Rehabilitation prior to surgery for adult spinal deformity may reduce length of stay
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CHICAGO — Results showed rehabilitation before minimally invasive spine surgery for adult spinal deformity may be independently associated with a shorter length of stay and lower rates of readmission and reoperations.
Oluwatomi Lanre-Amos, MD, and colleagues classified patients undergoing minimally invasive surgery for adult spinal deformity into groups based on whether they underwent preoperative rehabilitation.
“The preoperative rehabilitation program consisted of physical therapy 3 days a week for 3 months, as well as [cognitive behavioral therapy] to 2 weeks prior to surgery,” Lanre-Amos said in her presentation at the North American Spine Society Annual Meeting.
Researchers used means comparison tests and logistic regression analysis that controlled for age, Charlson Comorbidity Index, American Society of Anesthesiologists grade and invasiveness to assess differences between patient groups.
Among the 337 patients with adult spinal deformity who met inclusion criteria, Lanre-Amos said 72% of patients underwent preoperative rehabilitation and 28% did not.
“Both cohorts had similar radiographic alignment parameters at baseline,” Lanre-Amos said. “However, there was a statistically significant difference in the [EuroQol-5D] scores between the two groups.”
Patients who underwent preoperative rehabilitation had a length of stay of 3.6 days compared with 5.3 days in patients who did not undergo preoperative rehabilitation, according to Lanre-Amos. Multivariate regression analysis identified preoperative rehabilitation as an independent predictor of a shorter length of stay, with preoperative rehabilitation patients being 85% less likely to have a length of stay greater than 2 days.
“At 2 years, [preoperative rehabilitation] patients also had a lower rate of readmission and reoperations,” Lanre-Amos said. “Overall complication rates were also lower in the preoperative rehabilitation cohort.”
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Imbo B, et al. Paper 112. Presented at: North American Spine Society Annual Meeting; Oct. 12-15, 2022; Chicago.
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