{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T18:00:35Z","timestamp":1786125635953,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2021,8,14]],"date-time":"2021-08-14T00:00:00Z","timestamp":1628899200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurosurg.","NEUROS"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>There is a paucity of information regarding treatment strategies and variables affecting outcomes of revision lumbar fusions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To evaluate the influence of primary vs different surgeon on functional outcomes of revisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>All elective lumbar fusion revisions, March 2018 to August 2019, were retrospectively categorized as performed by the same or different surgeon who performed the primary surgery. Oswestry Disability Index (ODI) and clinical variables were collected. Multiple logistic regression identified multivariable-adjusted odds ratio (OR) of independent variables analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Of the 130 cases, 117 (90%) had complete data. There was a slight difference in age in the same (median: 59; interquartile range [IQR], 54-66) and different surgeon (median: 67; IQR, 56-72) groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.02); all other demographic variables were not significantly different (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt;\u00a0.05). Revision surgery with a different surgeon had an ODI improvement (median: 8; IQR, 2-14) greater than revisions performed by the same surgeon (median: 1.5; IQR, \u22123 to 10) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;\u00a0.01). Revisions who achieved minimum clinically important difference (MCID) performed by different surgeon (59.7%) were also significantly greater than the ones performed by the same surgeon (40%) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.042). Multivariate analysis demonstrated that a different surgeon revising (OR, 2.37; [CI]: 1.007-5.575,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.04) was an independent predictor of MCID achievement, each additional 2 years beyond the last surgery conferred a 2.38 ([CI]: 1.36-4.14,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;\u00a0.01) times greater odds of MCID achievement, and the anterior lumbar interbody fusion approach decreased the chance of achieving MCID (OR, 0.19; [CI]: 0.04-0.861,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a0.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>All revision lumbar spinal fusion approaches may not achieve the same outcomes. This analysis suggests that revision surgeries may have better outcomes when performed by a different surgeon.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/neuros\/nyab300","type":"journal-article","created":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T15:11:24Z","timestamp":1626448284000},"page":"836-843","source":"Crossref","is-referenced-by-count":5,"title":["Independent Predictors of Revision Lumbar Fusion Outcomes and the Impact of Spine Surgeon Variability: Does It Matter Whether the Primary Surgeon Revises?"],"prefix":"10.1227","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2901-8664","authenticated-orcid":false,"given":"Thiago Scharth","family":"Montenegro","sequence":"first","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, 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Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadi Al","family":"Saiegh","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Philipp","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellina","family":"Hattar","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Hines","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umma","family":"Fatema","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Thalheimer","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengyuan","family":"Wu","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivas K","family":"Prasad","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5512-1729","authenticated-orcid":false,"given":"Jack","family":"Jallo","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua E","family":"Heller","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwini","family":"Sharan","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Harrop","sequence":"additional","affiliation":[{"name":"Jefferson Hospital for Neuroscience, Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,11]]},"reference":[{"issue":"13","key":"bib1-20231011","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1001\/jama.2010.338","article-title":"Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older 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