Surgery center influences outcomes in spinal surgery

Surgery center influences outcomes in spinal surgery
Choice of surgery center affects patient outcomes following surgery for lumbar stenosis and degenerative spondylolisthesis, according to research published online Oct. 17 in Spine.

(HealthDay)—Choice of surgery center affects patient outcomes following surgery for lumbar stenosis and degenerative spondylolisthesis, according to research published online Oct. 17 in Spine.

Atman Desai, M.D., from the Dartmouth-Hitchcock Medical Center in Lebanon, N.H., and colleagues retrospectively reviewed data from 793 participants in the Spine Patient Outcomes Research Trial with a confirmed diagnosis of lumbar stenosis or degenerative spondylolisthesis undergoing surgery. Patients were followed from baseline and outcomes were assessed at six weeks, and three, six, and 12 months, and yearly thereafter, at 13 spine clinics throughout the United States.

The researchers found significant differences between centers with regard to patient race, , treatment preference, neurological deficit, stenosis location and severity, and number of stenotic levels. In addition, they noted significant differences in operative duration and , the incidence of durotomy, the length of hospital stay, and . Even after adjustment for baseline differences, there were still significant differences between centers in changes in patient functional outcome (Short Form-36 [SF-36] bodily pain and physical function and Oswestry disability index) at one year after surgery. At four years after surgery, the score was still significantly different among centers, and the SF-36 scores trended toward significance.

"There is broad and statistically significant variation in short- and long-term outcomes after surgery for lumbar stenosis and degenerative across various academic centers, when statistically significant baseline differences are adjusted for," the authors write. "The findings suggest choice of center affects outcome after these procedures, although further studies are required to investigate which center characteristics are most important."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Spondylolisthesis linked to spinous process fractures

Jun 02, 2012

(HealthDay) -- There is a strong association between degenerative spondylolisthesis and spinous process fracture in patients undergoing interspinous process spacer (IPS) surgery, according to a study published ...

Back to normal: Surgery improves outcomes for spine patients

Jun 01, 2009

People with the spine disease called degenerative spondylolisthesis* -- who choose surgical treatment -- experience substantially greater relief from pain over time compared to those who do not have surgery, according to ...

Recommended for you

New medical device to make the mines safer

Nov 21, 2014

Dehydration can be a serious health issue for Australia's mining industry, but a new product to be developed with input from Flinders University's Medical Device Partnering Program (MDPP) is set to more effectively ...

US family gets $6.75 million in Botox case

Nov 20, 2014

A New York couple who said Botox treatment of their son's cerebral palsy left him with life-threatening complications and sued its manufacturer won a $6.75 million verdict from a federal jury on Thursday.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.