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Published byChance Pyburn
Modified over 2 years ago
British Spinal Registry British Association of Spine Surgeons Middlesbrough February 2007 John O’Dowd Nicky Courtier
Low back data set 538 cases Mean age 52 Mean age 52 Male/female 45/55 % Male/female 45/55 % Pain Pain Back11.3%Back11.3% Leg16.6%Leg16.6% Back and leg72.1%Back and leg72.1%
Low back data set 538 cases Diagnosis Diagnosis Disc herniation39.1%Disc herniation39.1% Stenosis36.3%Stenosis36.3% Degenerative spondylolisthesis 14.6%Degenerative spondylolisthesis 14.6% Degenerative scoliosis1.2%Degenerative scoliosis1.2% Previous decompression6.1%Previous decompression6.1% Previous fusion2.5%Previous fusion2.5%
Low back data set Procedure Discectomy37.9% Discectomy37.9% Segmental decompression46% Segmental decompression46% Foraminotomy14% Foraminotomy14% Laminectomy10.7% Laminectomy10.7% Posterolateral fusion20% Posterolateral fusion20% Anterior fusion1.6% Anterior fusion1.6% Circumferential fusion0.4% Circumferential fusion0.4% Stabilisation17.86% Stabilisation17.86% Arthroplasty2.5% Arthroplasty2.5% Revision decompression3.3% Revision decompression3.3%
Low back data set Implant None53.4% None53.4% Translaminar screws0.4% Translaminar screws0.4% Pedicle screws24.1% Pedicle screws24.1% DYNESYS14.6% DYNESYS14.6% Wallis4.4% Wallis4.4% Cage2.4% Cage2.4% Disc arthoplasty3% Disc arthoplasty3%
Low back data set Complications % if full reporting Nerve root injuryn=20.4% Nerve root injuryn=20.4% Cauda equinan=00 Cauda equinan=00 Dural tearn=203.7% Dural tearn=203.7% CSF leakn=101.8% CSF leakn=101.8% Infectionn=61.1% Infectionn=61.1% Early revisionn= 40.7% Early revisionn= 40.7%
SINGLE LEVEL LUMBAR DISCECTOMY Total cases106 Age 43.36 M/F 62%/38% Age 43.36 M/F 62%/38% Level L3/43.8% L3/43.8% L4.538.1% L4.538.1% L5/S158.1% L5/S158.1% Side Left49% Left49% Right51% Right51%
BASS Audit Decompression Yes91% Yes91% No9% No9% Microscope Yes3% Yes3% No97% No97% Intraoperative xray to confirm level Yes29.6% Yes29.6% No70.4% No70.4%
BASS Audit Disc Sequestered12.6% Sequestered12.6% Extruded17.9% Extruded17.9% Contained69.5% Contained69.5% Pre op ODI average49.3% ( n=23) ODI average49.3% ( n=23) VAS leg6.2 (n=25) VAS leg6.2 (n=25) VAS back 5.6 (n=21) VAS back 5.6 (n=21)
BASS Audit Dural tear Yes2.9% Yes2.9% No97.1% No97.1% Arachnoid intact Yes42.9% Yes42.9% No57.1% No57.1% Free CSF Yes37.5% Yes37.5% No62.5% No62.5%
BASS Audit Tear repaired Yes20% (n=1) Yes20% (n=1) No80% (n=4) No80% (n=4) Suture Yes40% (n=2) Yes40% (n=2) No60% (n=3) No60% (n=3) Patch Yes20% (n=1) Yes20% (n=1) No 80% (n=4) No 80% (n=4) Drain Yes80% (n=4) Yes80% (n=4) No 20% (n=1) No 20% (n=1)
BASS Audit Vascular injury0 Blood loss > 250 mls0 Post op complications2.4% (n=2) Increased neurological deficitn=1 Increased neurological deficitn=1 Recurrence < 3monthsn=1 Recurrence < 3monthsn=1 Infectionn=1 (1.3%) Infectionn=1 (1.3%) Reoperation all causesn=0 Reoperation all causesn=0
Lumbar Surgery Audit Period 1 st Jan st Dec 2007 Presented at Britspine teaching Hospital consultants 2 District General Hospitals.
Surgical complications of posterior lumbar interbody fusion with total facetectomy in 251 patients SHINYA OKUDA, M.D., etc… Department of Orthopaedic Surgery,
Causes of Stenosis Degenerative spondylo-listhesis Facet subluxation and hypertrophy Pagets disease Tumour Facet joint cyst Congenital- achondroplasia.
Complications of Spinal Surgery
Analysis of Learning Curve for Minimally Invasive Transforaminal Lumbar Interbody Fusion Byung-Joon Shin, Jae Chul Lee, Hae-Dong Chang, Su-Jin Yun, Yon-Il.
Lower back pain =요통.
Endoscopic Spinal Surgery Aprajay Golash Consultant Neurosurgeon Royal Preston Hospital, UK.
The different types of patients with Sciatica from a lumbar disc Manoj Krishna. Spinal Surgeon
Mark A. Giovanini M.D. NeuroMicroSpine Specialist Andrews Institute
MINIMAL ACCESS SURGERY LUMBAR SPINE DR. PARTHA P BISHNU MCh Neurosurgeon.
SURGERIES IN BACK PAIN MANAGEMENT Chaloupka R., Repko M. University Hospital Brno, Orthopaedic Dept Brno-Bohunice.
Master Meeting: Spinal Deformities
OUTCOME OF SPINE SURGERY IN ELDORET
Degenerative Disease of the Spine
Lumbar Spine Surgery: Indications & Outcomes Nelson Saldua, LCDR, MC, USN Eric Harris, CDR, MC, USN Department of Orthopaedic Surgery.
Rui Shi Zhongda Hospital, Medical School, Southeast University.
Basic Diseases That Affect The Vertebral Column And Management.
Dynamic Interspinous Assisted Motion (DIAM) Compliance with NICE A.Kasis, K. Lingulta G. Reddy, T. Friesem Spinal Unit, North Tees Hospital.
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