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Erschienen in: European Spine Journal 7/2005

01.09.2005 | Original Article

Spinal stenosis re-operation rate in Sweden is 11% at 10 years—A national analysis of 9,664 operations

verfasst von: Karl-Åke Jansson, Gunnar Németh, F Granath, P Blomqvist

Erschienen in: European Spine Journal | Ausgabe 7/2005

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Abstract

Re-operation rates in spinal stenosis surgery vary between 5 and 23%. Most previous studies have been based on selected patients groups. We analysed the 10-year lumbar spinal stenosis re-operation rate from comprehensive Swedish national data during 1987–1999. The mean length of stay decreased from 2 weeks in 1987 to 1 week in 1999. Of 9,664 patients, 628 (6.5%) were re-operated. Within 30 days after the first spinal stenosis operation, 0.15% of the parients were re-operated. The 1-, 2-, 5-, and 10-year re-operation rates were 2, 5, 8 and 11%, respectively. The rate lowered by 31% over time. Adding a fusion may lower the re-operation risk, an observation which can only be evaluated in randomised trial.
Literatur
1.
Zurück zum Zitat Amundsen T, Weber H, Lilleas F (1995) Lumbar spinal stenosis. Clinical and radiologic features. Spine 20:1178–1186 Amundsen T, Weber H, Lilleas F (1995) Lumbar spinal stenosis. Clinical and radiologic features. Spine 20:1178–1186
2.
Zurück zum Zitat Atlas S, Deyo R, Keller R et al (1996) The Maine Lumbar Spine Study, Part III. One-year outcomes of surgical and non-surgical management of lumbar spinal stenosis. Spine 21:1787–1794 Atlas S, Deyo R, Keller R et al (1996) The Maine Lumbar Spine Study, Part III. One-year outcomes of surgical and non-surgical management of lumbar spinal stenosis. Spine 21:1787–1794
3.
Zurück zum Zitat Benini A (1992) Clinical aspects, pathophysiology and surgical treatment of lumbar spinal stenosis. Schweiz Rundsch Med Prax 81:395–404 Benini A (1992) Clinical aspects, pathophysiology and surgical treatment of lumbar spinal stenosis. Schweiz Rundsch Med Prax 81:395–404
4.
Zurück zum Zitat Benini A, Magerl F (1993) Selective decompression and translaminar articular facet screw fixation for lumbar canal stenosis and disc protrusion. Br J Neurosurg 7:413–418 Benini A, Magerl F (1993) Selective decompression and translaminar articular facet screw fixation for lumbar canal stenosis and disc protrusion. Br J Neurosurg 7:413–418
5.
Zurück zum Zitat Caputy AJ, Luessenhop AJ (1992) Long-term evaluation of decompressive surgery for degenerative lumbar stenosis. J Neurosurg 77:669–676 Caputy AJ, Luessenhop AJ (1992) Long-term evaluation of decompressive surgery for degenerative lumbar stenosis. J Neurosurg 77:669–676
6.
Zurück zum Zitat Cornefjord M, Byröd G, Brisby H, Rydevik BJ (2000) A long-term (4- to 12-year) follow-up study of surgical treatment of lumbar spinal stenosis. Eur Spine 563–570 Cornefjord M, Byröd G, Brisby H, Rydevik BJ (2000) A long-term (4- to 12-year) follow-up study of surgical treatment of lumbar spinal stenosis. Eur Spine 563–570
7.
Zurück zum Zitat Dedering (2002) An analysis of electromyography, endurance time and subjective factors in patients with lumbar disc herniation and healthy subjects. Thesis/Dissertation, Department of Surgical Sciences, Section of Orthopedics Karolinska Institutet, Stockhom, Sweden Dedering (2002) An analysis of electromyography, endurance time and subjective factors in patients with lumbar disc herniation and healthy subjects. Thesis/Dissertation, Department of Surgical Sciences, Section of Orthopedics Karolinska Institutet, Stockhom, Sweden
8.
Zurück zum Zitat Deyo R, Cherkin D, Loeser J, Bigos S, Ciol M (1992) Morbidity and mortality in association with operations on the lumbar spine. The influence of age, diagnosis, and procedure. J Bone Joint Surg Am 74:536–543 Deyo R, Cherkin D, Loeser J, Bigos S, Ciol M (1992) Morbidity and mortality in association with operations on the lumbar spine. The influence of age, diagnosis, and procedure. J Bone Joint Surg Am 74:536–543
9.
Zurück zum Zitat Fischgrund JS, Mackay M, Herkowitz HN, Brower R, Montgomer DM, Kurz LT (1997) 1997 Volvo Award winner in clinical studies. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospecitive, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal intrumentation.Spine 22:2807–2812 Fischgrund JS, Mackay M, Herkowitz HN, Brower R, Montgomer DM, Kurz LT (1997) 1997 Volvo Award winner in clinical studies. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospecitive, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal intrumentation.Spine 22:2807–2812
10.
Zurück zum Zitat Fox MW, Onofrio, BM, Hanssen AD (1996) Clinical outcomes and radiological instability following decompressive lumbar laminectomy for degenerative spinal stenosis: a comparison of patients undergoing concomitant arthrodesis versus decompression alone. J Neurosurg 85:793–802 Fox MW, Onofrio, BM, Hanssen AD (1996) Clinical outcomes and radiological instability following decompressive lumbar laminectomy for degenerative spinal stenosis: a comparison of patients undergoing concomitant arthrodesis versus decompression alone. J Neurosurg 85:793–802
11.
Zurück zum Zitat Grob D, Humke T, Dvorak J (1995) Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis. J Bone Joint Surg Am 77:1036–1041 Grob D, Humke T, Dvorak J (1995) Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis. J Bone Joint Surg Am 77:1036–1041
12.
Zurück zum Zitat Hansraj K, Cammisa FP Jr, O’Leary PF et al (2001) Decompressive surgery for typical lumbar spinal stenosis. Clin Orthop 384:10–17 Hansraj K, Cammisa FP Jr, O’Leary PF et al (2001) Decompressive surgery for typical lumbar spinal stenosis. Clin Orthop 384:10–17
13.
Zurück zum Zitat Herno A, Airaksinen O, Saari T (1993) Long-term results of surgical tratment of lumbar spinal stenosis. Spine 18:1471–1474 Herno A, Airaksinen O, Saari T (1993) Long-term results of surgical tratment of lumbar spinal stenosis. Spine 18:1471–1474
14.
Zurück zum Zitat Jansson K-Å, Blomqvist P, Granath F, Németh G (2003) Spinal stenosis surgery in Sweden 1987–1999. Eur Spine J 535–541 Jansson K-Å, Blomqvist P, Granath F, Németh G (2003) Spinal stenosis surgery in Sweden 1987–1999. Eur Spine J 535–541
15.
Zurück zum Zitat Johnsson K, Uden A, Rosen I (1991) The effect of decompression on the natural course of spinal stenosis. A comparison of surgically treated and untreated patients. Spine 16:615–619 Johnsson K, Uden A, Rosen I (1991) The effect of decompression on the natural course of spinal stenosis. A comparison of surgically treated and untreated patients. Spine 16:615–619
16.
Zurück zum Zitat Johnsson K, Uden A, Rosen I (1992) The natural course of lumbar spinal stneosis. Clin Orhop 279:1982–1986 Johnsson K, Uden A, Rosen I (1992) The natural course of lumbar spinal stneosis. Clin Orhop 279:1982–1986
17.
Zurück zum Zitat Jönsson B, Strömqvist B (1996) Clinical characteristics of recurrent sciatica after lumbar discectomy. Spine 21:500–505 Jönsson B, Strömqvist B (1996) Clinical characteristics of recurrent sciatica after lumbar discectomy. Spine 21:500–505
18.
Zurück zum Zitat Katz J, Lipson SJ, Chang LC, Levine SA, Fossel AH, Iang MH (1996) Seven- to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine 21:92–97 Katz J, Lipson SJ, Chang LC, Levine SA, Fossel AH, Iang MH (1996) Seven- to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine 21:92–97
19.
Zurück zum Zitat Kent D, Haynor D, Larson E et al (1992) Diagnosis of lumbar spinal stenosis in adults. A meta analysis of the accuracy of CT, MR and myelography. AJR Am J Roentgenol 158:1135–1144 Kent D, Haynor D, Larson E et al (1992) Diagnosis of lumbar spinal stenosis in adults. A meta analysis of the accuracy of CT, MR and myelography. AJR Am J Roentgenol 158:1135–1144
20.
Zurück zum Zitat Martinelli T, Wiesel S (1992) Epidemiology of spinal stenosis. Instr Course Lect 179–181 Martinelli T, Wiesel S (1992) Epidemiology of spinal stenosis. Instr Course Lect 179–181
21.
Zurück zum Zitat Olmarker K, Rydevik B, Norborg C (1994) Autologuos nucleus pulposus inducedes neurophysiological and histological changes in porcine cauda equina nerve roots. Spine 18:1425–1432 Olmarker K, Rydevik B, Norborg C (1994) Autologuos nucleus pulposus inducedes neurophysiological and histological changes in porcine cauda equina nerve roots. Spine 18:1425–1432
22.
Zurück zum Zitat Rydevik B (1994) Aktuellt om patofysiologi och smärtmekanismer. Nord Med 109:74–76 Rydevik B (1994) Aktuellt om patofysiologi och smärtmekanismer. Nord Med 109:74–76
23.
Zurück zum Zitat Sanderson PL, Getty CJ (1996) Long term results of patial undercuting facetectomy for lumbar lateral recess stenosis. Spine 21:1352–1356 Sanderson PL, Getty CJ (1996) Long term results of patial undercuting facetectomy for lumbar lateral recess stenosis. Spine 21:1352–1356
24.
Zurück zum Zitat SAS Institute (1997) SAS/STAT software changes and enhancements through release, 6.12 edn. SAS Institute, Cary, pp 247–348 SAS Institute (1997) SAS/STAT software changes and enhancements through release, 6.12 edn. SAS Institute, Cary, pp 247–348
25.
Zurück zum Zitat Schönström NS Bolender NF, Pengler DM (1985) The pathomorphology of spinal stenosis as seen on CT scans of the lumbar spine. Spine 10:806–811 Schönström NS Bolender NF, Pengler DM (1985) The pathomorphology of spinal stenosis as seen on CT scans of the lumbar spine. Spine 10:806–811
26.
Zurück zum Zitat Strömqvist B, Jönsson B, Fritzell P, Hägg O, Larsson B, Lind B (2001) The Swedish National Register for Lumbar Spine Surgery, Swedish Society for Spinal Surgery. Acta Ortop Scand 72:99–106 Strömqvist B, Jönsson B, Fritzell P, Hägg O, Larsson B, Lind B (2001) The Swedish National Register for Lumbar Spine Surgery, Swedish Society for Spinal Surgery. Acta Ortop Scand 72:99–106
27.
Zurück zum Zitat Verbiest H (1954) A radicular syndrome from developmental narrowing of the lumbar vertebral canal. J Bone Joint Surg Br 36:230–237 Verbiest H (1954) A radicular syndrome from developmental narrowing of the lumbar vertebral canal. J Bone Joint Surg Br 36:230–237
Metadaten
Titel
Spinal stenosis re-operation rate in Sweden is 11% at 10 years—A national analysis of 9,664 operations
verfasst von
Karl-Åke Jansson
Gunnar Németh
F Granath
P Blomqvist
Publikationsdatum
01.09.2005
Erschienen in
European Spine Journal / Ausgabe 7/2005
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-004-0851-9

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