National Trends in Lumbar Degenerative Spondylolisthesis With Stenosis Treated With Fusion Versus Decompression
Objective The purpose of this study is to describe utilization, demographics, complications, and revisions for patients with degenerative spondylolisthesis (DS) with stenosis undergoing decompression or decompression with fusion in the United States. Methods A national insurance database was used to...
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Korean Spinal Neurosurgery Society
2024-12-01
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| Series: | Neurospine |
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| Online Access: | http://e-neurospine.org/upload/pdf/ns-2448624-312.pdf |
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| author | Jacob R. Ball Matthew C. Gallo Kareem Kebaish Nicole Hang Andy Ton Fergui Hernandez Marc Abdou William J. Karakash Jeffrey C. Wang Raymond J. Hah Ram K. Alluri |
| author_facet | Jacob R. Ball Matthew C. Gallo Kareem Kebaish Nicole Hang Andy Ton Fergui Hernandez Marc Abdou William J. Karakash Jeffrey C. Wang Raymond J. Hah Ram K. Alluri |
| author_sort | Jacob R. Ball |
| collection | DOAJ |
| description | Objective The purpose of this study is to describe utilization, demographics, complications, and revisions for patients with degenerative spondylolisthesis (DS) with stenosis undergoing decompression or decompression with fusion in the United States. Methods A national insurance database was used to identify patients who underwent either decompression and fusion or decompression alone for management of DS from 2010–2022. Utilization trends, demographics, and complications for each procedure were compared. Results A total of 162,878 patients were identified, of which 78,043 patients underwent combined single-level lumbar decompression and fusion and 84,835 underwent single-level lumbar decompression alone. Between 2010–2021, lumbar decompression and fusion became the predominant surgical intervention for DS in 2016 and continued to account for more than half of all procedures during the remainder of the study period. Factors such as age, sex, comorbidities, geographic region, and physician specialty training were associated with procedure choice. Decompression with fusion was associated with a lower risk of revision surgery up to 5 years postoperatively and an overall lower incidence of 30-day complications. Conclusion Decompression with fusion has become the most common treatment for lumbar DS over the past decade despite a lack of compelling evidence supporting its use compared to decompression alone. A variety of patient and surgeon-specific factors is associated with procedure choice. After accounting for cofounders, we identified treatment-specific complications that may be valuable when counseling patients. |
| format | Article |
| id | doaj-art-9928a7e2a18e4bc2b0254f7b755135fe |
| institution | OA Journals |
| issn | 2586-6583 2586-6591 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj-art-9928a7e2a18e4bc2b0254f7b755135fe2025-08-20T01:55:03ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912024-12-012141068107710.14245/ns.2448624.3121632National Trends in Lumbar Degenerative Spondylolisthesis With Stenosis Treated With Fusion Versus DecompressionJacob R. Ball0Matthew C. Gallo1Kareem Kebaish2Nicole Hang3Andy Ton4Fergui Hernandez5Marc Abdou6William J. Karakash7Jeffrey C. Wang8Raymond J. Hah9Ram K. Alluri10 Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USAObjective The purpose of this study is to describe utilization, demographics, complications, and revisions for patients with degenerative spondylolisthesis (DS) with stenosis undergoing decompression or decompression with fusion in the United States. Methods A national insurance database was used to identify patients who underwent either decompression and fusion or decompression alone for management of DS from 2010–2022. Utilization trends, demographics, and complications for each procedure were compared. Results A total of 162,878 patients were identified, of which 78,043 patients underwent combined single-level lumbar decompression and fusion and 84,835 underwent single-level lumbar decompression alone. Between 2010–2021, lumbar decompression and fusion became the predominant surgical intervention for DS in 2016 and continued to account for more than half of all procedures during the remainder of the study period. Factors such as age, sex, comorbidities, geographic region, and physician specialty training were associated with procedure choice. Decompression with fusion was associated with a lower risk of revision surgery up to 5 years postoperatively and an overall lower incidence of 30-day complications. Conclusion Decompression with fusion has become the most common treatment for lumbar DS over the past decade despite a lack of compelling evidence supporting its use compared to decompression alone. A variety of patient and surgeon-specific factors is associated with procedure choice. After accounting for cofounders, we identified treatment-specific complications that may be valuable when counseling patients.http://e-neurospine.org/upload/pdf/ns-2448624-312.pdfdegenerative spondylolisthesislumbar spinefusiondecompression |
| spellingShingle | Jacob R. Ball Matthew C. Gallo Kareem Kebaish Nicole Hang Andy Ton Fergui Hernandez Marc Abdou William J. Karakash Jeffrey C. Wang Raymond J. Hah Ram K. Alluri National Trends in Lumbar Degenerative Spondylolisthesis With Stenosis Treated With Fusion Versus Decompression Neurospine degenerative spondylolisthesis lumbar spine fusion decompression |
| title | National Trends in Lumbar Degenerative Spondylolisthesis With Stenosis Treated With Fusion Versus Decompression |
| title_full | National Trends in Lumbar Degenerative Spondylolisthesis With Stenosis Treated With Fusion Versus Decompression |
| title_fullStr | National Trends in Lumbar Degenerative Spondylolisthesis With Stenosis Treated With Fusion Versus Decompression |
| title_full_unstemmed | National Trends in Lumbar Degenerative Spondylolisthesis With Stenosis Treated With Fusion Versus Decompression |
| title_short | National Trends in Lumbar Degenerative Spondylolisthesis With Stenosis Treated With Fusion Versus Decompression |
| title_sort | national trends in lumbar degenerative spondylolisthesis with stenosis treated with fusion versus decompression |
| topic | degenerative spondylolisthesis lumbar spine fusion decompression |
| url | http://e-neurospine.org/upload/pdf/ns-2448624-312.pdf |
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