{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:10:20Z","timestamp":1792480220319,"version":"4.5.0"},"reference-count":17,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Patients undergoing anterior\/posterior lumbar fusion surgery can undergo either a single-stage or multistage operation, depending on surgeon preference. The goal of this study was to assess different patient outcomes between single-stage and multistage lumbar fusion procedures in a multicenter setting.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>The Michigan Spine Surgery Improvement Collaborative database was queried for anterior\/posterior lumbar fusion surgeries between July 2018 and January 2022. Patients who underwent either single-stage or multistage procedures were included. For multistage procedures, the first surgery included both anterior lumbar interbody fusions and lateral lumbar interbody fusions. Primary outcomes included postoperative complications and improvement in patient-reported outcomes: Patient-Reported Outcomes Measurement Information System Physical Function, EQ-5D, and satisfaction. The two cohorts were propensity score matched, while Poisson generalized estimating equation models were used for multivariate analyses.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>After one-to-one propensity score matching, 355 patients were identified in the single-stage and multistage cohorts. Single-stage procedures were associated with a lower risk of complications (p = 0.024), fewer emergency department visits (p = 0.029), and higher patient satisfaction after 1 year (p = 0.026) and 2 years (p = 0.007), compared with multistage procedures. After adjusting for baseline patient and operative characteristics, patients undergoing multistage procedures had a higher risk of complications (relative risk [RR] 1.17, 95% CI 1.02\u20131.34; p = 0.026), were less likely to be satisfied after 1 year (RR 0.83, 95% CI 0.74\u20130.93; p &lt; 0.001), and were less likely to experience improvement in back pain after 90 days (RR 0.86, 95% CI 0.75\u20130.99; p = 0.039) and 2 years (RR 0.76, 95% CI 0.60\u20130.96; p = 0.023).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>The authors observed that patients who undergo lumbar fusion surgery using a multistage approach have higher postoperative complication rates and are less likely to report satisfaction compared with a matched, single-stage procedure cohort.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2024.8.spine24423","type":"journal-article","created":{"date-parts":[[2024,12,21]],"date-time":"2024-12-21T02:16:44Z","timestamp":1734747404000},"page":"1-8","source":"Crossref","is-referenced-by-count":2,"title":["A propensity score\u2013matched comparison between single-stage and multistage anterior\/posterior lumbar fusion surgery: a Michigan Spine Surgery Improvement Collaborative study"],"prefix":"10.3171","author":[{"given":"Anisse N.","family":"Chaker","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Melhem","sequence":"additional","affiliation":[{"name":"Wayne State University, School of Medicine, Detroit, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dheeraj","family":"Kagithala","sequence":"additional","affiliation":[{"name":"Wayne State University, School of Medicine, Detroit, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edvin","family":"Telemi","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek R.","family":"Mansour","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leticia","family":"Simo","sequence":"additional","affiliation":[{"name":"Wayne State University, School of Medicine, Detroit, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"Springer","sequence":"additional","affiliation":[{"name":"Public Health Sciences, Henry Ford Health, Detroit, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lonni","family":"Schultz","sequence":"additional","affiliation":[{"name":"Public Health Sciences, Henry Ford Health, Detroit, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari","family":"Jarabek","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneliese F.","family":"Rademacher","sequence":"additional","affiliation":[{"name":"Wayne State University, School of Medicine, Detroit, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Brennan","sequence":"additional","affiliation":[{"name":"Wayne State University, School of Medicine, Detroit, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enoch","family":"Kim","sequence":"additional","affiliation":[{"name":"Wayne State University, School of Medicine, Detroit, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Nerenz","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Center for Health Policy and Health Services Research, Henry Ford Health, Detroit, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jad G.","family":"Khalil","sequence":"additional","affiliation":[{"name":"Departments of Orthopedics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Easton","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Beaumont Troy Hospital, Troy, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguelangelo","family":"Perez-Cruet","sequence":"additional","affiliation":[{"name":"Neurosurgery, Beaumont Royal Oak Hospital, Royal Oak, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilyas","family":"Aleem","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Michigan, Ann Arbor, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tennessee and Semmes Murphey Clinic, Memphis, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teck","family":"Soo","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Ascension Providence Hospital, College of Human Medicine, Michigan State University, Southfield, Michigan; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doris","family":"Tong","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Ascension Providence Hospital, College of Human Medicine, Michigan State University, Southfield, Michigan; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muwaffak","family":"Abdulhak","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason M.","family":"Schwalb","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Chang","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"8","key":"b1","series-title":"Eur Spine J","first-page":"2368","article-title":"Planned two-stage surgery using lateral lumbar interbody fusion and posterior corrective fusion: a retrospective study of perioperative complications","volume":"30","author":"Yamato Y","year":"2021","unstructured":"Yamato Y, Hasegawa T, Yoshida G,  Planned two-stage surgery using lateral lumbar interbody fusion and posterior corrective fusion: a retrospective study of perioperative complications. 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Spine J. 2022;22(3):429\u2013443."},{"issue":"3","key":"b10","series-title":"J Neurosurg Spine","first-page":"380","article-title":"Complications associated with single-position prone lateral lumbar interbody fusion: a systematic review and pooled analysis","volume":"39","author":"Farber SH","year":"2023","unstructured":"Farber SH, Valenzuela Cecchi B, O\u2019Neill LK,  Complications associated with single-position prone lateral lumbar interbody fusion: a systematic review and pooled analysis. J Neurosurg Spine. 2023;39(3):380\u2013386."},{"issue":"3","key":"b11","series-title":"Spine (Phila Pa 1976)","first-page":"E19","article-title":"Single-position prone lateral lumbar interbody fusion increases operative efficiency and maintains safety in revision lumbar spinal fusion","volume":"49","author":"Buckland AJ","year":"2024","unstructured":"Buckland AJ, Proctor DJ, Thomas JA, Protopsaltis TS, Ashayeri K, Braly BA. 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