Fusion Techniques Are Related to a Lower Risk of Reoperation in Lumbar Disc Herniation: A 5-Year Observation Study of a Nationwide Cohort in Taiwan

Lumbar disc herniation (LDH) is a common spinal problem, with reoperation rates of 6%–24%. Although different surgical techniques are used for treatment, there is still debate regarding whether fusion techniques can reduce the reoperation rate in patients with LDH. This retrospective study used a 5-...

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Veröffentlicht in:	World neurosurgery 2018-09, Vol.117, p.e660-e668
Hauptverfasser:	Cheng, Chun-Yu, Cheng, Ya-Chung, Wang, Ting-Chung, Yang, Wei-Hsun
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aged, 80 and over Comorbidity Discectomy Diskectomy - economics Female Fusion technique Health Care Costs Humans Intervertebral Disc Degeneration - economics Intervertebral Disc Degeneration - epidemiology Intervertebral Disc Degeneration - surgery Intervertebral Disc Displacement - economics Intervertebral Disc Displacement - epidemiology Intervertebral Disc Displacement - surgery Kaplan-Meier Estimate Lumbar disc herniation Lumbar Vertebrae - surgery Male Middle Aged National Health Insurance Research Database Proportional Hazards Models Reoperation Reoperation - economics Retrospective Studies Risk Factors Spinal Fusion - economics Spinal Fusion - methods Taiwan - epidemiology Treatment Outcome Young Adult
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Zusammenfassung:	Lumbar disc herniation (LDH) is a common spinal problem, with reoperation rates of 6%–24%. Although different surgical techniques are used for treatment, there is still debate regarding whether fusion techniques can reduce the reoperation rate in patients with LDH. This retrospective study used a 5-year nationwide database to analyze reoperation rates in Taiwan. Patient age groups (≥20 and
ISSN:	1878-8750 1878-8769
DOI:	10.1016/j.wneu.2018.06.109