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Reoperation Rate After Surgery for Lumbar Herniated Intervertebral Disc
Disease: Nation-wide Cohort Study.
Chi Heon Kim, MD, PhD1,2,3, Chun Kee Chung, MD, PhD1,2,3, Choon Seon
Park, PhD4, Boram Choi, PhD4, Min Jung Kim, MS5, Byung Joo Park, MD,
MPH, PhD5,6
1Department of Neurosurgery, Seoul National University Hospital and
Seoul National University College of Medicine; 2Neuroscience Research
Institute, Seoul National University Medical Research Center; 3Clinical
Research Institute, Seoul National University Hospital, Seoul, Korea,
4Health Insurance Review and Assessment Service, 5 Medical Research
Collaborating Center, Seoul National University Hospital, Seoul National
University College of Medicine, 6Department of Preventive Medicine,
Seoul National University College of Medicine
Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized commercial reproduction of this slide is prohibited
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Reoperation Rate After Surgery for Lumbar Herniated Intervertebral Disc
Disease: Nation-wide Cohort Study
Objective
To provide a longitudinal reoperation rate after surgery for herniated
intervertebral disc disease (HIVD)
To compare the reoperation rate between surgical methods.
Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized commercial reproduction of this slide is prohibited
Supplemental PowerPoint Slides
A retrospective, population-based, cohort study using Korean national health
insurance data was performed and 18,590 patients were followed for at least 5
years.
Reoperation was performed for 2,578 patients and more than half of the
reoperations were performed within 1 year postoperatively
Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized commercial reproduction of this slide is prohibited
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The primary end-point was any type of second lumbar surgery.
After adjusting for confounding factors, five surgical methods (fusion,
laminectomy, open discectomy, endoscopic discectomy, and nucleolysis
[including mechanical nucleus decompression]) were compared.
The reoperation rate at 3 months was higher for laminectomy. Rates for the
other surgical methods were similar to that of open discectomy, during the
entire follow-up period.
Copyright © 2012 Lippincott Williams & Wilkins. Unauthorized commercial reproduction of this slide is prohibited
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