dc.date.accessioned | 2016-01-04T11:50:54Z | |
dc.date.available | 2016-01-04T11:50:54Z | |
dc.date.created | 2015-07-27T17:56:11Z | |
dc.date.issued | 2015 | |
dc.identifier.citation | Helseth, Øystein Lied, Bjarne Lidvar Halvorsen, Charlotte Marie Ekseth, Kåre Helseth, Eirik . Outpatient cervical and lumbar spine surgery is feasible and safe: A consecutive single center series of 1449 patients. Neurosurgery. 2015, 76(6), 728-737 | |
dc.identifier.uri | http://hdl.handle.net/10852/48376 | |
dc.description.abstract | BACKGROUND: There is an increasing demand for surgery of degenerative spinal disease. Limited healthcare resources draw attention to the need for cost-effective treatments. Outpatient surgery, when safe and feasible, is more cost effective than inpatient surgery.
OBJECTIVE: To study types and rates of complications after outpatient lumbar and cervical spine decompressions.
METHODS: Complications were recorded prospectively in 1449 (1073 lumbar, 376 cervical) outpatients undergoing microsurgical decompression for degenerative spinal disease at the private Oslofjord Clinic from 2008 to 2013.
RESULTS: Surgical mortality was 0%. A total of 51 (3.5%) minor and major complications were recorded in 51 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 (0.9%), dural lesions with cerebrospinal fluid 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 1449 consecutive outpatient microsurgical spine decompressions adds to the growing literature in favor of outpatient spinal surgery in properly selected patients. In our study, 99.8% of the patients were successfully discharged either to their homes or to a hotel on the day of surgery. The overall complication rate was 3.5%, surgical mortality was 0%, and only 1.5% had to be admitted to a hospital within 3 months after surgery. | en_US |
dc.language | EN | |
dc.language.iso | en | en_US |
dc.publisher | Williams & Wilkins Co. | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Unported | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/ | |
dc.title | Outpatient cervical and lumbar spine surgery is feasible and safe: A consecutive single center series of 1449 patients | en_US |
dc.type | Journal article | en_US |
dc.creator.author | Helseth, Øystein | |
dc.creator.author | Lied, Bjarne Lidvar | |
dc.creator.author | Halvorsen, Charlotte Marie | |
dc.creator.author | Ekseth, Kåre | |
dc.creator.author | Helseth, Eirik | |
cristin.unitcode | 185,53,12,15 | |
cristin.unitname | Nevrokirurgisk avdeling | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |
dc.identifier.cristin | 1255273 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Neurosurgery&rft.volume=76&rft.spage=728&rft.date=2015 | |
dc.identifier.jtitle | Neurosurgery | |
dc.identifier.volume | 76 | |
dc.identifier.issue | 6 | |
dc.identifier.startpage | 728 | |
dc.identifier.endpage | 737 | |
dc.identifier.doi | http://dx.doi.org/10.1227/NEU.0000000000000746 | |
dc.identifier.urn | URN:NBN:no-52292 | |
dc.subject.nvi | VDP::Nevrokirurgi: 786 | |
dc.type.document | Tidsskriftartikkel | en_US |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 0148-396X | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/48376/2/Outpatient_Cervical_and_Lumbar_Spine_Surgery_is.21.pdf | |
dc.type.version | PublishedVersion | |