Fusion rate up for lumbar spinal stenosis, 2004 to 2009

June 13, 2013
Fusion rate up for lumbar spinal stenosis, 2004 to 2009
For patients hospitalized for lumbar spinal stenosis, the rate of fusions significantly increased and the rate of decompressions significantly decreased from 2004 to 2009 in the United States, according to a study published in the May 15 issue of Spine.

(HealthDay)—For patients hospitalized for lumbar spinal stenosis (LSS), the rate of fusions significantly increased and the rate of decompressions significantly decreased from 2004 to 2009 in the United States, according to a study published in the May 15 issue of Spine.

Hyun W. Bae, M.D., from the Cedars-Sinai Spine Center in Los Angeles, and colleagues retrospectively analyzed 2004 to 2009 data from the Nationwide Inpatient Sample to assess trends in the surgical management of patients with LSS, with and without coexisting and scoliosis, in the United States.

The researchers found that, over this period, the number of patients hospitalized with LSS significantly increased (age adjusted population rate, 32.1 to 33.3 per 100,000), the rate of decompressions significantly decreased (from 58.5 to 49.2 percent), the rate of simple fusions significantly increased (from 21.5 to 31.2 percent), the rate of complex fusions remained the same (6.7 percent), the use of significantly increased (from 14.5 to 33.0 percent of all fusions), and the use of interbody devices significantly increased (from 28.5 to 45.1 percent). In 2009, fusion procedures were performed in 26.2 percent of patients with LSS without instability, 82.7 percent of patients with LSS with coexisting spondylolisthesis, and 67.6 percent of patients with coexisting scoliosis.

"This study demonstrates that the rate of simple fusion surgery has increased for treatment of LSS compared with decompression only," Bae and colleagues conclude.

Explore further: Diabetes, hypertension prevalent with spinal stenosis

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

Related Stories

Diabetes, hypertension prevalent with spinal stenosis

May 7, 2013
(HealthDay)—Nonelderly, older adults with lumbar spinal stenosis (LSS) have a higher prevalence of diabetes and hypertension than those without stenosis, according to a study published in the April 20 issue of Spine.

EP studies helpful in lumbar spinal stenosis prognosis

December 28, 2012
(HealthDay)—Electrophysiological abnormalities have been identified that are of some prognostic value in determining deteriorating clinical status over the long term for patients with mild-to-moderate lumbar spinal stenosis ...

Lumbar spinal stenosis lowers health-related QoL

April 7, 2012
(HealthDay) -- Patients diagnosed with lumbar spinal stenosis (LSS) have a substantial burden of illness and reduced health-related quality of life (HRQL) compared to the general population, and their HRQL is compounded by ...

rhBMP-2 linked to increased rate of retrograde ejaculation

December 29, 2012
(HealthDay)—For patients with lumbar spondylosis or spondylolisthesis of the lowest lumbar levels who undergo open anterior lumbar interbody fusion (ALIF), use of recombinant human bone morphogenetic protein-2 (rhBMP-2) ...

Ethnic, socioeconomic factors impact scoliosis tx, outcome

March 2, 2013
(HealthDay)—For hospitalized patients with idiopathic scoliosis, ethnic and socioeconomic variables influence treatment and outcomes, according to a study published in the February issue of The Spine Journal.

Morbid obesity ups complication rate in spinal fusion surgery

June 5, 2012
(HealthDay) -- Morbid obesity increases the risk of multiple complications in spinal fusion surgery, particularly in patients undergoing anterior cervical or posterior lumbar procedures, according to research published in ...

Recommended for you

Finish your antibiotics course? Maybe not, experts say

July 27, 2017
British disease experts on Thursday suggested doing away with the "incorrect" advice to always finish a course of antibiotics, saying the approach was fuelling the spread of drug resistance.

Co-infection with two common gut pathogens worsens malnutrition in mice

July 27, 2017
Two gut pathogens commonly found in malnourished children combine to worsen malnutrition and impair growth in laboratory mice, according to new research published in PLOS Pathogens.

Phase 3 trial confirms superiority of tocilizumab to steroids for giant cell arteritis

July 26, 2017
A phase 3 clinical trial has confirmed that regular treatment with tocilizumab, an inhibitor of interleukin-6, successfully reduced both symptoms of and the need for high-dose steroid treatment for giant cell arteritis, the ...

A large-scale 'germ trap' solution for hospitals

July 26, 2017
When an infectious airborne illness strikes, some hospitals use negative pressure rooms to isolate and treat patients. These rooms use ventilation controls to keep germ-filled air contained rather than letting it circulate ...

Researchers report new system to study chronic hepatitis B

July 25, 2017
Scientists from Princeton University's Department of Molecular Biology have successfully tested a cell-culture system that will allow researchers to perform laboratory-based studies of long-term hepatitis B virus (HBV) infections. ...

Male hepatitis B patients suffer worse liver ailments, regardless of lifestyle

July 25, 2017
Why men with hepatitis B remain more than twice as likely to develop severe liver disease than women remains a mystery, even after a study led by a recent Drexel University graduate took lifestyle choices and environments ...

0 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.