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Study cites association between narcotic use, outcomes following adult spinal deformity surgery
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Investigators found an association between daily narcotic use prior to surgery for adult spinal deformity and prolonged length of stay, longer ICU stays, increased chance of daily narcotic use and greater disability 2 years after surgery.
Researchers identified 425 patients who underwent surgery for adult spinal deformity. Investigators assessed patients’ self-reported preoperative narcotic use and categorized patients as either using narcotics daily or non-daily. The study outcomes included prolonged length of hospital stay, length of ICU stay and daily narcotic use and Oswestry Disability Index (ODI) scores after 2 years postoperatively. Demographics, pain, disability, radiographic deformity and surgical invasiveness were compared between the two groups. Associations between preoperative narcotic use and outcomes were determined with multivariable logistic and linear regression analyses.
Results showed 44% of patients reported daily preoperative narcotic use. Investigators found daily narcotic users were older, had more comorbidities, more severe back pain, higher ODI scores, longer operative times, worse preoperative malalignment and had a greater chance of undergoing three-column osteotomy compared with non-daily users.
According to researchers, daily narcotic use was an independent predictor for prolonged length of stay, longer ICU stay, daily narcotics use 2 years after surgery and worse 2-year ODI scores. – by Monica Jaramillo
Disclosure : The study received support from DePuy Synthes Spine, K2M, NuVasive, Biomet and Orthofix.
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