Reoperation of decompression alone or decompression plus fusion surgeries for degenerative lumbar diseases: a systematic review.
Decompression, Surgical
/ methods
Humans
Intervertebral Disc Degeneration
/ surgery
Lumbar Vertebrae
/ surgery
Prospective Studies
Reoperation
/ statistics & numerical data
Retrospective Studies
Spinal Diseases
/ surgery
Spinal Fusion
/ methods
Spinal Stenosis
/ surgery
Spondylolisthesis
/ surgery
Treatment Outcome
Adjacent-segment diseases
Degenerative lumbar diseases
Reoperation
Spinal decompression
Spinal fusion
Journal
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
08
02
2018
accepted:
23
06
2018
pubmed:
30
6
2018
medline:
23
6
2020
entrez:
30
6
2018
Statut:
ppublish
Résumé
The objective of this paper was to compare the reoperation rates, timing and causes between decompression alone and decompression plus fusion surgeries for degenerative lumbar diseases through a systematic review of the published data. A search of the literature was conducted on PubMed/MEDLINE, EMBASE and the Cochrane Collaboration Library. Reports that included reoperations after decompression alone and/or decompression plus fusion surgeries were selected using designed eligibility criteria. Comparative analysis of reoperation rates, timing and causes between the two surgeries was conducted. Thirty-two retrospective and three prospective studies were selected from 6401 papers of the literature search. The analysis of data reported in these studies revealed that both surgeries resulted in similar reoperation rates after the primary surgery. However, majority of reoperations following the fusion surgeries were due to adjacent-segment diseases, and following the decompression alone surgeries were due to the same-segment diseases. Reoperation rates were not found to decrease in patients operated more recently than those operated in early times. Reoperation rates were similar following decompression alone or plus fusion surgeries for degenerative lumbar diseases. However, different underlying major causes exist between the two surgeries. There is no evidence showing that the reoperation rate has a trend to decline with newer surgical techniques used. The exact mechanisms of reoperation after both surgeries are still unclear. Further researches are necessary to investigate the mechanisms of reoperation for improvement of surgical techniques that aim to delay or prevent reoperation after lumbar surgery. These slides can be retrieved under Electronic Supplementary Material.
Identifiants
pubmed: 29956000
doi: 10.1007/s00586-018-5681-2
pii: 10.1007/s00586-018-5681-2
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Systematic Review
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
1371-1385Subventions
Organisme : Foundation for the National Institutes of Health
ID : R21AR057989
Pays : International
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