{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T05:53:59Z","timestamp":1785477239238,"version":"3.56.0"},"reference-count":29,"publisher":"Asian Spine Journal (ASJ)","issue":"3","license":[{"start":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T00:00:00Z","timestamp":1741046400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["asianspinejournal.org"],"crossmark-restriction":true},"short-container-title":["Asian Spine J"],"published-print":{"date-parts":[[2025,6,30]]},"abstract":"<jats:p>Study Design: A retrospective cohort study.Purpose: To assess differences in 30-day morbidity and mortality and postoperative complications between two surgical treatment options.Overview of Literature: The choice of decompression with fusion or decompression alone for the management of degenerative spondylolisthesis (DS) is controversial.Methods: The American College of Surgeons National Quality Improvement Program database was queried for laminectomy or laminotomy with and without fusion from 2015 to 2020. The estimated 30-day mortality and morbidity, 30-day complications, and American Society of Anesthesiologist (ASA) classification were evaluated through chi-square and analysis of variance tests, with the results further stratified according to the ASA classification.Results: Of the 4,120 patients, 2,384 (58%) underwent a laminectomy or laminotomy without fusion and 1,736 (42%) underwent a laminectomy or laminotomy with fusion. Patients undergoing decompression with fusion had higher mean mortality (estimated probability 0.0034 vs. 0.0027, &lt;i&gt;p&lt;\/i&gt;&lt;0.001), mean morbidity (estimated probability 0.053 vs. 0.048, &lt;i&gt;p&lt;\/i&gt;&lt;0.001), mean length of stay (3.62\u00b13.4 days vs. 3.15\u00b14.3 days, &lt;i&gt;p&lt;\/i&gt;&lt;0.001), and bleeding risk necessitating transfusion (9.5% vs. 7.6%, p =0.038). There was a higher rate of overall 30-day postoperative complications associated with an increasing ASA score for both cohorts.Conclusions: Decompression with fusion was associated with higher estimated mortality, morbidity, and 30-day complications. Decompression alone is an appealing treatment option for lumbar DS, particularly for patients with higher ASA scores and those at higher risk.<\/jats:p>","DOI":"10.31616\/asj.2024.0279","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T06:24:42Z","timestamp":1741069482000},"page":"346-354","update-policy":"https:\/\/doi.org\/10.31616\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Decompression and fusion for lumbar degenerative spondylolisthesis is associated with higher early morbidity rates and risk of perioperative complications compared with decompression alone: a retrospective study in the United 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