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Cannabis use Disorder and Complications After Anterior Cervical Diskectomy and Fusion.
Van Halm-Lutterodt, Nicholas; Albright, J Alex; Storlie, Nicholas Robert; Mesregah, Mohamed Kamal; Ansari, Kashif; Balmaceno-Criss, Mariah; Daher, Mohammad; Bartels-Mensah, Mercy; Xu, Yulun; Diebo, Bassel G; Hai, Yong; Chandler, David Ray; Daniels, Alan H.
Afiliação
  • Van Halm-Lutterodt N; Department of Orthopedics Surgery, Rhode Island Hospital, Brown University, Providence, Rhode Island, USA; School of Public Health and Professional Studies, Rhode Island Hospital, Brown University, Providence, Rhode Island, USA; Department of Orthopedic Surgery, Beijing Chaoyang Hospital, Capital Me
  • Albright JA; The Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
  • Storlie NR; Creighton University School of Medicine, Omaha, Nebraska, USA.
  • Mesregah MK; Department of Orthopedic Surgery, Menoufia University Faculty of Medicine, Shebin El-Kom, Egypt.
  • Ansari K; Department of Orthopedics Surgery, Rhode Island Hospital, Brown University, Providence, Rhode Island, USA; Department of Economics, Brown University, Providence, Rhode Island, USA.
  • Balmaceno-Criss M; Department of Orthopedics Surgery, Rhode Island Hospital, Brown University, Providence, Rhode Island, USA; The Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
  • Daher M; Department of Orthopedics Surgery, Rhode Island Hospital, Brown University, Providence, Rhode Island, USA.
  • Bartels-Mensah M; Department of Clinical Sciences, University of Debrecen School of Medicine, Debrecen, Hungary.
  • Xu Y; Department of Neurological Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
  • Diebo BG; Department of Orthopedics Surgery, Rhode Island Hospital, Brown University, Providence, Rhode Island, USA.
  • Hai Y; Department of Orthopedic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
  • Chandler DR; School of Public Health and Professional Studies, Rhode Island Hospital, Brown University, Providence, Rhode Island, USA; Andrews Institute of Orthopedics and Sports Medicine, Gulf Breeze, Florida, USA.
  • Daniels AH; Department of Orthopedics Surgery, Rhode Island Hospital, Brown University, Providence, Rhode Island, USA. Electronic address: alandanielsmd@gmail.com.
World Neurosurg ; 181: e1001-e1011, 2024 Jan.
Article em En | MEDLINE | ID: mdl-37956902
OBJECTIVE: The aim of this study, a retrospective database analysis, was to assess the impact of baseline cannabis use disorder (CUD) on perioperative complication outcomes in patients undergoing primary 1- to 2-level anterior cervical diskectomy and fusion (ACDF) surgery. METHODS: The PearlDiver Database was queried from January 2010 to December 2021 for patients who underwent primary 1- to 2-level ACDF surgery for degenerative spine disease. Patients with CUD diagnosis 6 months before the index ACDF surgery (i.e., CUD) were propensity matched with patients without CUD (i.e., control in a ratio of 1:1, employing age, gender, and Charlson Comorbidity Index as matching covariates). Univariate and multivariable analysis models with adjustment of confounding variables were used to evaluate the risk of CUD on perioperative complications between the propensity-matched cohorts. RESULTS: The 1:1 matched cohort included 838 patients in each group. Following multivariate analysis, CUD was demonstrated to be associated with an increased incidence of hospital readmission at 90 days (odds ratio [OR] = 2.64, 95% confidence interval: [1.19 to 6.78], [P = 0.027]) and revision surgery at 1 year postoperative (OR = 3.36, 95% confidence interval: [1.17 to 14.18], [P = 0.049]). CUD was additionally associated with reduced risk of overall medical complications at both 6 months and 1 year postoperative (OR = 0.55, [P = 0.021], and OR = 0.54, [P = 0.015], respectively). CONCLUSIONS: These findings indicate that isolated baseline CUD is associated with an increased risk of hospital readmission at 90 days postoperative and cervical spine reoperation at 1 year after primary 1- to 2-level ACDF surgery with a decrease in overall medical complications, cardiac arrhythmias, and acute renal failure.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Fusão Vertebral / Abuso de Maconha / Transtornos Relacionados ao Uso de Substâncias Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Fusão Vertebral / Abuso de Maconha / Transtornos Relacionados ao Uso de Substâncias Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article