Predictors of Nonelective Surgery for Spinal Metastases

Insights From a National Database

Hammad A. Khan, BS; Nicholas M. Rabah, BS; Vikram Chakravarthy, MD; Raghav Tripathi, MPH; Ajit A. Krishnaney, MD


Spine. 2021;46(24):E1334-E1342. 

In This Article


Presentation with high-grade ESCC and neurologic compromise warrants emergent surgical intervention, and emergent surgery for spinal metastases has been associated with poorer postoperative outcomes compared to elective surgery. Identifying patient populations at greater risk of receiving nonelective surgery is therefore critical in eliminating barriers to timely intervention and improving patient outcomes. In the present study, we report that sociodemographic factors such as non-White race, nonprivate insurance status, and lower income independently portend greater odds of receiving nonelective surgery. Future studies should explore reasons for these disparities across various health care settings and develop strategies by which to mitigate them.