{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:24:22Z","timestamp":1782951862948,"version":"3.54.5"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2009,3,5]],"date-time":"2009-03-05T00:00:00Z","timestamp":1236211200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Spinal surgery is increasingly being done in the outpatient setting. We reviewed our experience with inpatient and outpatient single-level anterior cervical discectomy and fusion with plating (ACDF+P).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>All patients undergoing single-level anterior cervical discectomy and fusion with plating between August 2005 and May 2007 by two surgeons (RPB or JAF) were retrospectively reviewed. All patients underwent anterior cervical microdiscectomy, arthrodesis using structural allograft, and titanium plating. A planned change from doing ACDF+P on an inpatient basis to doing ACDF+P on an outpatient basis was instituted at the midpoint of the study. There were no other changes in technique, patient selection, instrumentation, facility, or other factors. All procedures were done in full-service hospitals accommodating outpatient and inpatient care.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>64 patients underwent ACDF+P as inpatients, while 45 underwent ACDF+P as outpatients. When outpatient surgery was planned, 17 patients were treated as inpatients due to medical comorbidities (14), older age (1), and patient preference (2). At a mean follow-up of 62.4 days, 90 patients had an excellent outcome, 19 patients had a good outcome, and no patients had a fair or poor outcome. There was no significant difference in outcome between inpatients and outpatients. There were 4 complications, all occurring in inpatients: a hematoma one week post-operatively requiring drainage, a cerebrospinal fluid leak treated with lumbar drainage, syncope of unknown etiology, and moderate dysphagia.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>In this series, outpatient ACDF+P was safe and was not associated with a significant difference in outcome compared with inpatient ACDF+P.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1471-2482-9-3","type":"journal-article","created":{"date-parts":[[2009,3,5]],"date-time":"2009-03-05T19:40:50Z","timestamp":1236282050000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series"],"prefix":"10.1186","volume":"9","author":[{"given":"Jeffrey T","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudy P","family":"Briner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan A","family":"Friedman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2009,3,5]]},"reference":[{"key":"130_CR1","doi-asserted-by":"publisher","first-page":"1957","DOI":"10.1097\/01.brs.0000229148.63418.c1","volume":"31","author":"D Gray","year":"2006","unstructured":"Gray D, Deyo R, Kreuter W, Mirza S, Heagerty P, Comstock B, Chan L: Population-based trends in volumes and rates of ambulatory lumbar spine surgery. Spine. 2006, 31: 1957-1963. 10.1097\/01.brs.0000229148.63418.c1.","journal-title":"Spine"},{"key":"130_CR2","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/S1529-9430(01)00149-8","volume":"1","author":"T Obenchain","year":"2001","unstructured":"Obenchain T: Speculum lumbar extraforaminal microdiscectomy. Spine J. 2001, 1: 415-421. 10.1016\/S1529-9430(01)00149-8.","journal-title":"Spine J"},{"key":"130_CR3","doi-asserted-by":"publisher","first-page":"1339","DOI":"10.1007\/s00586-005-0047-y","volume":"15","author":"S Ryu","year":"2006","unstructured":"Ryu S, Lim J, Kim S, Paterno J, Kim D: Comparison of the biomechanical stability of dense cancellous allograft with tricortical iliac autograft and fibular allograft for cervical interbody fusion. Eur Spine J. 2006, 15: 1339-1345. 10.1007\/s00586-005-0047-y.","journal-title":"Eur Spine J"},{"key":"130_CR4","doi-asserted-by":"publisher","first-page":"41","DOI":"10.3171\/jns.1997.87.1.0041","volume":"87","author":"C Tomaras","year":"1997","unstructured":"Tomaras C, Blacklock J, Parker W, Harper R: Outpatient surgical treatment of cervical radiculopathy. J Neurosurg. 1997, 87: 41-43.","journal-title":"J Neurosurg"},{"key":"130_CR5","doi-asserted-by":"crossref","first-page":"607","DOI":"10.2106\/00004623-195840030-00009","volume":"40","author":"GW Smith","year":"1958","unstructured":"Smith GW, Robinson RA: The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Joint Bone Surg Am. 1958, 40: 607-624.","journal-title":"J Joint Bone Surg Am"},{"key":"130_CR6","first-page":"720","volume":"48","author":"CW Chin","year":"2007","unstructured":"Chin CW, Loh KS, Tan KS: Ambulatory thyroid surgery: an audit of safety and outcomes. Singapore Med J. 2007, 48: 720-724.","journal-title":"Singapore Med J"},{"key":"130_CR7","doi-asserted-by":"publisher","first-page":"1109","DOI":"10.1111\/j.1365-2702.2007.01548.x","volume":"16","author":"J Gilmartin","year":"2007","unstructured":"Gilmartin J: Contemporary day surgery: patients' experience of discharge and recovery. J Clin Nurs. 2007, 16: 1109-1117. 10.1111\/j.1365-2702.2007.01548.x.","journal-title":"J Clin Nurs"},{"key":"130_CR8","first-page":"298","volume":"13","author":"YC Lee","year":"2007","unstructured":"Lee YC, Chen PP, Yap J, Yeo P, Chu C: Attitudes toward day-case surgeries in Hong Kong Chinese patients. Hong Kong Med J. 2007, 13: 298-303.","journal-title":"Hong Kong Med J"},{"key":"130_CR9","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1111\/j.1463-1318.2006.01189.x","volume":"9","author":"AJ Miles","year":"2007","unstructured":"Miles AJ, Dunkley AJ: Day case haemorrhoidectomy. Colorectal Dis. 2007, 9: 532-535. 10.1111\/j.1463-1318.2006.01189.x.","journal-title":"Colorectal Dis"},{"key":"130_CR10","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.ijsu.2006.12.003","volume":"5","author":"MA Rathore","year":"2007","unstructured":"Rathore MA, Andrabi SI, Mansha M, Brown MG: Day case laparoscopic cholecystectomy is safe and feasible: A case controlled study. Int J Surg. 2007, 5: 255-259. 10.1016\/j.ijsu.2006.12.003.","journal-title":"Int J Surg"},{"key":"130_CR11","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1016\/j.ygyno.2007.04.009","volume":"106","author":"T Tillmanns","year":"2007","unstructured":"Tillmanns T, Lowe MP: Safety, feasibility, and costs of outpatient laparoscopic extraperitoneal aortic nodal dissection for locally advanced cervical carcinoma. Gynecol Oncol. 2007, 106: 370-374. 10.1016\/j.ygyno.2007.04.009.","journal-title":"Gynecol Oncol"},{"key":"130_CR12","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1097\/00002517-199912000-00012","volume":"12","author":"HS An","year":"1999","unstructured":"An HS, Simpson JM, Stein R: Outpatient Laminectomy and Discectomy. J Spinal Disord. 1999, 12: 192-196. 10.1097\/00002517-199912000-00012.","journal-title":"J Spinal Disord"},{"key":"130_CR13","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1097\/00007632-199403000-00006","volume":"19","author":"JW Bookwalter","year":"1994","unstructured":"Bookwalter JW, Busch MD, Nicely D: Ambulatory surgery is safe and effective in radicular disease. Spine. 1994, 19: 526-530. 10.1097\/00007632-199403000-00006.","journal-title":"Spine"},{"key":"130_CR14","doi-asserted-by":"publisher","first-page":"47","DOI":"10.3109\/02688699409002392","volume":"8","author":"A Kelly","year":"1994","unstructured":"Kelly A, Griffith H, Jamjoom A: Results of day-case surgery for lumbar disc prolapse. Br J Neurosurg. 1994, 8: 47-49. 10.3109\/02688699409002392.","journal-title":"Br J Neurosurg"},{"key":"130_CR15","doi-asserted-by":"publisher","first-page":"1070","DOI":"10.1097\/00007632-199405000-00014","volume":"19","author":"F Zahrawi","year":"1994","unstructured":"Zahrawi F: Microlumbar discectomy: is it safe as an outpatient procedure?. Spine. 1994, 19: 1070-1074. 10.1097\/00007632-199405000-00014.","journal-title":"Spine"},{"key":"130_CR16","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1097\/00007632-199502000-00017","volume":"20","author":"M Newman","year":"1995","unstructured":"Newman M: Outpatient conventional laminectomy and disc excision. Spine. 1995, 20: 353-355.","journal-title":"Spine"},{"key":"130_CR17","doi-asserted-by":"publisher","first-page":"2310","DOI":"10.1097\/BRS.0b013e318154c57e","volume":"32","author":"KN Fountas","year":"2007","unstructured":"Fountas KN, Kapsalaki EZ, Nikolakakos LG, Smisson HF, Johnston KW, Grigorian AA: Anterior cervical discectomy and fusion complications. Spine. 2007, 32: 2310-2317. 10.1097\/BRS.0b013e318154c57e.","journal-title":"Spine"},{"key":"130_CR18","doi-asserted-by":"publisher","first-page":"1411","DOI":"10.1007\/s00586-007-0309-y","volume":"16","author":"RD Tewarie","year":"2007","unstructured":"Tewarie RD, Bartels RH, Peul WC: Long-term outcome after anterior cervical discectomy without fusion. Eur Spine J. 2007, 16: 1411-1416. 10.1007\/s00586-007-0309-y.","journal-title":"Eur Spine J"},{"key":"130_CR19","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1016\/j.spinee.2006.09.003","volume":"7","author":"BJ Ipsen","year":"2007","unstructured":"Ipsen BJ, Kim DH, Jenis LG, Tromanhauser SG, Blanco RJ: Effect of plate position on clinical outcome after anterior cervical spine surgery. Spine J. 2007, 7: 637-642. 10.1016\/j.spinee.2006.09.003.","journal-title":"Spine J"},{"key":"130_CR20","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/S0952-8180(96)00205-X","volume":"9","author":"WR Porterfield","year":"1997","unstructured":"Porterfield WR, Wu CL: Epidural hematoma in an ambulatory surgical patient. J Clin Anesth. 1997, 9: 74-77. 10.1016\/S0952-8180(96)00205-X.","journal-title":"J Clin Anesth"},{"key":"130_CR21","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1001\/archderm.139.2.143","volume":"139","author":"JL Cook","year":"2003","unstructured":"Cook JL, Perone JB: A prospective evaluation of the incidence of complications associated with Mohs micrographic surgery. Arch Dermatol. 2003, 139: 143-152. 10.1001\/archderm.139.2.143.","journal-title":"Arch Dermatol"},{"key":"130_CR22","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1097\/00000539-200101000-00017","volume":"92","author":"M Coloma","year":"2001","unstructured":"Coloma M, Duffy LL, White PF, Tongier WK, Huber PJ: Dexamethasone facilitates discharge after outpatient anorectal surgery. Anesth Analg. 2001, 92: 85-88. 10.1097\/00000539-200101000-00017.","journal-title":"Anesth Analg"},{"key":"130_CR23","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1046\/j.1524-4725.2002.01189.x","volume":"28","author":"RA Weiss","year":"2002","unstructured":"Weiss RA, Ramelet AA: Removal of blue periocular lower eyelid veins by ambulatory phlebectomy. Dermatolog Surg. 2002, 28: 43-45. 10.1046\/j.1524-4725.2002.01189.x.","journal-title":"Dermatolog Surg"},{"key":"130_CR24","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1097\/00002517-199608000-00003","volume":"9","author":"HR Silvers","year":"1996","unstructured":"Silvers HR, Lewis PJ, Suddaby LS, Asch HL, Clabeaux DE, Blumenson LE: Day surgery for cervical microdiscectomy: is it safe and effective?. J Spinal Disord. 1996, 9: 287-293. 10.1097\/00002517-199608000-00003.","journal-title":"J Spinal Disord"},{"key":"130_CR25","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1093\/neurosurgery\/23.CN_suppl_1.424","volume":"23","author":"J Tew","year":"1976","unstructured":"Tew J, Mayfield F: Complications of surgery of the anterior cervical spine. Clin Neurosurg. 1976, 23: 424-34.","journal-title":"Clin Neurosurg"},{"key":"130_CR26","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1007\/BF01407775","volume":"99","author":"H Bertalanffy","year":"1989","unstructured":"Bertalanffy H, Eggert HR: Complications of anterior cervical discectomy without fusion in 450 consecutive patients. Acta Neurochir. 1989, 99: 41-50. 10.1007\/BF01407775.","journal-title":"Acta Neurochir"},{"key":"130_CR27","first-page":"62","volume":"25","author":"T DiMarcantonio","year":"2005","unstructured":"DiMarcantonio T: Larger doses, placement of rhBMP-2 may cause anterior cervical spine complications. Orthop Today. 2005, 25: 62-","journal-title":"Orthop Today"},{"key":"130_CR28","first-page":"429","volume":"36","author":"M Erickson","year":"2007","unstructured":"Erickson M, Fites BS, Thieken MT, McGee AW: Outpatient anterior cervical discectomy and fusion. Am J Orthop. 2007, 36: 429-432.","journal-title":"Am J Orthop"},{"key":"130_CR29","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1016\/j.spinee.2005.01.011","volume":"5","author":"JR Stieber","year":"2005","unstructured":"Stieber JR, Brown K, Donald GD, Cohen JD: Anterior cervical discectomy and fusion with plate fixation as an outpatient procedure. Spine J. 2005, 5: 503-507. 10.1016\/j.spinee.2005.01.011.","journal-title":"Spine J"},{"key":"130_CR30","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1016\/j.spinee.2006.04.009","volume":"7","author":"AT Villavicencio","year":"2007","unstructured":"Villavicencio AT, Pushchak E, Burneikiene S, Thramann JJ: The safety of instrument outpatient anterior cervical discectomy and fusion. Spine J. 2007, 7: 148-153. 10.1016\/j.spinee.2006.04.009.","journal-title":"Spine J"},{"key":"130_CR31","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1016\/j.nec.2005.07.001","volume":"16","author":"J Chi","year":"2005","unstructured":"Chi J, Ames C, Tay B: General considerations for cervical arthroplasty with technique for prodisc-c. Neurosurg Clin N Am. 2005, 16: 609-619. 10.1016\/j.nec.2005.07.001.","journal-title":"Neurosurg Clin N Am"},{"key":"130_CR32","first-page":"692","volume":"70","author":"B Lind","year":"1989","unstructured":"Lind B, Sihlbom H, Nordwall A, Malchau H: Normal range of motion of the cervical spine. Arch Phys Med Rehabil. 1989, 70: 692-695.","journal-title":"Arch Phys Med Rehabil"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2482-9-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-2482-9-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2482-9-3","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2482-9-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T08:30:01Z","timestamp":1630485001000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/1471-2482-9-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,3,5]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["130"],"URL":"https:\/\/doi.org\/10.1186\/1471-2482-9-3","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,3,5]]},"assertion":[{"value":"12 October 2008","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2009","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2009","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"3"}}