{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T06:09:21Z","timestamp":1789711761103,"version":"4.0.1"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the correlation between rheumatoid arthritis (RA) and postoperative complications, long-term pain relief and functional recovery in patients undergoing posterior lumbar interbody fusion (PLIF) for lumbar degenerative diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single-center 1:3 matched retrospective cohort study was conducted. From January 2015 to September 2020, 32 PLIF patients with confirmed RA were included in the exposed group, and 96 non-RA (NRA) PLIF patients were matched by age, gender, body mass index and single\/double fusion segment. Binary logistic regression was performed to identify independent risk factors for complications, and unadjusted odds ratios (OR), relative risks (RR) with 95% confidence interval were calculated for each adverse event. All patients completed \u22652-year clinical and imaging follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All patients acquired immediate short-term postoperative pain reduction; however, RA group exhibited progressive recurrent back and leg pain during long-term follow-up. The postoperative and final follow-up visual analog scale for back and leg pain were significantly higher in the RA group than in the NRA group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05), and the Oswestry Disability Index score at the last follow-up was also poorer (vs. NRA,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). The postoperative C reactive protein level was markedly elevated in RA patients (vs. NRA,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). RA group presented lower L1 Hounsfield Unit (HU) values and a higher incidence of osteoporosis (25.0% vs. 9.38%, vs. NRA,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). Univariate analysis with unadjusted OR\/RR demonstrated that RA was significantly associated with higher crude risks of total complications, wound infection, ASD and revision surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RA is correlated with significantly elevated risks of multiple adverse events following PLIF for lumbar degenerative diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1928776","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:36:21Z","timestamp":1789709781000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Rheumatoid arthritis and risks of postoperative adverse events after posterior lumbar interbody fusion for lumbar degenerative diseases: a retrospective cohort study with matched controls"],"prefix":"10.3389","volume":"13","author":[{"given":"Zhiyuan","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Spinal Surgery, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]},{"name":"Department of Orthopedics, Cangzhou Central Hospital","place":["Cangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingtao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puxin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yachong","family":"Huo","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, The Third Hospital of Hebei Medical University","place":["Shijiazhuang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianzhong","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, The Third Hospital of Hebei 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