{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T02:07:56Z","timestamp":1779156476068,"version":"3.51.4"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100005653","name":"Congress of Neurological Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005653","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nutrition is increasingly recognized as a key determinant of postoperative recovery in spine surgery. An estimated 17% of U.S. adults reside in a food desert, reflecting a substantial population at risk for poor nutritional status. However, the role of residence in food deserts with spinal fusion outcomes remains unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We sought to investigate the association between living in a food desert and rates of reoperation and postoperative complications after long-segment lumbar fusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed all adult patients at a single institution from 2011 to 2023 who underwent open long-segment (\u2265\u20094 levels) lumbar spine fusion. Patient addresses linked with residence in a food desert as defined by the Economic Research Service. Multivariate logistic regressions were utilized to assess the association of food deserts with readmissions and reoperations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 354 patients [median age at time of operation was 66 (IQR 59\u201372)] who met the inclusion criterion, of which 123 (35%) resided in a food desert. Patients in a food desert had higher neighborhood deprivation (80 vs 59,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and did not have differences in BMI (29.8 vs 29.9\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.4). In multivariate regression analysis adjusting for frailty, clinical, socioeconomic, and operative characteristics, patients residing in a food desert had independently increased odds of re-operation within one year (OR 1.84, 95%CI 1.03\u20133.30) and readmission due to infection or wound breakdown (OR 3.09, 95%CI 1.03\u201310.1). Patients residing in a food desert were more likely to require reoperation for wound revision (8.9% vs 3.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.016) within one year. Using weighted survival analysis, patients who lived in a food desert had sooner times to reoperation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.045).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Residence in a food desert may be a risk factor for reoperations following long segment lumbar spine surgery. Nutritional access may be an underlying driver of socioeconomic disparity impacting long-segment lumbar fusion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00701-026-06823-5","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T10:07:14Z","timestamp":1775902034000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The association of food deserts with readmission and re-operation following long-segment lumbar fusion"],"prefix":"10.1007","volume":"168","author":[{"given":"Sasha","family":"Howell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yifei","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas M. 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Informed consent was not sought due to the retrospective nature of this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human ethics and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}}],"article-number":"106"}}