The Long-term Reoperation Rate Following Surgery for Lumbar Stenosis: A Nationwide Sample Cohort Study With a 10-year Follow-up
DC Field | Value | Language |
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dc.contributor.author | Jung, Jong-myung | - |
dc.contributor.author | Chung, Chun Kee | - |
dc.contributor.author | Kim, Chi Heon | - |
dc.contributor.author | Choi, Yunhee | - |
dc.contributor.author | Kim, Min-Jung | - |
dc.contributor.author | Yim, Dahae | - |
dc.contributor.author | Yang, Seung Heon | - |
dc.contributor.author | Lee, Chang Hyun | - |
dc.contributor.author | Hwang, Sung Hwan | - |
dc.contributor.author | Kim, Dong Hwan | - |
dc.contributor.author | Yoon, Joon Ho | - |
dc.contributor.author | Park, Sung Bae | - |
dc.date.available | 2021-03-02T00:40:45Z | - |
dc.date.created | 2020-09-09 | - |
dc.date.issued | 2020-09 | - |
dc.identifier.issn | 0362-2436 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/80089 | - |
dc.description.abstract | STUDY DESIGN: Retrospective cohort study of a nationwide sample database. OBJECTIVE: The objective of the present study was to compare the long-term incidence of reoperation for lumbar spinal stenosis (LSS) after anterior fusion, posterior fusion, and decompression. SUMMARY OF BACKGROUND DATA: Surgical treatment for LSS can be largely divided into 2 categories: decompression only and decompression with fusion. A previous nationwide study reported that fusion surgery was performed in 10% of patients with LSS, and the 10-year reoperation rate was approximately 17%. However, with the development of surgical techniques and changes in surgical trends, these results should be reassessed. METHODS: The National Health Insurance Service-National Sample Cohort of the Republic of Korea was utilized to establish a cohort of adult patients (N = 1400) who first underwent surgery for LSS during 2005 to 2007. Patients were followed for 8 to 10 years. Considering death before reoperation as a competing event, reoperation hazards were compared among surgical techniques using a Fine and Gray regression model after adjustment for sex, age, diabetes, osteoporosis, Charlson comorbidity index, severity of disability, type of medical coverage, and type of hospital. RESULTS: The overall cumulative incidence of reoperation was 6.2% at 2 years, 10.8% at 5 years, and 18.4% at 10 years. The cumulative incidence of reoperation was 20.6%, 12.6%, and 18.6% after anterior fusion, posterior fusion, and decompression, respectively, at 10 years postoperatively (P = 0.44). The first surgical technique did not affect the reoperation type (P = 0.27). Decompression was selected as the surgical technique for reoperation in 83.5% of patients after decompression, in 72.7% of patients after anterior fusion, and in 64.3% of patients after posterior fusion. CONCLUSION: The initial surgical technique did not affect reoperation during the 10-year follow-up period. Decompression was the most commonly used technique for reoperation.4. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.relation.isPartOf | SPINE | - |
dc.title | The Long-term Reoperation Rate Following Surgery for Lumbar Stenosis: A Nationwide Sample Cohort Study With a 10-year Follow-up | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000619514100022 | - |
dc.identifier.doi | 10.1097/BRS.0000000000003515 | - |
dc.identifier.bibliographicCitation | SPINE, v.45, no.18, pp.1277 - 1284 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85090069583 | - |
dc.citation.endPage | 1284 | - |
dc.citation.startPage | 1277 | - |
dc.citation.title | SPINE | - |
dc.citation.volume | 45 | - |
dc.citation.number | 18 | - |
dc.contributor.affiliatedAuthor | Jung, Jong-myung | - |
dc.type.docType | Article | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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