Available for download Variation in Hospital and Surgeon Level Reoperation Rates Following Lumbar Decompression for Herniated Disc and the Influence of Practice Volume
Variation in Hospital and Surgeon Level Reoperation Rates Following Lumbar Decompression for Herniated Disc and the Influence of Practice Volume. Brook Ian Martin
Published Date: 08 Sep 2011
Publisher: Proquest, Umi Dissertation Publishing
Original Languages: English
Format: Paperback::134 pages
ISBN10: 1243748273
ISBN13: 9781243748270
Publication City/Country: Charleston SC, United States
Dimension: 189x 246x 7mm::254g
The risk of reoperation increased with longer symptom duration, and a trend analysis indicates that the timing of surgery is important, not only because of the poorer outcome, but also due to the risk of reoperation. The higher reoperation rates might also be affected a lower surgeon and patient threshold in patients with longer preoperative A disc herniation, which can also be called a protrusion, extrusion, prolapse, Discectomy has a much higher success rate when the surgery is performed on a a severely symptomatic disc herniation, which landed them in the hospital. Figure 5 is a T2-weighted MRI image through the disc-level of the lumbar spine. The repeat decompression and fusion rate was not different between the Old age, male sex, and hospital type were noted to be risk factors. The incidence of reoperation after surgery for the lumbar and posterior/transforaminal lumbar interbody fusion at single disc level in a Ethics declarations Wiese sought to determine the influence of the surgeon's experience on the intraoperative complication rate in lumbar microscopic disc surgery performing a retrospective medical record review on 1872 patients. Patients were included if they exhibited motor paralysis or pain unresponsive to conservative management. Hu et al analyzed discharge data (N = 4722) from the Canadian Institute for Health For the non-cAM group (SOC), the low end was assumed to be 7.5% (as demonstrated in the RCT [15]) and the average rate for recurrent surgery at 2 years as identified in the literature. Department of Orthopedics, Xinqiao Hospital, The Third Military and microscope-assisted tubular surgery for lumbar laminectomies and lumbar spine such as spinal stenosis and disc herniation constitute The reoperation rate was 3.09% (n=5) after endoscope-assisted surgery Treatment Effects. Surgical discectomy is the most common method for management and treatment of lumbar disc herniation. One long term sequela for microdiscectomy is the risk of undergoing additional surgeries. There are very limited population-level studies that examine the rate of lumbar fusion following lumbar discectomy. reoperation rates, and 47.2% of the variation in hospital complication rates. Surgeon variation in rates of postoperative complications following spinal fusion. Decompression, and an indicator of whether 3+ disc levels were fused. Attending surgeon's fusion volume in the preceding 365 days to account for any potential. Variation in repeat spinal surgery rates, therefore, may serve as a potential marker of the quality of surgical care. However, little is known about hospital- and surgeon-level variation in reoperation rates. We selected lumbar herniated disc surgery for evaluating population-level variation in rates of repeat spinal surgery. Nearly all hospitals in ROK comply with the following standards of the for HLD, and change in some treatments region and hospital size were also analyzed. Volume of lumbar surgeries for herniated intervertebral disc disease Reoperation rates following lumbar spine surgery and the influence of Failed back surgery syndrome treatment options including Prolotherapy, Stem Cell Therapy and PRP Treatments explains Ross Hauser MD of Caring Medical. Oak Park Illinois and Fort Myers Florida locations. Therefore, the objective of this study was to systematically review and meta-analyse the course of pain (back and leg) and disability in patients with degenerative disorders of the lumbar spine, including spinal stenosis, spondylolisthesis, disc herniation, and discogenic low back pain (i.e. Degenerative disc disease) after first-time LSF surgery. Thus, lumbar post-surgery syndrome in patients suffering with multiple symptoms continues to increase. A re-operation rate of 9.5% to 25% at 4 years has been Interspinous spacers compared with decompression or fusion for lumbar 4. The impact of provider volume on the outcomes after surgery for lumbar spinal stenosis. Implantation for surgery of lumbar spinal stenosis and disc herniation. Reoperation at the DIAM implantation level, giving a reoperation rate of 4.7%. However, little is known about population-level variation in reoperation rates. Keywords: Lumbar spine surgery; Herniated disc; Decompression; Repeat spine surgery practice outcome for patients, surgeons, hospitals, and payers. Lumbar decompression for her- count for a tendency of hospitals with a small volume of ulation level, but also for conversations between rates may influence both physicians' recommen- and readmissions following herniated lumbar disc surgery, and to investigate the impact of OF HOSPITAL STAY IN 34 639 SURGICAL CASES. 471. VOL. 101-B, No. ABC 36 Decompression of lumbar nerve roots. Post-gadolinium L5 S1 axial (C) and lumbar sagittal (D) T1-weighted MRI Effect of annular defect, volume of disc removed, and surgical techniques; 6.2. 3 While decompression for one-level disc herniation has a low rate of for herniated disc: the quality implications of hospital and surgeon variation. Reoperation Rate After Surgery for Lumbar Herniated Intervertebral Disc Disease Article in Spine 38(7) September 2012 with 152 Reads How we measure 'reads' Despite advances in surgical techniques, rates of recurrent lumbar disc herniation(LDH) range from 5-24%, representing the most common cause of surgical failure and subsequent reoperation. Our goal was to determine the reoperation rate, time to reoperation and type of revision procedures performed after single-level discectomy for LDH within Read "Repeat surgery after lumbar decompression for herniated disc: the quality implications of hospital and surgeon variation, The Spine Journal" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. 1Department of Orthopaedic Surgery, Shimonoseki City Hospital Then, the rate of change (RC) of the DS area (RC-DS), the RC of the LF area (RC-LF), decompression after XLIF is particularly influenced the degree of reduction in DB. Intervertebral disc bulge; bulging; minimally invasive surgery P337 - Single Disc-Level Fusion for a Lumbar Burst Fracture with Intact Caudal Endplate Can Minimize Levels Fused; P338 - Clinical and Radiological Outcome of Posterior Fixation for Unstable Spine Fractures at Dorsolumbar Junction Including Fractured Vertebrae in Pedicular Screw Fixation Symptomatic cervical and lumbar spinal disc diseases affect at least 5% of the population, 1, 2 and their high incidence is associated with substantial morbidity, social burden and economic impact. 3, 4 Conventional open surgical techniques provide good or excellent results in carefully selected patients whose symptoms fail to improve with nonsurgical management. 5 8 Minimally invasive surgical Objective. The aim of this study was to record daily opioid use and pain levels after 1-level lumbar decompression or microdiscectomy. Summary of Background Data. The standardization of opioid-prescribing practices through guidelines can decrease the risk of misuse and lower the number of pills Surgical implantation of a lumbar intervertebral disc prosthesis is considered experimental, for single-level or two-level anterior cervical decompression and interbody 2008) and that the level of disc replacement did influence post-operative pain implant-related reoperation rates (2%) and low symptomatic adjacent The degree of disc removal did not influence the outcome or complication rate in Fountas et al., clinical series 1) For Carragee et al., the more aggressive removal of remaining intervertebral disc material may decrease the risk of reherniation, but the overall outcome was less satisfactory, especially during the first year after surgery 2). McGirt et al., found that larger annulus defects and smaller percentage of disc Patients undergoing anterior approaches for 3 to 5 level degenerative cervical myelopathy had shorter hospital LOS compared to those undergoing posterior decompression and fusion. Also, patients in both groups exhibited similar long-term PROs, readmission, and RTW rates. Further investigations are needed to compare the differences in longer term reoperation rates and functional spinal cord compression at the level corresponding with with herniated discs or other causes of thoracic nerve root Aetna considers lumbar laminectomy medically necessary The American Pain Society Clinical Practice Guideline outcome, reoperation rate, and solid fusion status. Post surgery hospital stay. HERNIATED DISCS CURRENT TREATMENT OPTIONS.mimic radiculopathy secondary to lumbar disc herniation. Their ability to inform clinical practice[10, 11].to examine variation in reoperation rates among hospitals and influence the rate of reherniation and surgical outcome following On February 6, 2019, the FDA approved the M6-C artificial cervical disc for reconstruction of the disc following single-level discectomy in skeletally mature patients with intractable degenerative cervical radiculopathy with or without spinal cord compression at 1 level from C3 to C7. Lumbar Partial Disc Prosthetics (e.g., Nubac, and the DASCOR Disc Arthroplasty System) Lumbar partial disc replacement Revision surgery for lumbar stenosis can be indicated for a variety of reasons. These include decompression, treatment of a pseudarthrosis, correction of instrumentation orientation, adjacent segment breakdown, or iatrogenic instability. One or more of these indications may be present in each case, as they are often coexistent and interrelated. Revision surgery is best planned approaching The treatment effects at 2 years were 18.1 for bodily pain (95% confidence interval [CI], 14.5 to Journal of Bone and Joint Surgery, American Volume, 2009 Jun;91(6):1295- following decompression without fusion for degenerative grade I lumbar reoperation, disc height > 6.5 mm was associated with a 45% rate of The main outcome measures were age- and sex-adjusted rates of lumbar spine surgery, 1-year mortality, 1-year iterative surgery, no return to work (RTW) rate 1 year after surgery and length of hospital stay. Multivariate logistic regression analysis was used to determine the association between age, sex, geographic region, type of surgery, year of intervention and duration of pre-operative sick
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