In:
Global Spine Journal, SAGE Publications, Vol. 5, No. 1_suppl ( 2015-05), p. s-0035-1554313-s-0035-1554313
Abstract:
There is an increasing demand for surgery of the degenerative spine. Limited health care resources draw attention to the need for cost-effective treatments. Outpatient surgery, when safe and feasible, is more cost-effective than inpatient surgery. The aim of this study is to study types and rates of complications following outpatient lumbar and cervical spinal decompressions. Material and Methods Complications were recorded prospectively in 1449; 1073 lumbar, 376 cervical; outpatients undergoing microsurgical decompression for degenerative spinal disease, at the private Oslofjord Clinic, in the time period 2008 to 2013. Results Surgical mortality was 0%. A total of 49 (3.4%) minor and major complications were recorded in 49 individual patients. Three (0.2%) patients had to be admitted to a hospital the day of surgery. Twenty-two (1.5%) patients were admitted to a hospital within 3 months due to surgery-related events. The encountered complications were postoperative hematoma (0.6%), neurological deterioration (0.3%), deep wound infection (0.8%), dural lesion with CSF-leakage (1.0%), persistent dysphagia (0.1%), persistent hoarseness (0.1%), and severe pain/headache (0.4%). All of the life-threatening hematomas were detected within 6 and 3 hours after cervical and lumbar surgery, respectively. Conclusion This series of 1,449 consecutive outpatient microsurgical spinal decompressions adds to the growing literature in favor of outpatient spinal surgery, in properly selected patients. Approximately 99% of the patients were successfully discharged either to their homes or to a hotel on the day of surgery. The surgical mortality was 0%, the overall complication rate was 3.4, and only 1.5% had to be admitted to a hospital within 3 months after surgery.
Type of Medium:
Online Resource
ISSN:
2192-5682
,
2192-5690
DOI:
10.1055/s-0035-1554313
Language:
English
Publisher:
SAGE Publications
Publication Date:
2015
detail.hit.zdb_id:
2648287-3
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