Create Account | Sign In: Author or Forum

Search Symptoms

Category: Neurology | Orthopedics | Surgery | Anesthesiology & Pain | Journal

Back to Journal Articles

Cervical Spine Procedure Safe on Outpatient Basis

Last Updated: October 15, 2010.

One-level anterior cervical discectomy and fusion (ACDF) may be safely performed on an outpatient basis with a four-hour postoperative observation period, according to a study published in the October issue of the Journal of Spinal Disorders & Techniques.

FRIDAY, Oct. 15 (HealthDay News) -- One-level anterior cervical discectomy and fusion (ACDF) may be safely performed on an outpatient basis with a four-hour postoperative observation period, according to a study published in the October issue of the Journal of Spinal Disorders & Techniques.

In a retrospective review, Sean M. Garringer, M.D., and Rick C. Sasso, M.D., of the Indiana University School of Medicine in Indianapolis, collected data on 645 consecutive patients undergoing anterior discectomy and fusion by a single surgeon for either stenosis or herniated nucleus pulposus involving one level to assess acute complications occurring within 48 hours of surgery.

The investigators found that two of 645 (0.3 percent) patients developed epidural hematomas, which occurred within four hours postoperatively and resolved without permanent neurologic deficit. In addition, 6 percent of patients required an unplanned admission, with more than 80 percent of these secondary to either pain or nausea. No retropharyngeal hematomas or deaths occurred.

"The results of this study support that single-level ACDF done for herniated cervical disc or stenosis can be performed safely as an outpatient with the use of a short (4 h) observation period postoperatively," the authors write.

Abstract
Full Text (subscription or payment may be required)


Previous: FDA Issues Warnings About Unapproved “Chelation” Drugs Next: Epidemiology of Multiple-, Single-Child Autism Described

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion: