National trends in spinal fusion for cervical spondylotic myelopathy
National trends in spinal fusion for cervical spondylotic myelopathy
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DOI：
10.1016/j.surneu.2008.02.045
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发表时间：
2009-01-01
影响因子：
--
通讯作者：
Boakye, Maxwell
中科院分区：
文献类型：
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作者：
Lad, Shivanand P.;Patil, Chirag G.;Boakye, Maxwell
背景：本研究的目的是使用所有 NIS 数据库进行回顾性分析，以检查 1903 年至 2002 年 CSM 前沿的全国结局趋势。方法：从 1993 年至 2002 年 NIS 数据库中提取 CSM 入院数据（n = 138 792），以确定总体结局以及接受脊柱融合术的 CSM 患者的总体结局。将 1993 年至 1997 年（第 1 期）的数据与 1998 年至 2002 年（第 2 期）的数据进行比较。结果：因 CSM 入院的患者数量增加了 2 倍，从每 10 万美国人口 3.73 人增加到 7.88 人。大约 10% 的患者从急诊室入院，42% 的患者接受了脊柱融合术。 1993 年至 2002 年期间，未完成脊柱融合的 CSM 患者数量增加了 7 倍，从每 10 万人 0.6 人增加到 4.1 人。大多数脊柱融合手术是在 45 岁至 64 岁年龄组中进行的。患有2种或更多合并症的患者数量从20%增加到37%；然而，死亡率和不良后果率保持稳定。 LOS 略有下降。结论：脊髓型颈椎病是脊柱外科医生最常见的疾病之一。 1993 年至 2002 年间，CSM 前线的脊柱融合术数量增加了近 7 倍。尽管患者合并症持续增加，总体并发症发生率仍稳定在 10.3% 左右，死亡率稳定在 0.6%。 (C) 2009 Elsevier Inc. 保留所有权利。
Background: The objective of this study is to provide a retrospective analysis using all NIS database to examine national trends in outcomes for CSM front 1903 to 2002.Methods: Data for CSM admissions (n = 138 792) were extracted from the 1993 to 2002 NIS database to determine overall outcomes, as well as for those patients with CSM who underwent spinal fusion. Data from 1993 to 1997 (period 1) were compared with data from 1998 to 2002 (period 2).Results: The number of patients admitted with CSM increased 2-fold from 3.73 to 7.88 per 100 000 US Population. Approximately 10% of patients were admitted from the ED and 42% underwent spinal fusion. The number of patients with CSM that undervent spinal fusion increased 7-fold From 0.6 to 4.1 per 100000 people over the period front 1993 to 2002. Most spinal fusions were performed in the 45- to 64-year age group. The number of patients with 2 or more comorbidities increased from 20% to 37%; however, the mortality and adverse outcome rates remained stable. and there was a slight decrease in LOS.Conclusions: Cervical spondylotic myelopathy is one of the most common disorders treated by spine surgeons. There was a nearly 7-fold increase in the number of spinal fusions for CSM front 1993 to 2002. Despite continued increases in patient medical comorbidities, overall complication rates have remained stable at approximately 10.3% and mortality rates constant at 0.6%. (C) 2009 Elsevier Inc. All rights reserved.