Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
European Spine Journal
Published in: European Spine Journal 7/2005

01-09-2005 | Original Article

Spinal stenosis re-operation rate in Sweden is 11% at 10 years—A national analysis of 9,664 operations

Authors: Karl-Åke Jansson, Gunnar Németh, F Granath, P Blomqvist

Published in: European Spine Journal | Issue 7/2005

Login to get access

Abstract

Re-operation rates in spinal stenosis surgery vary between 5 and 23%. Most previous studies have been based on selected patients groups. We analysed the 10-year lumbar spinal stenosis re-operation rate from comprehensive Swedish national data during 1987–1999. The mean length of stay decreased from 2 weeks in 1987 to 1 week in 1999. Of 9,664 patients, 628 (6.5%) were re-operated. Within 30 days after the first spinal stenosis operation, 0.15% of the parients were re-operated. The 1-, 2-, 5-, and 10-year re-operation rates were 2, 5, 8 and 11%, respectively. The rate lowered by 31% over time. Adding a fusion may lower the re-operation risk, an observation which can only be evaluated in randomised trial.
Literature
1.
Amundsen T, Weber H, Lilleas F (1995) Lumbar spinal stenosis. Clinical and radiologic features. Spine 20:1178–1186
2.
Atlas S, Deyo R, Keller R et al (1996) The Maine Lumbar Spine Study, Part III. One-year outcomes of surgical and non-surgical management of lumbar spinal stenosis. Spine 21:1787–1794
3.
Benini A (1992) Clinical aspects, pathophysiology and surgical treatment of lumbar spinal stenosis. Schweiz Rundsch Med Prax 81:395–404
4.
Benini A, Magerl F (1993) Selective decompression and translaminar articular facet screw fixation for lumbar canal stenosis and disc protrusion. Br J Neurosurg 7:413–418
5.
Caputy AJ, Luessenhop AJ (1992) Long-term evaluation of decompressive surgery for degenerative lumbar stenosis. J Neurosurg 77:669–676
6.
Cornefjord M, Byröd G, Brisby H, Rydevik BJ (2000) A long-term (4- to 12-year) follow-up study of surgical treatment of lumbar spinal stenosis. Eur Spine 563–570
7.
Dedering (2002) An analysis of electromyography, endurance time and subjective factors in patients with lumbar disc herniation and healthy subjects. Thesis/Dissertation, Department of Surgical Sciences, Section of Orthopedics Karolinska Institutet, Stockhom, Sweden
8.
Deyo R, Cherkin D, Loeser J, Bigos S, Ciol M (1992) Morbidity and mortality in association with operations on the lumbar spine. The influence of age, diagnosis, and procedure. J Bone Joint Surg Am 74:536–543
9.
Fischgrund JS, Mackay M, Herkowitz HN, Brower R, Montgomer DM, Kurz LT (1997) 1997 Volvo Award winner in clinical studies. Degenerative lumbar spondylolisthesis with spinal stenosis: a prospecitive, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal intrumentation.Spine 22:2807–2812
10.
Fox MW, Onofrio, BM, Hanssen AD (1996) Clinical outcomes and radiological instability following decompressive lumbar laminectomy for degenerative spinal stenosis: a comparison of patients undergoing concomitant arthrodesis versus decompression alone. J Neurosurg 85:793–802
11.
Grob D, Humke T, Dvorak J (1995) Degenerative lumbar spinal stenosis. Decompression with and without arthrodesis. J Bone Joint Surg Am 77:1036–1041
12.
Hansraj K, Cammisa FP Jr, O’Leary PF et al (2001) Decompressive surgery for typical lumbar spinal stenosis. Clin Orthop 384:10–17
13.
Herno A, Airaksinen O, Saari T (1993) Long-term results of surgical tratment of lumbar spinal stenosis. Spine 18:1471–1474
14.
Jansson K-Å, Blomqvist P, Granath F, Németh G (2003) Spinal stenosis surgery in Sweden 1987–1999. Eur Spine J 535–541
15.
Johnsson K, Uden A, Rosen I (1991) The effect of decompression on the natural course of spinal stenosis. A comparison of surgically treated and untreated patients. Spine 16:615–619
16.
Johnsson K, Uden A, Rosen I (1992) The natural course of lumbar spinal stneosis. Clin Orhop 279:1982–1986
17.
Jönsson B, Strömqvist B (1996) Clinical characteristics of recurrent sciatica after lumbar discectomy. Spine 21:500–505
18.
Katz J, Lipson SJ, Chang LC, Levine SA, Fossel AH, Iang MH (1996) Seven- to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis. Spine 21:92–97
19.
Kent D, Haynor D, Larson E et al (1992) Diagnosis of lumbar spinal stenosis in adults. A meta analysis of the accuracy of CT, MR and myelography. AJR Am J Roentgenol 158:1135–1144
20.
Martinelli T, Wiesel S (1992) Epidemiology of spinal stenosis. Instr Course Lect 179–181
21.
Olmarker K, Rydevik B, Norborg C (1994) Autologuos nucleus pulposus inducedes neurophysiological and histological changes in porcine cauda equina nerve roots. Spine 18:1425–1432
22.
Rydevik B (1994) Aktuellt om patofysiologi och smärtmekanismer. Nord Med 109:74–76
23.
Sanderson PL, Getty CJ (1996) Long term results of patial undercuting facetectomy for lumbar lateral recess stenosis. Spine 21:1352–1356
24.
SAS Institute (1997) SAS/STAT software changes and enhancements through release, 6.12 edn. SAS Institute, Cary, pp 247–348
25.
Schönström NS Bolender NF, Pengler DM (1985) The pathomorphology of spinal stenosis as seen on CT scans of the lumbar spine. Spine 10:806–811
26.
Strömqvist B, Jönsson B, Fritzell P, Hägg O, Larsson B, Lind B (2001) The Swedish National Register for Lumbar Spine Surgery, Swedish Society for Spinal Surgery. Acta Ortop Scand 72:99–106
27.
Verbiest H (1954) A radicular syndrome from developmental narrowing of the lumbar vertebral canal. J Bone Joint Surg Br 36:230–237
Metadata
Title
Spinal stenosis re-operation rate in Sweden is 11% at 10 years—A national analysis of 9,664 operations
Authors
Karl-Åke Jansson
Gunnar Németh
F Granath
P Blomqvist
Publication date
01-09-2005
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 7/2005
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-004-0851-9

Other articles of this Issue 7/2005

European Spine Journal 7/2005 Go to the issue

Original Article

Single-blinded prospective randomized study comparing open versus needle technique for obtaining autologous cancellous bone from the iliac crest

Original Article

Intraoperative evaluation of bone decompression in anterior cervical spine surgery by three-dimensional fluoroscopy

Ideas and Technical Innovations

Isolated thoracic spine lesion: is this the presentation of a SAPHO syndrome? A case report

Case report

Lessons learned from cervical pseudoarthrosis in ankylosing spondylitis

Original Article

The vertebral interbody grafting site’s low concentration in osteogenic progenitors can greatly benefit from addition of iliac crest bone marrow

Case Report

Tuberculous sacroiliitis. A case report and review of the literature