Neuroanesthesia & neurocritical care
Anesthesia practice among joint arthroplasty patients with a previous lumbar spine surgery
Authors' conclusion
Previous lumbar fusion -but not decompression- surgery is associated with lower neuraxial anesthesia in THA/TKA patients, despite its use being universally associated with decreased length of stay.
Study context
- Population
- Patients undergoing total hip (THA) or knee (TKA) arthroplasty, US hospitals758,857 THAs
- Exposure
- History of lumbar fusion or decompression vs no previous lumbar procedure
- Outcome
- Use of neuraxial anaesthesia
Methodological detailsnational database, mixed-effects regression
- National database
- Mixed-effects regression
Main finding
As reported in the abstract
Neuraxial anaesthesia use
Lumbar fusion vs No lumbar procedureOdds ratio (CI)P value
THA
0.74(0.70–0.79)
P ≤ 0.0001TKA
0.80(0.77–0.84)
P ≤ 0.0001Observational data: associations, not effects.
Secondary outcomes
Prolonged LOS
- Neuraxial anaesthesia use universally associated with decreased LOS
Original publication
Anesthesia practice among joint arthroplasty patients with a previous lumbar spine surgery. J Clin Anesth. Published 25 July 2023. doi:10.
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