Long-term Outcomes of Lumbar Fusion Among Workers' Compensation Subjects A Historical Cohort Study
Long-term Outcomes of Lumbar Fusion Among Workers' Compensation Subjects A Historical Cohort Study
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DOI：
10.1097/brs.0b013e3181ccc220
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发表时间：
2011-02-15
期刊：
影响因子：
3
通讯作者：
Travis, Russell
中科院分区：
文献类型：
--
作者：
Nguyen, Trang H.;Randolph, David C.;Travis, Russell
研究设计。历史队列研究。目的：确定腰椎融合术后慢性腰痛患者重返工作岗位（RTW）、永久性残疾、术后并发症、阿片类药物使用和再手术状态的客观结果。同样，对非手术对照组的RTW状态、永久性残疾和阿片类药物使用情况也进行了测量。背景资料摘要。腰椎融合术的工人补偿（WC）受试者和随机选择的对照组的历史队列研究，以评估多个客观结果，此前尚未发表。共有725例腰椎融合病例与725例对照进行比较，725例对照是从1999年1月1日至2001年12月31日期间诊断为慢性腰痛的WC受试者中随机选择的。研究于2006年1月31日结束。主要结果报告为受伤日期后2年（对照组）或手术日期后2年（病例）的RTW状态。残疾、再手术、并发症、阿片类药物的使用和死亡也被阻止。融合术后2年，26% （n = 188）的融合病例发生RTW，而67% （n = 483）的非手术对照组发生RTW (P
Study Design. Historical cohort study.Objective. To determine objective outcomes of return to work (RTW), permanent disability, postsurgical complications, opiate utilization, and reoperation status for chronic low back pain subjects with lumbar fusion. Similarly, RTW status, permanent disability, and opiate utilization were also measured for nonsurgical controls.Summary of Background Data. A historical cohort study of workers' compensation (WC) subjects with lumbar arthrodesis and randomly selected controls to evaluate multiple objective outcomes has not been previously published.Methods. A total of 725 lumbar fusion cases were compared to 725 controls who were randomly selected from a pool of WC subjects with chronic low back pain diagnoses with dates of injury between January 1, 1999 and December 31, 2001. The study ended on January 31, 2006. Main outcomes were reported as RTW status 2 years after the date of injury (for controls) or 2 years after date of surgery (for cases). Disability, reoperations, complications, opioid usage, and deaths were also deter mined.Results. Two years after fusion surgery, 26% (n = 188) of fusion cases had RTW, while 67% (n = 483) of nonsurgical controls had RTW (P