Reoperation rates after posterior lumbar spinal fusion surgery according to preoperative diagnoses

A national population-based cohort study

Moon Soo Park, Young Su Ju, Seong Hwan Moon, Tae Hwan Kim, Jae Keun Oh, Paul S. Sung, Chi Heon Kim, Chun Kee Chung, Ho Guen Chang

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: The reoperation rate after lumbar degenerative disease surgery is low. It is difficult to find statistical differences in reoperation rates according to the different diagnoses of lumbar degenerative diseases. National population-based database overcomes the statistical problem by its large cohorts with longitudinal follow-up in a nation. The purpose was to compare the reoperation rates after single-level lumbar spinal posterior decompression and fusion surgeries depending on different preoperative diagnoses of lumbar degenerative disease. Patients and methods: We used the Korean Health Insurance Review & Assessment Service national database. The study population was the patients with a diagnosis of a degenerative lumbar disease who underwent single-level decompression and fusion from January 1, 2011, to June 30, 2016. We classified the patients into one of three groups based on diagnosis codes of lumbar disc herniation, spondylolisthesis, or spinal stenosis. A reoperation was defined as repeated decompression and fusion. We considered age, sex, the presence of diabetes, osteoporosis, associated comorbidities, and hospital types as potential confounding factors. Results: The reoperation rate was higher in patients with spinal stenosis than in those with lumbar disc herniation. However, there was no difference in the reoperation rate between the patients with lumbar disc herniation and those with spondylolisthesis. Male gender and hospital type were risk factors for reoperation. Conclusion: The incidence of reoperation was dependent on the diagnostic subgroups of lumbar degenerative diseases. This information can help surgeons accurately communicate with their patients and enhance the preoperative informed consent process.

Original languageEnglish
Article number105408
JournalClinical Neurology and Neurosurgery
Volume184
DOIs
StatePublished - 1 Sep 2019

Fingerprint

Spinal Fusion
Reoperation
Cohort Studies
Population
Decompression
Spondylolisthesis
Spinal Stenosis
Databases
Health Insurance
Informed Consent
Osteoporosis
Comorbidity
Incidence

Keywords

  • A nationwide database
  • Diagnoses
  • Lumbar spine
  • Reoperation
  • Spondylosis

Cite this

Park, Moon Soo ; Ju, Young Su ; Moon, Seong Hwan ; Kim, Tae Hwan ; Oh, Jae Keun ; Sung, Paul S. ; Kim, Chi Heon ; Chung, Chun Kee ; Chang, Ho Guen. / Reoperation rates after posterior lumbar spinal fusion surgery according to preoperative diagnoses : A national population-based cohort study. In: Clinical Neurology and Neurosurgery. 2019 ; Vol. 184.
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abstract = "Objective: The reoperation rate after lumbar degenerative disease surgery is low. It is difficult to find statistical differences in reoperation rates according to the different diagnoses of lumbar degenerative diseases. National population-based database overcomes the statistical problem by its large cohorts with longitudinal follow-up in a nation. The purpose was to compare the reoperation rates after single-level lumbar spinal posterior decompression and fusion surgeries depending on different preoperative diagnoses of lumbar degenerative disease. Patients and methods: We used the Korean Health Insurance Review & Assessment Service national database. The study population was the patients with a diagnosis of a degenerative lumbar disease who underwent single-level decompression and fusion from January 1, 2011, to June 30, 2016. We classified the patients into one of three groups based on diagnosis codes of lumbar disc herniation, spondylolisthesis, or spinal stenosis. A reoperation was defined as repeated decompression and fusion. We considered age, sex, the presence of diabetes, osteoporosis, associated comorbidities, and hospital types as potential confounding factors. Results: The reoperation rate was higher in patients with spinal stenosis than in those with lumbar disc herniation. However, there was no difference in the reoperation rate between the patients with lumbar disc herniation and those with spondylolisthesis. Male gender and hospital type were risk factors for reoperation. Conclusion: The incidence of reoperation was dependent on the diagnostic subgroups of lumbar degenerative diseases. This information can help surgeons accurately communicate with their patients and enhance the preoperative informed consent process.",
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Reoperation rates after posterior lumbar spinal fusion surgery according to preoperative diagnoses : A national population-based cohort study. / Park, Moon Soo; Ju, Young Su; Moon, Seong Hwan; Kim, Tae Hwan; Oh, Jae Keun; Sung, Paul S.; Kim, Chi Heon; Chung, Chun Kee; Chang, Ho Guen.

In: Clinical Neurology and Neurosurgery, Vol. 184, 105408, 01.09.2019.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Reoperation rates after posterior lumbar spinal fusion surgery according to preoperative diagnoses

T2 - A national population-based cohort study

AU - Park, Moon Soo

AU - Ju, Young Su

AU - Moon, Seong Hwan

AU - Kim, Tae Hwan

AU - Oh, Jae Keun

AU - Sung, Paul S.

AU - Kim, Chi Heon

AU - Chung, Chun Kee

AU - Chang, Ho Guen

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Objective: The reoperation rate after lumbar degenerative disease surgery is low. It is difficult to find statistical differences in reoperation rates according to the different diagnoses of lumbar degenerative diseases. National population-based database overcomes the statistical problem by its large cohorts with longitudinal follow-up in a nation. The purpose was to compare the reoperation rates after single-level lumbar spinal posterior decompression and fusion surgeries depending on different preoperative diagnoses of lumbar degenerative disease. Patients and methods: We used the Korean Health Insurance Review & Assessment Service national database. The study population was the patients with a diagnosis of a degenerative lumbar disease who underwent single-level decompression and fusion from January 1, 2011, to June 30, 2016. We classified the patients into one of three groups based on diagnosis codes of lumbar disc herniation, spondylolisthesis, or spinal stenosis. A reoperation was defined as repeated decompression and fusion. We considered age, sex, the presence of diabetes, osteoporosis, associated comorbidities, and hospital types as potential confounding factors. Results: The reoperation rate was higher in patients with spinal stenosis than in those with lumbar disc herniation. However, there was no difference in the reoperation rate between the patients with lumbar disc herniation and those with spondylolisthesis. Male gender and hospital type were risk factors for reoperation. Conclusion: The incidence of reoperation was dependent on the diagnostic subgroups of lumbar degenerative diseases. This information can help surgeons accurately communicate with their patients and enhance the preoperative informed consent process.

AB - Objective: The reoperation rate after lumbar degenerative disease surgery is low. It is difficult to find statistical differences in reoperation rates according to the different diagnoses of lumbar degenerative diseases. National population-based database overcomes the statistical problem by its large cohorts with longitudinal follow-up in a nation. The purpose was to compare the reoperation rates after single-level lumbar spinal posterior decompression and fusion surgeries depending on different preoperative diagnoses of lumbar degenerative disease. Patients and methods: We used the Korean Health Insurance Review & Assessment Service national database. The study population was the patients with a diagnosis of a degenerative lumbar disease who underwent single-level decompression and fusion from January 1, 2011, to June 30, 2016. We classified the patients into one of three groups based on diagnosis codes of lumbar disc herniation, spondylolisthesis, or spinal stenosis. A reoperation was defined as repeated decompression and fusion. We considered age, sex, the presence of diabetes, osteoporosis, associated comorbidities, and hospital types as potential confounding factors. Results: The reoperation rate was higher in patients with spinal stenosis than in those with lumbar disc herniation. However, there was no difference in the reoperation rate between the patients with lumbar disc herniation and those with spondylolisthesis. Male gender and hospital type were risk factors for reoperation. Conclusion: The incidence of reoperation was dependent on the diagnostic subgroups of lumbar degenerative diseases. This information can help surgeons accurately communicate with their patients and enhance the preoperative informed consent process.

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KW - Diagnoses

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KW - Reoperation

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JO - Clinical Neurology and Neurosurgery

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SN - 0303-8467

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