ArticleNorth American Spine Society journal2026
Impact of solid organ transplant on postoperative outcomes following lumbar spine fusion surgery: A propensity-matched retrospective cohort analysis.
Article in North American Spine Society journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: SOT recipients represent a complex and vulnerable population. The physiologic effects of chronic immunosuppression may predispose these patients to adverse postoperative events, yet large-scale analyses of lumbar spine fusion outcomes in this group remain limited. Methods: Adults over 18 years of age who underwent lumbar spine fusion between 2015 and 2024 were identified through procedural coding in the TriNetX database. Patients with a history of SOT were matched 1:1 to non-transplant controls based on baseline demographics and comorbidities. Postoperative complications were evaluated using statistical tools integrated within the database. Results: After 1:1 propensity score matching, each cohort included 408 patients. At 90 days, SOT patients had higher odds of wound dehiscence (OR 2.33, 95% CI 1.17-4.67), emergency department utilization (OR 1.86, 95% CI 1.26-2.74), and overall medical complications (OR 1.98, 95% CI 1.18-3.30) compared to matched non-SOT controls. At 1 year, transplant recipients had increased rates of reoperation (OR 2.2, CI 1.055-4.59) and pseudoarthrosis (OR 1.76, CI 1.38-2.58). Conclusions: Increased morbidity associated with SOT was reflected by the higher risk for medical complications and wound complications in the short term. Long-term physiologic changes secondary to long-term immunosuppressive therapy were also represented by long-term surgical complications. Our findings highlight a need for a tailored, interdisciplinary approach for surgical planning and postoperative care for this high-risk patient population.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.