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Does diabetes affect outcome or reoperation rate after lumbar decompression or arthrodesis? A matched analysis of the Quality Outcomes Database data set.
Mooney et al., J Neurosurg Spine 2023
DOI: 10.3171/2023.9.SPINE23522
Listen up, folks!
We’ve got something huge to talk about here. Diabetes, it’s a big deal, especially when it comes to back surgery. We’re talking about lumbar spinal surgery, and let me tell you, diabetes can make things complicated. But we’ve done the research, the best research, to find out what’s really going on.
So, we took a look at the Quality Outcomes Database, a fantastic database, and we checked out patients with diabetes who had lumbar surgery. We’re talking about the best matching here – perfectly matched on 31 variables. That’s right, 31. We compared them to patients without diabetes, and we wanted to see who did better after surgery.
Now, for the simple stuff, the decompression surgeries, diabetes didn’t make much of a difference. But, when we get to the big league surgeries, the arthrodesis, that’s where diabetes starts to show its true colors. The patients with diabetes, they had a tougher time – more readmissions, longer hospital stays, more reoperations. It’s clear as day.
And let me tell you, if you’re going in for the big surgery, the arthrodesis, and you’ve got diabetes, you better make sure it’s under control. We’re talking about the best outcomes here, and good diabetes control is key.
So, remember, diabetes is a big factor in back surgery outcomes. We’ve got the numbers, the best numbers, to prove it. Let’s make back surgery great again, by taking care of diabetes first!