{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T20:33:18Z","timestamp":1764102798008,"version":"3.37.3"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Operative treatment of lumbar spine compression fractures includes fusion and\/or cement augmentation. Our aim was to evaluate postoperative differences in patients treated surgically with fusion, vertebroplasty, or kyphoplasty.<jats:italic>Methods<\/jats:italic>. The Nationwide Inpatient Sample Database search for adult vertebral compression fracture patients treated 2004\u20132011 identified 102,316 surgical patients: 30.6% underwent spinal fusion, 17.1% underwent kyphoplasty, and 49.9% underwent vertebroplasty. Univariate analysis of patient and hospital characteristics, by treatment, was performed. Multivariable analysis was used to determine factors associated with mortality, nonroutine discharge, complications, and patient safety.<jats:italic>Results<\/jats:italic>. Average patient age: fusion (46.2), kyphoplasty (78.5), vertebroplasty (76.7) (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mo>.<\/mml:mo><mml:mn fontstyle=\"italic\">0001<\/mml:mn><\/mml:math>). Gender, race, household income, hospital-specific characteristics, and insurance differences were found (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>p<\/mml:mi><mml:mo>\u2264<\/mml:mo><mml:mo>.<\/mml:mo><mml:mn fontstyle=\"italic\">001<\/mml:mn><\/mml:math>). Leading comorbidities were hypertension, osteoporosis, and diabetes. Risks for higher mortality (OR 2.0: CI: 1.6\u20132.5), nonroutine discharge (OR 1.6, CI: 1.6\u20131.7), complications (OR 1.1, CI: 1.0\u20131.1), and safety related events (OR 1.1, CI: 1.0\u20131.1) rose consistently with increasing age, particularly among fusion patients. Preexisting comorbidities and longer in-hospital length of stay were associated with increased odds of nonroutine discharge, complications, and patient safety.<jats:italic>Conclusions<\/jats:italic>. Fusion patients had higher rates of poorer outcomes compared to vertebroplasty and kyphoplasty cohorts. Mortality, nonroutine discharge, complications, and adverse events increased consistently with older age.<\/jats:p>","DOI":"10.1155\/2016\/3623875","type":"journal-article","created":{"date-parts":[[2016,6,15]],"date-time":"2016-06-15T21:03:07Z","timestamp":1466024587000},"page":"1-9","source":"Crossref","is-referenced-by-count":11,"title":["Outcomes and National Trends for the Surgical Treatment of Lumbar Spine Trauma"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2705-6998","authenticated-orcid":true,"given":"Doniel","family":"Drazin","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Nuno","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faris","family":"Shweikeh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA"},{"name":"Department of Surgery, University of Arizona College of Medicine, Tucson, AZ 85724, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander R.","family":"Vaccaro","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eli","family":"Baron","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terrence T.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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