Publication Date
1-27-2025
Journal
Spine Surgery and Related Research (
DOI
10.22603/ssrr.2023-0271
PMID
39935986
PMCID
PMC11808233
PubMedCentral® Posted Date
8-22-2024
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Scoliosis, Neuromuscular, Neuromuscular Scoliosis, Demographic, Hispanic, Health, Inequalities, Spinal Fusion, Instrumentation
Abstract
INTRODUCTION: Pre- and postoperative optimization remains a complex process impacted by various demographic factors. Our study aims to identify and describe those demographic factors associated with poor outcomes after spinal fusion with instrumentation in neuromuscular scoliosis to reduce health disparities and improve postoperative outcomes.
METHODS: A retrospective analysis was conducted using Healthcare Cost and Utilization Project data from 2016 to 2020, encompassing a random sample of 20% of procedures in the United States. Data included demographic and hospital variables, including days from admission to the procedure, length of stay, recovery time, total charge, discharge disposition, and mortality rates. In addition to ANOVA, Chi-Squares, and t-tests, multiple-linear and multiple-logistic regression models were designed and run to generate adjusted odds ratios.
RESULTS: Compared to non-Hispanic patients (N=1829), Hispanic patients (N=431) had spinal fusion with instrumentation at younger ages (12.9 vs. 14.1 years old, p=0.011) and had significantly different household incomes with less representation in the 75th to 100th percentile (16.8% vs. 26.5%, p
CONCLUSIONS: Hispanic patients with NMS often have longer lengths of stay, longer periods between admission and surgery, and longer recovery times than non-Hispanic patients. This difference in hospital courses and surgical timing could be an effect of disparities in healthcare access and socioeconomic standing. Further efforts are required to both understand and reduce barriers to healthcare access in the Hispanic patient population undergoing spinal fusion with instrumentation.
Included in
Inequality and Stratification Commons, Medical Sciences Commons, Musculoskeletal Diseases Commons, Orthopedics Commons, Race and Ethnicity Commons, Surgery Commons
