1. National trends in the utilization of lumbar disc replacement for lumbar degenerative disc disease over a 10-year period, 2010 to 2019
- Author
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Upfill-Brown, Alexander, Policht, Jeremy, Sperry, Beau P, Ghosh, Durga, Shah, Akash A, Sheppard, William L, Lord, Elizabeth, Shamie, Arya Nick, and Park, Don Y
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Clinical Research ,Health Services ,Good Health and Well Being ,Lumbar disc replacement ,health care utilization ,lumbar degenerative disc disease ,lumbar fusion ,trend analysis - Abstract
BackgroundLumbar fusion (LF) is commonly performed to manage lumbar degenerative disc disease (LDDD) that has failed conservative measures. However, lumbar disc replacement (LDR) procedures are increasingly prevalent and designed to preserve motion in carefully selected patients.MethodsA retrospective cohort study was performed using the National Inpatient Sample (NIS), queried from 2010 to 2019 to identify patients undergoing single and double-level LF or LDR with a diagnosis of LDDD using International Classification of Diseases (ICD) 9th (ICD-9) and 10th (ICD-10) revision diagnostic and procedure codes. Propensity score matching (PSM) with a ratio of 2:1 was performed. All cost estimates reflect reported hospital costs adjusted to December 2019 United States Dollars.ResultsA total of 1,129,121 LF cases (99.3%) and 8,049 LDR cases (0.7%) were identified, with 364,637 (32.3%) and 712 (8.8%) comprising two-level surgeries, respectively. 1,712 LDRs were performed in 2010 (1.27% of all), decreasing to 565 in 2013 (0.52%), and increased slightly to 870 in 2019 (0.74%). LDR patients were significantly more likely to be younger (mean age 41.2 vs. 57.1, P
- Published
- 2022