Adverse Outcomes in ACDF Procedures: Predictors

The MarketScan database was searched from 2007 to 2016 to identify adult patients up to age 65 who underwent anterior cervical discectomy and fusion (ACDF) procedure using the International Classification of Diseases, Ninth Revision (ICD- 9) and Current Procedural Terminology (CPT) codes. MarketScan, a national insurance claims database, contains millions of patient records from all 50 states. Of the 138,839 patients who underwent ACDF surgeries, 8,500 (6.1%) experienced complications within 90 days and 7,433 (5.4%) required surgical revision within 2 years. Even though an anterior cervical plate was used, the risk of complications in the first 90 days was significantly lower even though it did not predict reoperation at 2 years (odds ratio adjusted [aOR]: 0.32; 95% CI: 0.30-0.34; PPPP


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