• Mitchell S Fourman, Renaud Lafage, Christopher Ames, Justin S Smith, Peter G Passias, Christopher I Shaffrey, Gregory Mundis, Themistocles Protopsaltis, Munish Gupta, Eric O Klineberg, Shay Bess, Virginie Lafage, Han Jo Kim, and International Spine Study Group.
• Hospital for Special Surgery, New York, NY.
• Spine. 2023 Jul 15; 48 (14): 102610321026-1032.

Study DesignRetrospective analysis of a prospectively collected multicenter database.ObjectiveThe objective of this study was to assess the radiographic and health-related quality of life (HRQoL) impact of a short-term (<1 y) return to the operating room (OR) after adult cervical spine deformity (ACSD) surgery.Summary Of Background DataReturns to the OR within a year of ACSD correction can be particularly devastating to these vulnerable hosts as they often involve compromise of the soft tissue envelope, neurological deficits, or hardware failure. This work sought to assess the impact of a short-term reoperation on 1-year radiographic and HRQoL outcomes.Materials And MethodsPatients operated on from January 1, 2013, to January 1, 2019, with at least 1 year of follow-up were included. The primary outcome was a short-term return to the OR. Variables of interest included patient demographics, Charlson Comorbidity Index, HRQoL measured with the modified Japanese Orthopaedic Association), Neck Disability Index, and EuroQuol-5D Visual Analog Scale (EQ-5D VAS) and radiographic outcomes, including T1 slope, C2-C7 sagittal Cobb angle, T1 slope-Cobb angle, and cervical sagittal vertical axis. Comparisons between those who did versus did not require a 1-year reoperation were performed using paired t tests. A Kaplan-Meier survival curve was used to estimate reoperation-free survival up to 2 years postoperatively.ResultsA total of 121 patients were included in this work (age: 61.9±10.1 yr, body mass index: 28.4±6.9, Charlson Comorbidity Index: 1.0±1.4, 62.8% female). A 1-year unplanned return to the OR was required for 28 (23.1%) patients, of whom 19 followed up for at least 1 year. Indications for a return to the OR were most commonly for neurological complications (5%), infectious/wound complications (5.8%), and junctional failure (6.6%) No differences in demographics, comorbidities, preoperative or 1-year postoperative HRQoL, or radiographic outcomes were seen between operative groups.ConclusionReoperation <1 year after ACSD surgery did not influence 1-year radiographic outcomes or HRQoL.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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