Orthopedic surgery versus neurosurgery: Prevalence and surgical detail assessment of adult spinal fusion procedures
Background: A significant procedural overlap exists between orthopedic and neurosurgeons with both subspecialties performing adult spinal fusion procedures. However, the prevalence of varying adult spinal fusion procedures performed by orthopedic surgeons, relative to neurosurgeons, is unknown. This...
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| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jcvjs.jcvjs_159_24 |
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| author | Frank A. Segreto Oscar Krol Samuel Gedailovich Asher Ripp George A. Beyer David Kim Daniel J. Alsoof Hallie A. Tiburzi Olivia Merola Neil V. Shah Peter G. Passias Jad Bou Monsef Alan H. Daniels Carl B. Paulino Bassel G. Diebo |
| author_facet | Frank A. Segreto Oscar Krol Samuel Gedailovich Asher Ripp George A. Beyer David Kim Daniel J. Alsoof Hallie A. Tiburzi Olivia Merola Neil V. Shah Peter G. Passias Jad Bou Monsef Alan H. Daniels Carl B. Paulino Bassel G. Diebo |
| author_sort | Frank A. Segreto |
| collection | DOAJ |
| description | Background:
A significant procedural overlap exists between orthopedic and neurosurgeons with both subspecialties performing adult spinal fusion procedures. However, the prevalence of varying adult spinal fusion procedures performed by orthopedic surgeons, relative to neurosurgeons, is unknown. This study sought to compare the prevalence of spinal fusion procedures among orthopedic and neurosurgeons.
Materials and Methods:
The American College of Surgeons National Surgical Quality Improvement Program database was queried for adult spinal fusion procedures from 2008 to 2016. Procedure prevalence, operative time, and hospital length of stay (LOS) were recorded and analyzed by surgical subspecialty. Spinal fusion cases investigated include all fusions, 2–3-level lumbar fusion, ≥4-level lumbar fusion, anterior cervical discectomy and fusion (ACDF), 3–6-level posterior cervical fusion, and ≥ 6-level posterior cervical fusion.
Results:
67,775 spinal fusions were identified, of which 44,879 (66.2%) were performed by neurosurgeons and 22,896 (33.7%) were performed by orthopedic surgeons. Procedures that involved the lumbar spine were more likely to be performed by orthopedic surgeons while cervical fusions like ACDF were more likely to be performed by neurosurgeons. Orthopedic surgeons had significantly shorter operative times (124.0 vs. 134.0 min, P < 0.001) for 2–3-level lumbar fusions while having a similar patient LOS (4.3 vs. 4.2 days, P = 0.196). The remaining procedures saw no significant difference in operative time and patient LOS between orthopedic and neurosurgeons.
Conclusions:
Neurosurgeons performed nearly double the amount of spinal fusion cases compared to orthopedic surgeons, with an even greater disparity seen in ACDFs, while orthopedic surgeons performed significantly more fusions of the lumbar spine. Orthopedic surgeons had shorter operative times for 2–3-level lumbar fusions. |
| format | Article |
| id | doaj-art-241eb193a17e4444a65183d10e4c223d |
| institution | Kabale University |
| issn | 0974-8237 0976-9285 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj-art-241eb193a17e4444a65183d10e4c223d2025-08-20T03:25:59ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82370976-92852025-01-01161616510.4103/jcvjs.jcvjs_159_24Orthopedic surgery versus neurosurgery: Prevalence and surgical detail assessment of adult spinal fusion proceduresFrank A. SegretoOscar KrolSamuel GedailovichAsher RippGeorge A. BeyerDavid KimDaniel J. AlsoofHallie A. TiburziOlivia MerolaNeil V. ShahPeter G. PassiasJad Bou MonsefAlan H. DanielsCarl B. PaulinoBassel G. DieboBackground: A significant procedural overlap exists between orthopedic and neurosurgeons with both subspecialties performing adult spinal fusion procedures. However, the prevalence of varying adult spinal fusion procedures performed by orthopedic surgeons, relative to neurosurgeons, is unknown. This study sought to compare the prevalence of spinal fusion procedures among orthopedic and neurosurgeons. Materials and Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for adult spinal fusion procedures from 2008 to 2016. Procedure prevalence, operative time, and hospital length of stay (LOS) were recorded and analyzed by surgical subspecialty. Spinal fusion cases investigated include all fusions, 2–3-level lumbar fusion, ≥4-level lumbar fusion, anterior cervical discectomy and fusion (ACDF), 3–6-level posterior cervical fusion, and ≥ 6-level posterior cervical fusion. Results: 67,775 spinal fusions were identified, of which 44,879 (66.2%) were performed by neurosurgeons and 22,896 (33.7%) were performed by orthopedic surgeons. Procedures that involved the lumbar spine were more likely to be performed by orthopedic surgeons while cervical fusions like ACDF were more likely to be performed by neurosurgeons. Orthopedic surgeons had significantly shorter operative times (124.0 vs. 134.0 min, P < 0.001) for 2–3-level lumbar fusions while having a similar patient LOS (4.3 vs. 4.2 days, P = 0.196). The remaining procedures saw no significant difference in operative time and patient LOS between orthopedic and neurosurgeons. Conclusions: Neurosurgeons performed nearly double the amount of spinal fusion cases compared to orthopedic surgeons, with an even greater disparity seen in ACDFs, while orthopedic surgeons performed significantly more fusions of the lumbar spine. Orthopedic surgeons had shorter operative times for 2–3-level lumbar fusions.https://journals.lww.com/10.4103/jcvjs.jcvjs_159_24neurosurgeryorthopedic surgeryoutcomesspinal fusion |
| spellingShingle | Frank A. Segreto Oscar Krol Samuel Gedailovich Asher Ripp George A. Beyer David Kim Daniel J. Alsoof Hallie A. Tiburzi Olivia Merola Neil V. Shah Peter G. Passias Jad Bou Monsef Alan H. Daniels Carl B. Paulino Bassel G. Diebo Orthopedic surgery versus neurosurgery: Prevalence and surgical detail assessment of adult spinal fusion procedures Journal of Craniovertebral Junction and Spine neurosurgery orthopedic surgery outcomes spinal fusion |
| title | Orthopedic surgery versus neurosurgery: Prevalence and surgical detail assessment of adult spinal fusion procedures |
| title_full | Orthopedic surgery versus neurosurgery: Prevalence and surgical detail assessment of adult spinal fusion procedures |
| title_fullStr | Orthopedic surgery versus neurosurgery: Prevalence and surgical detail assessment of adult spinal fusion procedures |
| title_full_unstemmed | Orthopedic surgery versus neurosurgery: Prevalence and surgical detail assessment of adult spinal fusion procedures |
| title_short | Orthopedic surgery versus neurosurgery: Prevalence and surgical detail assessment of adult spinal fusion procedures |
| title_sort | orthopedic surgery versus neurosurgery prevalence and surgical detail assessment of adult spinal fusion procedures |
| topic | neurosurgery orthopedic surgery outcomes spinal fusion |
| url | https://journals.lww.com/10.4103/jcvjs.jcvjs_159_24 |
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