Diffuse Idiopathic Skeletal Hyperostosis Extended to the Lumbar Segment Is a Risk Factor of Reoperation in Patients Treated Surgically for Lumbar Stenosis

Spine
Kentaro YamadaTakeshi Masuda

Abstract

Retrospective longitudinal cohort study. To investigate the association between diffuse idiopathic skeletal hyperostosis (DISH) and reoperation in patients treated surgically for lumbar spinal stenosis (LSS) in long-term results. Few studies have evaluated DISH as a potential risk factor of poor surgical results for LSS. This study included 1063 responders to a postoperative postal survey out of 2363 consecutive patients who underwent surgery for LSS between 2002 and 2010. The survey included questions about reoperations performed at another hospital and the patient-reported outcomes. DISH was evaluated by preoperative standing whole-spine radiographs. We investigated DISH as a predictor of reoperation and characteristics of poor outcomes in patients with DISH. We also assessed selection bias by examining the differences between responders and nonresponders to a postal survey. Reoperations were performed in a total of 115 patients (10.8%) within an average of 8.6 years after the initial surgeries. Patients who only had DISH were not associated with reoperation; however, reoperations were performed significantly more often in patients with DISH extended to the lumbar segment (L-DISH) than in patients without (22% and 7.3%, respe...Continue Reading

References

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Citations

Jan 31, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J C Le HuecP Roussouly
Jan 17, 2021·The Spine Journal : Official Journal of the North American Spine Society·Hideaki NakajimaAkihiko Matsumine
Feb 18, 2020·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Masaki NakasukaHiromasa Miura

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