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United States’ Trends and Regional Variations in Lumbar Spine Surgery: 1992–2003
Spine · 2006 · Vol. 31(23) · pp. 2707–2714
James N. Weinstein✉(Dartmouth College)Jon D. Lurie(Dartmouth College)Patrick R. Olson✉(Dartmouth College)Kristen K. Bronner(Dartmouth Hospital)Elliott S. Fisher(Dartmouth Hospital)
Abstract
The rate of specific procedures within a region or "surgical signature" is remarkably stable over time. However, there has been a marked increase in rates of fusion, and a coincident shift and increase in cost. Rates of back surgery were not correlated with the per-capita supply of orthopedic and neurosurgeons.
Spine and Intervertebral Disc PathologyScoliosis diagnosis and treatmentMusculoskeletal pain and rehabilitationMedicineLaminectomyLumbarDiscectomySpinal fusionSurgeryGeographic variationPopulationEnvironmental health
MeSH terms
WorkforceAgedCross-Sectional StudiesDemographyMedicareHumansLaminectomyLumbar VertebraeNeurosurgeryOrthopedicsSpinal FusionUnited StatesHealth Care CostsDiskectomyFee-for-Service Plans
Citations
890
FWCI
18.55
field-weighted impact
References
17
Percentile
100%
vs. same field & year
Citations per year
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References
United States Trends in Lumbar Fusion Surgery for Degenerative Conditions
Spine · 2005 · 991 citations
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