10.3205/000133
Walid, M. Sami
M. Sami
Walid
Robinson III, Joe Sam
Abbara, Moataz
Moataz
Abbara
Tolaymat, Abdullah
Abdullah
Tolaymat
Robinson Jr, Joe Sam
De novo spine surgery as a predictor of additional spine surgery at the same or distant spine regions
German Medical Science GMS Publishing House
2011
JournalArticle
multiple spine surgery
spine region
cost
610 Medical sciences; Medicine
2011-04-21
2011
en
urn:nbn:de:0183-0001339
000133
text/html
GMS German Medical Science; 9:Doc10; ISSN 1612-3174
Introduction: Degenerative spine disorders are steadily increasing parallel to the aging of the population with considerable impact on cost and productivity. In this paper we study the prevalence and risk factors for multiple spine surgery and its impact on cost.
Methods: Data on 1,153 spine surgery inpatients operated between October 2005 and September 2008 (index spine surgery) in regard to the number of previous spine surgeries and location of surgeries (cervical or lumbar) were retrospectively collected. Additionally, prospective follow-up over a period of 2-5 years was conducted.
Results: Retrospectively, 365 (31.7%) patients were recurrent spine surgery patients while 788 (68.3%) were de novo spine surgery patients.
Nearly half of those with previous spine surgery (51.5%) were on different regions of the spine.
There were no significant differences in length of stay or hospital charges except in lumbar decompression and fusion (LDF) patients with multiple interventions on the same region of the spine. Significant differences (P
GMS German Medical Science; 9:Doc10; ISSN 1612-3174