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Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis.

Publication ,  Journal Article
Fu, K-MG; Smith, JS; Polly, DW; Perra, JH; Sansur, CA; Berven, SH; Broadstone, PA; Choma, TJ; Goytan, MJ; Noordeen, HH; Knapp, DR; Hart, RA ...
Published in: J Neurosurg Spine
May 2010

OBJECT: The purpose of this study was to evaluate the prospectively collected Scoliosis Research Society (SRS) database to assess the incidences of morbidity and mortality (M&M) in the operative treatment of degenerative lumbar stenosis, one of the most common procedures performed by spine surgeons. METHODS: All patients who underwent surgical treatment for degenerative lumbar stenosis between 2004 and 2007 were identified from the SRS M&M database. Inclusion criteria for analysis included an age >or= 21 years and no history of lumbar surgery. Patients were treated with either decompression alone or decompression with concomitant fusion. Statistical comparisons were performed using a 2-sided Fisher exact test. RESULTS: Of the 10,329 patients who met the inclusion criteria, 6609 (64%) were treated with decompression alone, and 3720 (36%) were treated with decompression and fusion. Among those who underwent fusion, instrumentation was placed in 3377 (91%). The overall mean patient age was 63 +/- 13 years (range 21-96 years). Seven hundred nineteen complications (7.0%), including 13 deaths (0.1%), were identified. New neurological deficits were reported in 0.6% of patients. Deaths were related to cardiac (4 cases), respiratory (5 cases), pulmonary embolus (2 cases), and sepsis (1 case) etiologies, and a perforated gastric ulcer (1 case). Complication rates did not differ based on patient age or whether fusion was performed. Minimally invasive procedures were associated with fewer complications and fewer new neurological deficits (p = 0.01 and 0.03, respectively). CONCLUSIONS: The results from this analysis of the SRS M&M database provide surgeons with useful information for preoperative counseling of patients contemplating surgical intervention for symptomatic degenerative lumbar stenosis.

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Published In

J Neurosurg Spine

DOI

EISSN

1547-5646

Publication Date

May 2010

Volume

12

Issue

5

Start / End Page

443 / 446

Location

United States

Related Subject Headings

  • Spinal Stenosis
  • Spinal Fusion
  • Prospective Studies
  • Postoperative Complications
  • Orthopedics
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Lumbar Vertebrae
  • Humans
  • Decompression, Surgical
 

Citation

APA
Chicago
ICMJE
MLA
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Fu, K.-M., Smith, J. S., Polly, D. W., Perra, J. H., Sansur, C. A., Berven, S. H., … Shaffrey, C. I. (2010). Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis. J Neurosurg Spine, 12(5), 443–446. https://doi.org/10.3171/2009.11.SPINE09531
Fu, Kai-Ming G., Justin S. Smith, David W. Polly, Joseph H. Perra, Charles A. Sansur, Sigurd H. Berven, Paul A. Broadstone, et al. “Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis.J Neurosurg Spine 12, no. 5 (May 2010): 443–46. https://doi.org/10.3171/2009.11.SPINE09531.
Fu K-MG, Smith JS, Polly DW, Perra JH, Sansur CA, Berven SH, et al. Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis. J Neurosurg Spine. 2010 May;12(5):443–6.
Fu, Kai-Ming G., et al. “Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis.J Neurosurg Spine, vol. 12, no. 5, May 2010, pp. 443–46. Pubmed, doi:10.3171/2009.11.SPINE09531.
Fu K-MG, Smith JS, Polly DW, Perra JH, Sansur CA, Berven SH, Broadstone PA, Choma TJ, Goytan MJ, Noordeen HH, Knapp DR, Hart RA, Zeller RD, Donaldson WF, Boachie-Adjei O, Shaffrey CI. Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis. J Neurosurg Spine. 2010 May;12(5):443–446.

Published In

J Neurosurg Spine

DOI

EISSN

1547-5646

Publication Date

May 2010

Volume

12

Issue

5

Start / End Page

443 / 446

Location

United States

Related Subject Headings

  • Spinal Stenosis
  • Spinal Fusion
  • Prospective Studies
  • Postoperative Complications
  • Orthopedics
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Lumbar Vertebrae
  • Humans
  • Decompression, Surgical