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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 11/2017

01-11-2017 | CORR Insights

CORR Insights®: What is the Rate of Revision Discectomies After Primary Discectomy on a National Scale?

Author: Charles A. Reitman, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 11/2017

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Excerpt

The current study by Virk and colleagues focuses on an extremely important question that concerns patients, providers, and payers: What is the durability of an operation? With more than 480,000 cases done annually in the United States [5], discectomy is a common procedure with recurrence rates up to 18% [1, 4]. While one study suggested that the type of disc herniation could affect recurrence [4], generally, detailed analysis to explain the wide variation in recurrence rates has not been performed. …
Literature
1.
Ambrossi GL, McGirt MJ, Sciubba DM, Witham TF, Wolinsky JP, Gokaslan ZL, Long DM. Recurrent lumbar disc herniation after single-level discectomy: Incidence and health care cost analysis. Neurosurgery 2009;65:574–78.
2.
Asher AL, Devin CJ, Mroz T, Fehlings M, Parker SL, McGirt MJ. Clinical registries and evidence-based care pathways: Raising the bar for meaningful measurement and delivery of value-based care. Spine 2014;39:136–138.CrossRef
3.
Belykh E, Krutko AV, Baykov ES, Giers MB, Preul MC, Byvaltsev VA. Preoperative estimation of disc herniation recurrence after microdiscectomy: Predictive value of a multivariate model based on radiographic parameters. Spine J. 2017;17:390–400.CrossRefPubMed
4.
Carragee EJ, Spinnickie AO, Alamin TF, Paragioudakis S. A prospective controlled study of limited versus subtotal posterior discectomy: Short-term outcomes in patients with herniated lumbar intervertebral discs and large posterior annular defect. Spine. 2006;31:653–657.CrossRefPubMed
5.
Kosztowski T, Gokaslan Z. Determining the extent of lumbar discectomy in patients with herniated lumbar discs. Insights in Neurosurgery 2016;1:1–3.CrossRef
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Resnick DK, Tosteson AN, Groman RF, Ghogawala Z. Setting the equation: Establishing value in spine care. Spine. 2014;39:43–50.CrossRef
Metadata
Title
CORR Insights®: What is the Rate of Revision Discectomies After Primary Discectomy on a National Scale?
Author
Charles A. Reitman, MD
Publication date
01-11-2017
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 11/2017
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-017-5492-5

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