5-Year reoperation rates after different types of lumbar spine surgery. Point of view.
Population-based cohort study of Washington State patients who underwent lumbar spine surgery for degenerative conditions in 1988.
To compare complications and reoperation rates during the 5-year period after surgery between patients who have undergone lumbar spine fusion surgery and those who have undergone laminectomy or discectomy alone. of Background Data.
Spinal fusion is associated with wider surgical exposure, more extensive dissection, and longer operative times than lumbar surgery without fusion, and previous studies nave shown higher complication rates and hospital charges associated with these more complex procedures.
In elderly patients, spinal fusion operations were associated with higher mortality rates than laminectomy or discectomy alone, and reoperation rates were not lower.
In the current study, reoperations, mortality, and complications following lumbar spine surgery were examined for the general population.
A statewide hospital discharge database was used to identify all Washington patients who underwent spine surgery in 1988 and to determine the rate of reoperation during the subsequent 5 years.
Administrative records also were used to identify complications, mortality, and hospital charges associated with the operations.
Unadjusted complication and reoperation rates for the groups were compared using chisquare statistics. (...)
Mots-clés Pascal : Hernie, Disque intervertébral, Rachis lombaire, Arthrodèse, Etude comparative, Technique, Laminectomie, Traitement, Evaluation, Epidémiologie, Complication, Mortalité, Réintervention, Homme, Système ostéoarticulaire pathologie, Rachis pathologie, Chirurgie orthopédique
Mots-clés Pascal anglais : Hernia, Intervertebral disk, Lumbar spine, Arthrodesis, Comparative study, Technique, Laminectomy, Treatment, Evaluation, Epidemiology, Complication, Mortality, Reoperation, Human, Diseases of the osteoarticular system, Spine disease, Orthopedic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0229813
Code Inist : 002B25I. Création : 11/09/1998.