{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T20:29:57Z","timestamp":1772310597243,"version":"3.50.1"},"reference-count":9,"publisher":"International College of Surgeons","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Anterior cervical discectomy and fusion procedures are one of the most common procedures performed in spinal surgery. Increasingly they are being performed on an outpatient basis. The primary impetus for performing procedures as an outpatient is potential cost savings. However, there are few studies discussing the safety of performing the procedure in an ambulatory setting. This is a retrospective review of our initial experience in performing anterior cervical discectomy and fusion procedures with instrumentation (ACDFI) in an ambulatory surgery center dedicated to spine surgery. Patients were selected for outpatient surgery if they had limited co-morbidities and the surgery involved only 1 or 2 levels. One hundred fifty-two patients underwent outpatient ACDFI during the study period (2007\u20132009). Six patients returned to the hospital emergency room after discharge. The reasons for evaluation included 2 for neck pain, 1 for dysphagia, 1 for vocal cord paralysis and dysphagia, 1 for nausea, and 1 for cervical swelling. Only 1 of the 6 patients required admission to the hospital. None of the 6 suffered any long-term sequelae. The overall complication rate was 3.9%. A self-reported survey was completed by 75 patients within 6\u00a0months of surgery, and there was a 100% satisfaction rate among responders. ACDFI can be performed safely on an outpatient in selected patients with a high degree of patient satisfaction. Our experience is consistent with those of previous investigators.<\/jats:p>","DOI":"10.9738\/cc35.1","type":"journal-article","created":{"date-parts":[[2012,10,25]],"date-time":"2012-10-25T15:57:41Z","timestamp":1351180661000},"page":"86-89","source":"Crossref","is-referenced-by-count":41,"title":["Instrumented Outpatient Anterior Cervical Discectomy and Fusion: Is it Safe?"],"prefix":"10.9738","volume":"97","author":[{"given":"Courtney S","family":"Sheperd","sequence":"first","affiliation":[{"name":"Indiana University Medical School, Fort Wayne Center, Fort Wayne, Indiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William F","family":"Young","sequence":"additional","affiliation":[{"name":"Fort Wayne Neurological Center\/ NeuroSpine & Pain Center, Fort Wayne, Indiana, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"key":"i0020-8868-97-1-86-Smith1","series-title":"J Bone Joint Surgery Am","first-page":"607","article-title":"The treatment of certain cervical spine disorders by anterior removal of the intervertebral disc and interbody fusion.","volume":"40-A","author":"Smith, GW","year":"1958","unstructured":"Smith, GW and RobinsonRA. The treatment of certain cervical spine disorders by anterior removal of the intervertebral disc and interbody fusion.J Bone Joint Surgery Am1958. 40-A:607\u2013624."},{"issue":"32","key":"i0020-8868-97-1-86-Fountas1","series-title":"Spine","first-page":"2310","article-title":"Anterior cervical discectomy and fusion associated complications.","volume":"21","author":"Fountas, KN","year":"2007","unstructured":"Fountas, KN, KapsalakiEZ, NikolakakosLG, SmissonHF, JohnstonKW, GrigorianAA, et al. Anterior cervical discectomy and fusion associated complications.Spine2007. 21 (32):2310\u20132317."},{"issue":"1","key":"i0020-8868-97-1-86-Tomaras1","series-title":"J Neurosurg","first-page":"41","article-title":"Outpatient surgical treatment of cervical radiculopathy.","volume":"87","author":"Tomaras, CR","year":"1997","unstructured":"Tomaras, CR, BlacklockJB, ParkerWD, and HarperRL. Outpatient surgical treatment of cervical radiculopathy.J Neurosurg1997. 87 (1):41\u201343."},{"issue":"4","key":"i0020-8868-97-1-86-Silvers1","series-title":"J Spinal Disord","first-page":"287","article-title":"Day Surgery for cervical microdiscectomy: is it safe and effective?","volume":"9","author":"Silvers, HR","year":"1996","unstructured":"Silvers, HR, LewisPJ, SuddabyLS, AschHL, ClabeauxDE, and BlumensonLE. Day Surgery for cervical microdiscectomy: is it safe and effective?J Spinal Disord1996. 9 (4):287\u2013293."},{"issue":"8","key":"i0020-8868-97-1-86-Erickson1","series-title":"Am J Orthop","first-page":"429","article-title":"Outpatient anterior cervical discectomy and fusion.","volume":"36","author":"Erickson, M","year":"2007","unstructured":"Erickson, M, FitesB, ThiekenM, and McGeeA. Outpatient anterior cervical discectomy and fusion.Am J Orthop2007. 36 (8):429\u2013432."},{"issue":"5","key":"i0020-8868-97-1-86-Stieber1","series-title":"Spine J","first-page":"503","article-title":"Anterior cervical decompression and fusion with plate fixation as an outpatient procedure.","volume":"5","author":"Stieber, JR","year":"2005","unstructured":"Stieber, JR, BrownK, GordonDD, and CohenJD. Anterior cervical decompression and fusion with plate fixation as an outpatient procedure.Spine J2005. 5 (5):503\u2013507."},{"issue":"2","key":"i0020-8868-97-1-86-Villavicencio1","series-title":"Spine J","first-page":"148","article-title":"The safety of instrumented outpatient anterior cervical discectomy and fusion.","volume":"7","author":"Villavicencio, AT","year":"2007","unstructured":"Villavicencio, AT, PushchakBA, BurneikieneS, and ThramannJJ. The safety of instrumented outpatient anterior cervical discectomy and fusion.Spine J2007. 7 (2):148\u2013153."},{"issue":"3","key":"i0020-8868-97-1-86-Lui1","series-title":"BMC Surg","first-page":"1","article-title":"Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series.","volume":"9","author":"Lui, JT","year":"2009","unstructured":"Lui, JT, BrinerRP, and FriedmanJA. Comparison of inpatient vs. outpatient anterior cervical discectomy and fusion: a retrospective case series.BMC Surg2009. 9 (3):1\u201310."},{"issue":"7","key":"i0020-8868-97-1-86-Garringer1","series-title":"J Spinal Disord Tech","first-page":"439","article-title":"Safety of anterior cervical discectomy and fusion performed as outpatient surgery.","volume":"23","author":"Garringer, SM","year":"2010","unstructured":"Garringer, SM and SassoRC. Safety of anterior cervical discectomy and fusion performed as outpatient surgery.J Spinal Disord Tech2010. 23 (7):439\u2013443."}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/97\/1\/article-p86.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/97\/1\/86\/2212721\/cc35_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/97\/1\/article-p86.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/97\/1\/article-p86.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:02:52Z","timestamp":1751482972000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/97\/1\/article-p86.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1]]},"references-count":9,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.9738\/cc35.1","relation":{},"ISSN":["2520-2456","0020-8868"],"issn-type":[{"value":"2520-2456","type":"electronic"},{"value":"0020-8868","type":"print"}],"subject":[],"published":{"date-parts":[[2012,1]]}}}