Risk Factors for Spine Reoperation and Joint Replacement Surgeries after Short-Segment Lumbar Spinal Surgeries for Lumbar Degenerative Disc Disease: A Population-Based Cohort Study

Background: Short-segment lumbar spinal surgery is the most performed procedure for treatment of degenerative disc disease. However, population-based data regarding reoperation and joint replacement surgeries after short-segment lumbar spinal surgery is limited. Methods: The study was a retrospectiv...

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Autores principales:	Meng-Huang Wu, Christopher Wu, Jiann-Her Lin, Li-Ying Chen, Ching-Yu Lee, Tsung-Jen Huang, Yi-Chen Hsieh, Li-Nien Chien
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	disc degeneration disease lumbar short-segment spinal surgery reoperation total joint replacement fusion Medicine R
Acceso en línea:	https://doaj.org/article/6c7b711c4d9447ccba525e2ab13dd8d0
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spelling	oai:doaj.org-article:6c7b711c4d9447ccba525e2ab13dd8d02021-11-11T17:45:42ZRisk Factors for Spine Reoperation and Joint Replacement Surgeries after Short-Segment Lumbar Spinal Surgeries for Lumbar Degenerative Disc Disease: A Population-Based Cohort Study10.3390/jcm102151382077-0383https://doaj.org/article/6c7b711c4d9447ccba525e2ab13dd8d02021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5138https://doaj.org/toc/2077-0383Background: Short-segment lumbar spinal surgery is the most performed procedure for treatment of degenerative disc disease. However, population-based data regarding reoperation and joint replacement surgeries after short-segment lumbar spinal surgery is limited. Methods: The study was a retrospective cohort design using the Taiwan National Health Insurance Research Database for data collection. Patients selected were diagnosed with lumbar degenerative disc disease and undergone lumbar discectomy surgery between 2002 and 2013. The Kaplan–Meier method was used to estimate the incidence of 1-year spine reoperation and joint replacement surgeries, and the Cox proportional hazard regression was used to examine risk factors associated with the outcomes of interest. Results: A total of 90,105 patients were included. Incidences of 1-year spine reoperation and joint replacement surgeries for the hip and knee were 0.27, 0.04, and 0.04 per 100 people/month. Compared to fusion with the fixation group, fusion without fixation and the non-fusion group had higher risks of spine reoperation. Risk factors associated with spine reoperation included fusion without fixation, non-fusion surgery, age ≥ 45 years old, male gender, diabetes, a Charlson Comorbidity Index = 0, lowest social economic status, and steroid use history. Spine surgeries were not risk factors for joint replacement surgeries. Conclusions: Non-fusion surgery and spinal fusion without fixation had higher risks for spine reoperation. Spine surgeries did not increase the risk for joint replacement surgeries.Meng-Huang WuChristopher WuJiann-Her LinLi-Ying ChenChing-Yu LeeTsung-Jen HuangYi-Chen HsiehLi-Nien ChienMDPI AGarticledisc degeneration diseaselumbar short-segment spinal surgeryreoperationtotal joint replacementfusionMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5138, p 5138 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	disc degeneration disease lumbar short-segment spinal surgery reoperation total joint replacement fusion Medicine R
spellingShingle	disc degeneration disease lumbar short-segment spinal surgery reoperation total joint replacement fusion Medicine R Meng-Huang Wu Christopher Wu Jiann-Her Lin Li-Ying Chen Ching-Yu Lee Tsung-Jen Huang Yi-Chen Hsieh Li-Nien Chien Risk Factors for Spine Reoperation and Joint Replacement Surgeries after Short-Segment Lumbar Spinal Surgeries for Lumbar Degenerative Disc Disease: A Population-Based Cohort Study
description	Background: Short-segment lumbar spinal surgery is the most performed procedure for treatment of degenerative disc disease. However, population-based data regarding reoperation and joint replacement surgeries after short-segment lumbar spinal surgery is limited. Methods: The study was a retrospective cohort design using the Taiwan National Health Insurance Research Database for data collection. Patients selected were diagnosed with lumbar degenerative disc disease and undergone lumbar discectomy surgery between 2002 and 2013. The Kaplan–Meier method was used to estimate the incidence of 1-year spine reoperation and joint replacement surgeries, and the Cox proportional hazard regression was used to examine risk factors associated with the outcomes of interest. Results: A total of 90,105 patients were included. Incidences of 1-year spine reoperation and joint replacement surgeries for the hip and knee were 0.27, 0.04, and 0.04 per 100 people/month. Compared to fusion with the fixation group, fusion without fixation and the non-fusion group had higher risks of spine reoperation. Risk factors associated with spine reoperation included fusion without fixation, non-fusion surgery, age ≥ 45 years old, male gender, diabetes, a Charlson Comorbidity Index = 0, lowest social economic status, and steroid use history. Spine surgeries were not risk factors for joint replacement surgeries. Conclusions: Non-fusion surgery and spinal fusion without fixation had higher risks for spine reoperation. Spine surgeries did not increase the risk for joint replacement surgeries.
format	article
author	Meng-Huang Wu Christopher Wu Jiann-Her Lin Li-Ying Chen Ching-Yu Lee Tsung-Jen Huang Yi-Chen Hsieh Li-Nien Chien
author_facet	Meng-Huang Wu Christopher Wu Jiann-Her Lin Li-Ying Chen Ching-Yu Lee Tsung-Jen Huang Yi-Chen Hsieh Li-Nien Chien
author_sort	Meng-Huang Wu
title	Risk Factors for Spine Reoperation and Joint Replacement Surgeries after Short-Segment Lumbar Spinal Surgeries for Lumbar Degenerative Disc Disease: A Population-Based Cohort Study
title_short	Risk Factors for Spine Reoperation and Joint Replacement Surgeries after Short-Segment Lumbar Spinal Surgeries for Lumbar Degenerative Disc Disease: A Population-Based Cohort Study
title_full	Risk Factors for Spine Reoperation and Joint Replacement Surgeries after Short-Segment Lumbar Spinal Surgeries for Lumbar Degenerative Disc Disease: A Population-Based Cohort Study
title_fullStr	Risk Factors for Spine Reoperation and Joint Replacement Surgeries after Short-Segment Lumbar Spinal Surgeries for Lumbar Degenerative Disc Disease: A Population-Based Cohort Study
title_full_unstemmed	Risk Factors for Spine Reoperation and Joint Replacement Surgeries after Short-Segment Lumbar Spinal Surgeries for Lumbar Degenerative Disc Disease: A Population-Based Cohort Study
title_sort	risk factors for spine reoperation and joint replacement surgeries after short-segment lumbar spinal surgeries for lumbar degenerative disc disease: a population-based cohort study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6c7b711c4d9447ccba525e2ab13dd8d0
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Risk Factors for Spine Reoperation and Joint Replacement Surgeries after Short-Segment Lumbar Spinal Surgeries for Lumbar Degenerative Disc Disease: A Population-Based Cohort Study

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