{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T05:19:49Z","timestamp":1793769589873,"version":"4.6.1"},"reference-count":40,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"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":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The study aimed to determine how obesity modifies operative time and the influence of operative time on wound complications or surgical infections for patients undergoing a single-level anterior cervical discectomy and fusion (ACDF) or a single-level posterior lumbar fusion (PLF).<\/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 (ACS-NSQIP) database was queried to identify patients who had undergone either a single-level ACDF or a single-level PLF. Multivariable regression was used to determine the relationship between obesity and operative time as well as the relationship between operative time and wound complications or surgical infections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For every BMI unit of increase, ACDF operative times increased by 0.38\u00a0minutes while PLF operative times increased by 0.84\u00a0minutes. As operative time increased from the 25\n                      <jats:sup>th<\/jats:sup>\n                      to 75\n                      <jats:sup>th<\/jats:sup>\n                      quartile, the probability of a wound complication increased by 19.7% after a single-level PLF procedure, while there was an increase by 17.1% after a single-level ACDF procedure. The probability of a postoperative surgical infection increased by 30.0% and 12.5% for ACDF and PLF procedures, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Increases in BMI lead to a greater increase in operative time for patients undergoing single-level PLF compared to patients undergoing single-level ACDF. Patients undergoing either procedure with a prolonged operative time have a greater probability of developing a wound complication or surgical infection. This is the first study to establish a quantitative relationship between obesity and operative time in spine surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251369432","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T09:26:47Z","timestamp":1755682007000},"page":"975-984","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The Impact of Obesity on Spine Surgery Operative Time: A Quantitative Analysis"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4004-0202","authenticated-orcid":false,"given":"Haseeb E.","family":"Goheer","sequence":"first","affiliation":[{"name":"University of Rochester Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Botros","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R.","family":"Leggett","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Ramirez","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1273-5499","authenticated-orcid":false,"given":"Ram","family":"Haddas","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert W.","family":"Molinari","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3296-6403","authenticated-orcid":false,"given":"Varun","family":"Puvanesarajah","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,20]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"WHO. 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