Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort study
Background/objective Degenerative diseases of the lumbar spine were managed with discectomy or laminectomy. This study aimed to compare these two surgical treatments in the postoperative revision rates.Design A population-based cohort study from analysis of a healthcare database.Setting Data were ga...
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BMJ Publishing Group
2018-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/8/7/e021028.full |
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| author | Yao-Chun Hsu Feng-Chen Kao Chang-Bi Wang Yuan-Kun Tu Pao-Hsin Liu |
| author_facet | Yao-Chun Hsu Feng-Chen Kao Chang-Bi Wang Yuan-Kun Tu Pao-Hsin Liu |
| author_sort | Yao-Chun Hsu |
| collection | DOAJ |
| description | Background/objective Degenerative diseases of the lumbar spine were managed with discectomy or laminectomy. This study aimed to compare these two surgical treatments in the postoperative revision rates.Design A population-based cohort study from analysis of a healthcare database.Setting Data were gathered from the Taiwan National Health Insurance Research Database (NHIRD).Participants We enrolled 16 048 patients (4450 women and 11 598 men) with a mean age of 40.34 years who underwent lumbar discectomy or laminectomy for the first time between 1 January 1997 and 31 December 2007. All patients were followed up for 5 years or until death.Results Revision rate within 3 months of the index surgery was significantly higher in patients who underwent discectomy (2.75%) than in those who underwent laminectomy (1.18%; p<0.0001). This difference persisted over the first year following the index surgery (3.38% vs 2.57%). One year afterwards, the revision rates were similar between the discectomy (9.75%) and laminectomy (9.69%) groups. The final spinal fusion surgery rates were also similar between the groups (11.25% vs 12.08%).Conclusion The revision rate after lumbar discectomy was higher than that after laminectomy within 1 year of the index surgery. However, differences were not identified between patient groups for the two procedures with respect to long-term revision rates and the proportion of patients who required final spinal fusion surgery. |
| format | Article |
| id | doaj-art-16365032d03d4045a2baa51b321f4f7d |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2018-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-16365032d03d4045a2baa51b321f4f7d2025-02-06T04:50:10ZengBMJ Publishing GroupBMJ Open2044-60552018-07-018710.1136/bmjopen-2017-021028Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort studyYao-Chun Hsu0Feng-Chen Kao1Chang-Bi Wang2Yuan-Kun Tu3Pao-Hsin Liu42 Division of Gastroenterology and Hepatology, Department of Internal Medicine, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan1 Department of Orthopedics, E-Da Hospital, Kaohsiung, Taiwan8 Graduate Institute of Public Health, China Medical University, Taichung, Taiwan1 Department of Orthopedics, E-Da Hospital, Kaohsiung, Taiwan9 Department of Biomedical Engineering, I-Shou University, Kaohsiung, TaiwanBackground/objective Degenerative diseases of the lumbar spine were managed with discectomy or laminectomy. This study aimed to compare these two surgical treatments in the postoperative revision rates.Design A population-based cohort study from analysis of a healthcare database.Setting Data were gathered from the Taiwan National Health Insurance Research Database (NHIRD).Participants We enrolled 16 048 patients (4450 women and 11 598 men) with a mean age of 40.34 years who underwent lumbar discectomy or laminectomy for the first time between 1 January 1997 and 31 December 2007. All patients were followed up for 5 years or until death.Results Revision rate within 3 months of the index surgery was significantly higher in patients who underwent discectomy (2.75%) than in those who underwent laminectomy (1.18%; p<0.0001). This difference persisted over the first year following the index surgery (3.38% vs 2.57%). One year afterwards, the revision rates were similar between the discectomy (9.75%) and laminectomy (9.69%) groups. The final spinal fusion surgery rates were also similar between the groups (11.25% vs 12.08%).Conclusion The revision rate after lumbar discectomy was higher than that after laminectomy within 1 year of the index surgery. However, differences were not identified between patient groups for the two procedures with respect to long-term revision rates and the proportion of patients who required final spinal fusion surgery.https://bmjopen.bmj.com/content/8/7/e021028.full |
| spellingShingle | Yao-Chun Hsu Feng-Chen Kao Chang-Bi Wang Yuan-Kun Tu Pao-Hsin Liu Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort study BMJ Open |
| title | Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort study |
| title_full | Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort study |
| title_fullStr | Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort study |
| title_full_unstemmed | Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort study |
| title_short | Short-term and long-term revision rates after lumbar spine discectomy versus laminectomy: a population-based cohort study |
| title_sort | short term and long term revision rates after lumbar spine discectomy versus laminectomy a population based cohort study |
| url | https://bmjopen.bmj.com/content/8/7/e021028.full |
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