Opioid Use in Opioid Naive Patients After Minimally Invasive Spine Surgery.

Document Type

Article

Publication Date

3-18-2026

Publication Title

Global spine journal

Abstract

Study DesignProspective cohort study.ObjectivesTo evaluate postoperative opioid use in opioid-naive patients undergoing lumbar or cervical spine surgery and assess the impact of surgical approach (open vs minimally invasive) and number of operative levels on opioid consumption.MethodsA prospective cohort of 217 opioid-naive patients undergoing outpatient spine surgery from August 2023 to December 2024 was analyzed. Patients were stratified by surgical approach (open, tubular, endoscopic) and by single-vs multilevel procedures. Opioid usage was measured in total morphine milligram equivalents (MME) based on patient-reported pill counts at 2 weeks and follow-up interviews at 3 months.ResultsPatients undergoing single-level procedures used significantly fewer opioids than those undergoing multilevel procedures (75.1 ± 97.0 MME vs 167.3 ± 239.6 MME;

First Page

21925682261436323

DOI

10.1177/21925682261436323

ISSN

2192-5682

PubMed ID

41848769

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