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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 6, 841-847.
doi: 10.1302/0301-620X.86B6.14740  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Surgery for herniation of a lumbar disc in Sweden between 1987 and 1999

AN ANALYSIS OF 27 576 OPERATIONS

K. Å. Jansson, MD, Consultant Orthopaedic Surgeon1; G. Németh, MD, PhD, Professor1; F. Granath, PhD, Research Medical Statistician2; and P. Blomqvist, MD, PhD, Research Clinical Epidemiologist2

1 Department of Orthopaedics
2 Unit of Clinical Epidemiology, Department of Medicine, Karolinska Institute at Karolinska Hospital, 171 76 Stockholm, Sweden.

Correspondence should be sent to Dr K. Å. Jansson.

The National Inpatient Register and the Swedish Death Register were linked to determine the incidence of surgical intervention, the trends and characteristics of the patients, the death rate and the pre- and post-operative admissions for herniation of a lumbar disc based on comprehensive national data between 1987 and 1999.

There were 27 576 operations which were followed cumulatively for 155 249 years, with a median of 6.0 years. The mean annual rate of operation was 24 per 100 000 inhabitants, the median age of the patients was 42 years. The 30-day death rate was 0.5 per 1000 operations. The rates of re-operation at one and ten years were 5% and 10%, respectively, decreasing significantly (40%) with time. The mean length of stay decreased from nine to five days. Patients who had been in hospital because of a previous spinal disorder had a significantly higher risk of readmission.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General