Chemonucleolysis versus surgical discectomy. Comparison of costs and results in workers' compensation claimants.

Abstract:

:A retrospective review of insurance claim files was conducted to compare the costs of chemonucleolysis with surgical discectomy. Twenty-nine surgeons performed 61 chemonucleolysis procedures and 44 surgical discectomies on SAIF (State Accident Insurance Fund, Inc.--a major Oregon workers' compensation insurance company) claimants between December 1982 and April 1984. Clinical data and treatment costs were tabulated during February 1985. In this population of 105 workers' compensation claimants, the average cost/claim of the workers treated by chemonucleolysis was higher than the average cost/claim of workers treated initially by surgical discectomy. The average cost/claim was somewhat lower in successful chemonucleolysis cass than in successful surgical discectomy cases, but the average cost/claim of unsuccessful chemonucleolysis cases was much higher than unsuccessful surgical discectomy cases. In order for chemonucleolysis to be a cost effective method compared to initial surgical discectomy, it would be necessary to attain a much higher chemonucleolysis success rate than observed in this group of patients.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Norton WL

subject

Has Abstract

pub_date

1986-06-01 00:00:00

pages

440-3

issue

5

eissn

0362-2436

issn

1528-1159

journal_volume

11

pub_type

杂志文章

相关文献

SPINE文献大全
  • Sacropelvic fixation: techniques and complications.

    abstract:STUDY DESIGN:Literature-based topic review. OBJECTIVE:To review the indications and techniques for different sacropelvic fixation methods and to outline important associated complications. SUMMARY OF BACKGROUND DATA:Despite all the advances and new developments in spinal instrumentation techniques, fixation at the lu...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181f5cfae

    authors: Kebaish KM

    更新日期:2010-12-01 00:00:00

  • Thoracic pedicle morphometry in different body height population: a three-dimensional study using reformatted computed tomography.

    abstract:STUDY DESIGN:A three-dimensional study of the thoracic pedicle (T1-T12) morphometry in Chinese patients with different body height, using reformatted computed tomography (CT). OBJECTIVE:To quantify the dimensions of the thoracic pedicles and to analyze the relationship between body height and thoracic pedicle paramete...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318210f063

    authors: Zhuang Z,Chen Y,Han H,Cai S,Wang X,Qi W,Kong K

    更新日期:2011-11-15 00:00:00

  • The incidence and mortality of thromboembolic events in lumbar spine surgery.

    abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:A population-based database was analyzed to identify the incidence, risk factors, and mortality associated with thromboembolic events after lumbar spine surgery. SUMMARY OF BACKGROUND DATA:Pulmonary embolism (PE) and deep vein thrombosis (DVT) are potential comp...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318286b7c0

    authors: Fineberg SJ,Oglesby M,Patel AA,Pelton MA,Singh K

    更新日期:2013-06-01 00:00:00

  • Distraction Laminoplasty With Interlaminar Lumbar Instrumented Fusion (ILIF) for Lumbar Stenosis With or Without Grade 1 Spondylolisthesis: Technique and 2-Year Outcomes.

    abstract:STUDY DESIGN:Prospective, nonrandomized cohort. OBJECTIVE:Describe the surgical technique and clinical outcome of distraction lumbar laminoplasty with allograft bone block augmentation and interlaminar lumbar instrumented fusion (ILIF) SUMMARY OF BACKGROUND DATA.: ILIF is a recently described technique that may offer ...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000001484

    authors: Cuéllar JM,Field JS,Bae HW

    更新日期:2016-04-01 00:00:00

  • Methodological systematic review: mortality in elderly patients with cervical spine injury: a critical appraisal of the reporting of baseline characteristics, follow-up, cause of death, and analysis of risk factors.

    abstract:STUDY DESIGN:Methodologic systematic review. OBJECTIVE:To determine the validity of reported risk factors for mortality in elderly patients with cervical spine injury. SUMMARY OF BACKGROUND DATA:In elderly patients with cervical spine injury, mortality has frequently been associated with the type of treatment. To dat...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181bc9fd2

    authors: van Middendorp JJ,Albert TJ,Veth RP,Hosman AJ

    更新日期:2010-05-01 00:00:00

  • Radiographic measurement parameters in thoracolumbar fractures: a systematic review and consensus statement of the spine trauma study group.

    abstract:STUDY DESIGN:Systematic review. OBJECTIVES:To review the various radiographic parameters currently used to assess traumatic thoracolumbar injuries, emphasizing the validity and technique behind each one, to formulate evidence-based guidelines for a standardized radiographic method of assessment of these fractures. SU...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,评审

    doi:10.1097/01.brs.0000201261.94907.0d

    authors: Keynan O,Fisher CG,Vaccaro A,Fehlings MG,Oner FC,Dietz J,Kwon B,Rampersaud R,Bono C,France J,Dvorak M

    更新日期:2006-03-01 00:00:00

  • Obesity is associated with reduced disc height in the lumbar spine but not at the lumbosacral junction.

    abstract:STUDY DESIGN:Cross-sectional, community-based study. OBJECTIVE:To investigate the relationships between obesity, disc height, and low back pain in the lumbosacral spine. SUMMARY OF BACKGROUND DATA:Although obesity is a recognized risk factor for low back pain, our understanding of the mechanisms for this is limited. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000411

    authors: Urquhart DM,Kurniadi I,Triangto K,Wang Y,Wluka AE,OʼSullivan R,Jones G,Cicuttini FM

    更新日期:2014-07-15 00:00:00

  • A complication of spinal decompression. A case report.

    abstract:STUDY DESIGN:This case study is designed to report the previously unreported specific complication of acute cauda equina compression after decompression surgery for spinal stenosis. OBJECTIVES:To inform others of the possibility of such a complication; to suggest a possible mechanism for this situation, namely hourgla...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199511001-00017

    authors: Woods DA,Wilson-MacDonald J

    更新日期:1995-11-15 00:00:00

  • Functional limitations due to stiffness as a collateral impact of instrumented arthrodesis of the lumbar spine.

    abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To understand whether patients actually perceive increased limitations as compared with their preoperative state due to stiffness after lumbar arthrodesis. SUMMARY OF BACKGROUND DATA:Lumbar arthrodesis by intention eliminates spinal motion in an attempt to decrease pai...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000595

    authors: Hart RA,Marshall LM,Hiratzka SL,Kane MS,Volpi J,Hiratzka JR

    更新日期:2014-11-15 00:00:00

  • Temporary external transpedicular fixation of the lumbosacral spine: a prospective, longitudinal study in 330 patients.

    abstract:STUDY DESIGN:In this study, 330 patients with incapacitating low back pain underwent temporary external transpedicular fixation (TETF) of the lumbosacral spine in a prospective trial. OBJECTIVE:To evaluate TETF as a test for selecting suitable candidates for segmental spinal fusion. SUMMARY OF BACKGROUND DATA:Few stu...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.brs.0000190868.57106.4d

    authors: Elmans L,Willems PC,Anderson PG,van Limbeek J,de Kleuver M,van der Schaaf D

    更新日期:2005-12-15 00:00:00

  • Results of surgical treatment of adult idiopathic scoliosis with low back pain and spinal stenosis: a study of long-term clinical radiographic outcomes.

    abstract:STUDY DESIGN:A case series of adults with surgical treatment for adult idiopathic thoracolumbar and/or lumbar scoliosis, low back pain, and spinal stenosis was studied. OBJECTIVE:To assess pain relief, curve correction, and complications after combined procedures consisting of decompression, spine fusion, and stabiliz...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000048502.62793.0C

    authors: Shapiro GS,Taira G,Boachie-Adjei O

    更新日期:2003-02-15 00:00:00

  • The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments.

    abstract:STUDY DESIGN:A retrospective study was performed of 182 revisions on failed back surgery syndrome from the years 1965 to 1990. OBJECTIVE:To analyze the reasons for failure of primary discectomy, the outcome of the revisions, and factors that influenced those outcomes. SUMMARY OF BACKGROUND DATA:The reported reinterve...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199603010-00017

    authors: Fritsch EW,Heisel J,Rupp S

    更新日期:1996-03-01 00:00:00

  • Incidence of intravascular penetration in transforaminal cervical epidural steroid injections.

    abstract::STUDY DESIGN A prospective, observational, human, study was conducted. OBJECTIVES To evaluate the incidence of vascular penetration during fluoroscopically guided, contrast-enhanced transforaminal cervical epidural steroid injections, and to determine whether the observation of blood in the needle hub can be used to p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200301010-00007

    authors: Furman MB,Giovanniello MT,O'Brien EM

    更新日期:2003-01-01 00:00:00

  • Expansion thoracoplasty improves respiratory function in a rabbit model of postnatal pulmonary hypoplasia: a pilot study.

    abstract:STUDY DESIGN:Using a rabbit model of postnatal pulmonary hypoplasia, we investigated how expansion thoracoplasty affected growth of the spine and lungs. OBJECTIVE:By constricting the hemithorax in a growing rabbit to create postnatal pulmonary hypoplasia, we quantified how expansion thoracoplasty affects lung volume, ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181c4b8c7

    authors: Mehta HP,Snyder BD,Baldassarri SR,Hayward MJ,Giuffrida MJ,Entezari V,Jackson AC

    更新日期:2010-01-15 00:00:00

  • The effect of fear of movement beliefs on pain and disability after surgery for lumbar and cervical degenerative conditions.

    abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To examine differences between preoperative and postoperative fear of movement and investigate the relationship between fear of movement and pain, disability and physical health after spinal surgery for degenerative conditions. SUMMARY OF BACKGROUND DATA:Consistent evi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181f8c6f4

    authors: Archer KR,Wegener ST,Seebach C,Song Y,Skolasky RL,Thornton C,Khanna AJ,Riley LH 3rd

    更新日期:2011-09-01 00:00:00

  • Vertebrodiatasis experimental lengthening of the juvenile goat spine.

    abstract::The purpose of this study is to describe the biology of spinal lengthening (vertebrodiatasis) in a juvenile goat model. A small Orthofix dynamic fixator was affixed to 5.5 mm pedicular halfpins placed bilaterally at T12, L1, L5 and L6 in six juvenile goats. Distraction was performed across vertebral endplates between ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199309000-00008

    authors: Stefko RM,Cain JE Jr,Lauerman WC 2nd,Brann C,Platenburg RC,Pyka R

    更新日期:1993-09-15 00:00:00

  • Randomized, controlled, multicenter, clinical trial comparing BRYAN cervical disc arthroplasty with anterior cervical decompression and fusion in China.

    abstract:STUDY DESIGN:Prospective, randomized, controlled, multicenter clinical trial. OBJECTIVE:To compare outcomes of cervical disc arthroplasty with those of anterior cervical decompression and fusion (ACDF) in a Chinese population. SUMMARY OF BACKGROUND DATA:Cervical disc arthroplasty has been found to be superior to ACDF...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e31822699fa

    authors: Zhang X,Zhang X,Chen C,Zhang Y,Wang Z,Wang B,Yan W,Li M,Yuan W,Wang Y

    更新日期:2012-03-15 00:00:00

  • New vertebral body impactors for posterolateral decompression of burst fracture.

    abstract::A new type of impactor was developed to decompress the anterior aspect of the vertebral body. These instruments are particularly useful for cases of burst fracture. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199308000-00018

    authors: Mimatsu K,Katoh F,Kawakami N

    更新日期:1993-08-01 00:00:00

  • Intraoperative cone beam-computed tomography with navigation (O-ARM) versus conventional fluoroscopy (C-ARM): a cadaveric study comparing accuracy, efficiency, and safety for spinal instrumentation.

    abstract:STUDY DESIGN:Cadaveric laboratory study. OBJECTIVE:To compare the accuracy, efficiency, and safety of intraoperative cone beam-computed tomography with navigation (O-ARM) with traditional intraoperative fluoroscopy (C-ARM) for the placement of pedicle screws. SUMMARY OF BACKGROUND DATA:Radiation exposure remains a co...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a51d1e

    authors: Tabaraee E,Gibson AG,Karahalios DG,Potts EA,Mobasser JP,Burch S

    更新日期:2013-10-15 00:00:00

  • Gas-containing "ganglion" cyst of lumbar posterior longitudinal ligament at L3. Case report.

    abstract::A case of "ganglion" cyst was found to originate from the L3 lumbar posterior longitudinal ligament at the pedicular level. The patient had moderate lumbar degenerative scoliosis. The cyst had no connection with the intervertebral disc, dural sac, facet joint or nerve root. Instead of mucous or myxoid material, it con...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199312000-00026

    authors: Lin RM,Wey KL,Tzeng CC

    更新日期:1993-12-01 00:00:00

  • Isolated anterior arch fracture of the atlas: child case report.

    abstract:STUDY DESIGN:The authors report a case of an atlas fracture at the anterior arch. OBJECTIVE:To discuss the difficulty in diagnosing this type fracture. SUMMARY OF BACKGROUND DATA:Fractures of the atlas are not uncommon, and actually constitute 10% of all cervical spine injuries in adults. However, in the pediatric po...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200201150-00021

    authors: Bayar MA,Erdem Y,Ozturk K,Buharali Z

    更新日期:2002-01-15 00:00:00

  • Clinical methodologies and incidence of appropriate statistical testing in orthopaedic spine literature. Are statistics misleading?

    abstract::An analysis of 300 randomly drawn orthopaedic spine articles, published between 1970 and 1990, was performed to assess the quality of biostatistical testing and research design reported in the literature. Of the 300 articles, 269 dealt with topics of an experimental nature, while 31 documented descriptive studies. Sta...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199306150-00012

    authors: Vrbos LA,Lorenz MA,Peabody EH,McGregor M

    更新日期:1993-06-15 00:00:00

  • Cervical pedicle screws: conventional versus computer-assisted placement of cannulated screws.

    abstract:STUDY DESIGN:Prospective clinical study with postoperative radiologic control of pedicle screw placement in the cervical spine. OBJECTIVES:To evaluate whether cervical pedicle screws can be placed safely in a conventional technique when using cannulated screws and separate stab incisions. Also, to evaluate if accuracy...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000182275.31425.cd

    authors: Richter M,Cakir B,Schmidt R

    更新日期:2005-10-15 00:00:00

  • Long adult deformity fusions to L5 and the sacrum. A matched cohort analysis.

    abstract:STUDY DESIGN:A matched cohort analysis of long adult deformity fusions according to distal fusion level (L5 vs. S1). OBJECTIVE.: To compare the results of long adult deformity fusions to either L5 or the sacrum in the presence of a "healthy" 5-1 disc using a matched cohort analysis. SUMMARY OF BACKGROUND DATA:For adul...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000138272.54896.33

    authors: Edwards CC 2nd,Bridwell KH,Patel A,Rinella AS,Berra A,Lenke LG

    更新日期:2004-09-15 00:00:00

  • Loss of Pelvic Incidence Correction After Long Fusion Using Iliac Screws for Adult Spinal Deformity: Cause and Effect on Clinical Outcome.

    abstract:STUDY DESIGN:Retrospective observational cohort study. OBJECTIVE:To determine change in pelvic incidence (PI) and loss of correction after long fusion with iliac screws, the effect of iliac screw loosening, and global alignment according to postoperative PI. SUMMARY OF BACKGROUND DATA:Posterior long fixation and fusi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002775

    authors: Oba H,Ebata S,Takahashi J,Ikegami S,Koyama K,Haro H,Kato H,Ohba T

    更新日期:2019-02-01 00:00:00

  • Minimally Invasive Surgery for Neuromuscular Scoliosis: Results and Complications in a Series of One Hundred Patients.

    abstract:STUDY DESIGN:A retrospective review. OBJECTIVE:To report the results of an alternative technique using a minimally invasive fusionless surgery. The originality is based on the progressive correction of the deformities with proximal and distal fixation and on the reliability of the pelvic fixation using iliosacral scre...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002588

    authors: Miladi L,Gaume M,Khouri N,Johnson M,Topouchian V,Glorion C

    更新日期:2018-08-01 00:00:00

  • Cervical and thoracic juxtafacet cysts causing neurologic deficits.

    abstract:STUDY DESIGN:Case reports and review of the literature. OBJECTIVES:To review the clinical features, treatment, and outcome of juxtafacet cysts. SUMMARY OF BACKGROUND DATA:There have previously been 4 reported cases of thoracic juxtafacet cysts and 19 cases of cervical juxtafacet cysts. Cervical cysts have usually ori...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-200004150-00012

    authors: Stoodley MA,Jones NR,Scott G

    更新日期:2000-04-15 00:00:00

  • Minnesota Multiphasic Personality Inventory profiles in persons with or without low back pain. A 20-year follow-up study.

    abstract:STUDY DESIGN:A general health survey including a cross-sectional study of 404 men and women aged 50 years who underwent follow-up evaluation at ages 60 and 70 years. OBJECTIVES:The participants completed the Minnesota Multiphasic Personality Inventory at age 50 and 60 years and were interviewed at age 60 and 70 years ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199512150-00013

    authors: Hansen FR,Biering-Sørensen F,Schroll M

    更新日期:1995-12-15 00:00:00

  • Spinal osteotomy techniques in management of severe pediatric spinal deformity and analysis of postoperative complications.

    abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:To compare radiographical analysis and clinical outcomes of spinal osteotomy techniques, including Smith-Petersen osteotomy (SPO), pedicle subtraction osteotomy (PSO), and vertebral column resection (VCR), and analyze the relationship between preoperative evaluation and p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000728

    authors: Xia L,Li P,Wang D,Bao D,Xu J

    更新日期:2015-03-01 00:00:00

  • Clinical outcomes and fusion success at 2 years of single-level instrumented posterolateral fusions with recombinant human bone morphogenetic protein-2/compression resistant matrix versus iliac crest bone graft.

    abstract:STUDY DESIGN:This is a prospective, randomized study comparing iliac crest bone graft to bone morphogenetic protein (BMP)/compression resistant matrix in instrumented posterolateral fusions for single-level lumbar degenerative disease. A higher recombinant human bone morphogenetic protein (rhBMP)-2 dose and a carrier s...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.brs.0000240715.78657.81

    authors: Dimar JR,Glassman SD,Burkus KJ,Carreon LY

    更新日期:2006-10-15 00:00:00