{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:09:09Z","timestamp":1790208549698,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,4,26]],"date-time":"2018-04-26T00:00:00Z","timestamp":1524700800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Retrospective study of a prospectively collected database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate the rate and risk factors for 30-day readmissions and reoperations after 3-column osteotomy (3CO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The American College of Surgeons National Surgical Quality Improvement Program database (2012-2014) was reviewed. Inclusion criteria were adult patients who underwent 3CO. The rate of 30-day readmission\/reoperation was examined, and the association between patient\/operative characteristics and outcome was investigated via multivariate analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 299 patients who underwent a 3CO for spinal deformity. The rate of 30-day readmission and reoperation was 11.0% and 8.4%, respectively; 7.7% of readmissions were related to the primary procedure and 3.3% were unrelated. The most common unique cause for readmission was wound infection in 27.2% of cases. Among reoperations, the most common unique indications were wound infection (20.0%) and implant-related complications (20.0%). On multivariate analysis, obesity (odds ratio [OR] = 2.96; 95% CI = 1.06-8.25; P = .038), chronic obstructive pulmonary disease (OR = 20.8; 95% CI = 3.49-123.5; P = .001), and fusion of 13 or more spinal levels were independent predictors of readmission (OR = 4.86; 95% CI = 1.21-19.5; P = .025). On the other hand, independent predictors of reoperation included chronic obstructive pulmonary disease (OR = 6.33; 95% CI = 1.16-34.5; P = .033) and chronic steroid use (OR = 6.69; 95% CI = 1.61-27.7; P = .009).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Wound complications and short-term implant-related complications are important causes of readmission and\/or reoperation after 3CO. Preoperative factors such as obesity, chronic lung disease, chronic steroid use, and long-segment fusion procedures may significantly increase the risk of 30-day morbidity following high-grade osteotomies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2192568217739886","type":"journal-article","created":{"date-parts":[[2018,4,26]],"date-time":"2018-04-26T17:19:04Z","timestamp":1524763144000},"page":"483-489","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Risk Factors for 30-Day Readmissions and Reoperations After 3-Column Osteotomy for Spinal Deformity"],"prefix":"10.1177","volume":"8","author":[{"given":"Rafael","family":"De la Garza Ramos","sequence":"first","affiliation":[{"name":"Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Nakhla","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murray","family":"Echt","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaroslav","family":"Gelfand","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleka N.","family":"Scoco","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merrit D.","family":"Kinon","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Yassari","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,4,26]]},"reference":[{"key":"bibr1-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000182o"},{"key":"bibr2-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-017-8038-4_9"},{"key":"bibr3-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-017-8038-4_8"},{"key":"bibr4-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31827c2415"},{"key":"bibr5-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1186\/s13013-016-0081-z"},{"key":"bibr6-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318269fab1"},{"key":"bibr7-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182059bfd"},{"key":"bibr8-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31824fffde"},{"key":"bibr9-2192568217739886","doi-asserted-by":"publisher","DOI":"10.3171\/2014.2.FOCUS1422"},{"key":"bibr10-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspd.2015.12.009"},{"key":"bibr11-2192568217739886","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00081"},{"key":"bibr12-2192568217739886","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2012.6.4.257"},{"key":"bibr13-2192568217739886","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2016.03.014"},{"key":"bibr14-2192568217739886","doi-asserted-by":"publisher","DOI":"10.3171\/2013.7.SPINE12901"},{"key":"bibr15-2192568217739886","author":"Maier 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