabilitation-facilities-following-single-level-posterior-lumbar-interbody-fusion-for-acquired-spondylolisthesis","title":"Prolonged length of stay and discharge disposition to rehabilitation facilities following single-level posterior lumbar interbody fusion for acquired spondylolisthesis","authors":["Joshua Alexander Benton","Rafael De La Garza Ramos","Yaroslav Gelfand","Jonathan D. Krystal","Vijay Yanamadala","Reza Yassari","Merritt D. Kinon"],"abstract":"Background: Acquired lumbar spondylolisthesis is often treated with interbody fusion. However, few studies have evaluated predictors for prolonged length of stay (LOS) and disposition to rehabilitation facilities after posterior single-level lumbar interbody fusion for acquired spondylolisthesis. Methods: The American College of Surgeons National Quality Improvement Program database was queried for adults with acquired spondylolisthesis who underwent single-level lumbar interbody fusion through a posterior approach (posterior lumbar interbody fusion (PLIF) or transforaminal lumbar interbody fusion [TLIF]). We utilized multivariate logistic regression analysis to identify predictors of prolonged LOS and disposition in this patient population. Results: Among 2080 patients identified, 700 (33.7%) had a prolonged LOS (≥4 days), and 306 (14.7%) were discharged postoperatively to rehabilitation facilities. Predictors for prolonged LOS included: American Society of Anesthesiologist (ASA) class ≥3, anemia, prolonged operative time, perioperative blood transfusion, pneumonia, urinary tract infections, and return to the operating room. The following risk factors predicted discharge to postoperative rehabilitation facilities: age ≥65 years, male sex, ASA class ≥3, modified frailty score ≥2, perioperative blood transfusion, and prolonged LOS. Conclusion: Multiple partial-overlapping risk factors predicted prolonged LOS and discharge to rehabilitation facilities after single-level TLIF/PLIF performed for acquired spondylolisthesis.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/375bf8a3-f12b-45e9-bd9d-72942c3b0170/featured/hero-1781562938866.png","publishDate":"2020-11-25T00:00:00.000Z","doi":"10.25259/SNI_707_2020","categories":["Spine","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/11/10417/SNI-11-411.pdf"}