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  1. Lumbar spinal fusion : surgical rates, costs, and complications.

    Article - En anglais

    Study Design

    Literature review.

    Objectives

    To assess the frequency of lumbar fusion procedures in the United States ; changes in the incidence of fusion in the past 12 years ; variations in fusion procedure rates among geographic regions of the nation and between the United States and other countries ; costs of lumbar fusion ; and rates of infrequent outcomes, which are best estimated from administrative data, including complications and deaths.

    Summary of Background Data

    Several recent analyses have shown that lumbar spine fusion procedures are done more frequently and are associated with increased costs and rates of complications.

    Methods

    Qualitative review of the literature on frequency, costs, and complications of lumbar fusion.

    Results and Conclusions

    The rates of lumbar fusion procedures are increasing rapidly, particularly for lumbar spinal stenosis in older patients.

    Fusion rates appear to vary markedly among individual surgeons, among small and large geographic regions in the nation, and between the United States and England.

    These variations are considerably more dramatic than variations in rates of lumbar discectomy.

    Fusion for spinal stenosis with spondylolisthesis is, as expected, associated with higher costs and complication rates than is decompressive surgery for this indication without fusion.

    Fusion rates are increasing rapidly and show dramatic geographic variations, suggesting differences in opinion within the surgical community reg...

    Mots-clés Pascal : Arthrodèse, Fixation, Vertèbre, Rachis lombaire, Homme, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Analyse coût, Economie santé, Fréquence, Complication, Rachis pathologie, Traitement, Chirurgie orthopédique, Système ostéoarticulaire pathologie

    Mots-clés Pascal anglais : Arthrodesis, Fixation, Vertebra, Lumbar spine, Human, United States, North America, America, Epidemiology, Cost analysis, Health economy, Frequency, Complication, Spine disease, Treatment, Orthopedic surgery, Diseases of the osteoarticular system

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0108781

    Code Inist : 002B25I. Création : 199608.