The effects of smoking on perioperative outcomes and XXXX following anterior cervical corpectomy: Clinical article.

@entity1 @entity190 @entity532 @entity281 @entity166 @entity1516
OBJECT: Smoking is one of the leading causes of preventable morbidity and death in the U.S. and has been associated with perioperative complications. In this study, the authors examined the effects of smoking on perioperative outcomes and @entity1516 rates following anterior cervical corpectomy. METHODS: All adult @entity1 from 2006 to 2011 who underwent anterior cervical corpectomy were identified. @entity1 were categorized into 3 groups: @entity1 who never smoked (nonsmokers), @entity1 who quit for at least 1 year (quitters), and @entity1 who continue to smoke (current smokers). Demographic, medical, and surgical covariates were collected. Multivariate analysis was used to define the relationship between smoking and @entity190 , 30-day complications, length of hospital stay, and @entity1516 . RESULTS: A total of 160 @entity1 were included in the study. Of the 160 @entity1 , 49.4% were nonsmokers, 25.6% were quitters, and 25.0% were current smokers. The overall 30-day complication rate was 20.0%, and @entity1516 occurred in 7.6% of @entity1 . Mean @entity190 was 368.3 ml and mean length of stay was 6.5 days. Current smoking status was significantly associated with higher complication rates (p < 0.001) and longer lengths of stay (p < 0.001); current smoking status remained an independent risk factor for both outcomes after multivariate logistic regression analysis. The complications that were experienced in current smokers were @entity281 (76.5%), and this proportion was significantly greater than in nonsmokers and quitters (p = 0.013). Current smoking status was also an independent risk factor for @entity1516 at 1-year follow-up (p = 0.012). CONCLUSIONS: Smoking is independently associated with @entity532 (especially @entity166 ), longer lengths of stay, and higher rates of @entity1516 in @entity1 undergoing anterior cervical corpectomy.
