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Study cites factors predictive of surgical approach for cervical spondylotic myelopathy
Investigators of this study of national data found non-white race and non-private insurance were predictive factors for posterior-only cervical spondylotic myelopathy approaches, while female sex, private insurance and white race were associated with patients receiving anterior-only approaches.
Using the Nationwide Inpatient Sample, researchers retrospectively analyzed patients who underwent cervical spondylotic myelopathy (CSM) between 2001 and 2010. Investigators assessed patients’ age, race, sex, median household income, primary payer, and admission type and source. Independent risk factors associated with anterior, posterior and combined anterior-posterior surgical approaches for CSM were determined using multivariate analysis.
Results from multivariate analysis showed predictive factors for posterior-only approaches were non-white race and increasing age. Investigators noted predictive factors for anterior-only approaches were female sex, private insurance and admission to a non-trauma center. Factors predictive of anterior-posterior approaches were Hispanic race, admission source and other health facility. The likelihood of a patient receiving a combined anterior-posterior approach decreased with Native American race. – by Monica Jaramillo
Disclosures: McClelland reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.