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
Spineauthors
Norton WLsubject
Has Abstractpub_date
1986-06-01 00:00:00pages
440-3issue
5eissn
0362-2436issn
1528-1159journal_volume
11pub_type
杂志文章相关文献
SPINE文献大全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
更新日期:2010-12-01 00:00:00
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
更新日期:2011-11-15 00:00:00
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
更新日期:2013-06-01 00:00:00
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
更新日期:2016-04-01 00:00:00
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
更新日期:2010-05-01 00:00:00
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
更新日期:2006-03-01 00:00:00
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
更新日期:2014-07-15 00:00:00
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
更新日期:1995-11-15 00:00:00
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
更新日期:2014-11-15 00:00:00
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
更新日期:2005-12-15 00:00:00
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
更新日期:2003-02-15 00:00:00
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
更新日期:1996-03-01 00:00:00
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
更新日期:2003-01-01 00:00:00
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
更新日期:2010-01-15 00:00:00
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
更新日期:2011-09-01 00:00:00
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
更新日期:1993-09-15 00:00:00
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
更新日期:2012-03-15 00:00:00
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
更新日期:1993-08-01 00:00:00
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
更新日期:2013-10-15 00:00:00
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
更新日期:1993-12-01 00:00:00
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
更新日期:2002-01-15 00:00:00
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
更新日期:1993-06-15 00:00:00
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
更新日期:2005-10-15 00:00:00
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
更新日期:2004-09-15 00:00:00
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
更新日期:2019-02-01 00:00:00
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
更新日期:2018-08-01 00:00:00
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
更新日期:2000-04-15 00:00:00
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
更新日期:1995-12-15 00:00:00
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
更新日期:2015-03-01 00:00:00
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
更新日期:2006-10-15 00:00:00