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United States Trends in Lumbar Fusion Surgery for Degenerative Conditions

Spine · 2005 · Vol. 30(12) · pp. 1441–1445

Richard A. Deyo✉(University of Washington)Darryl T. Gray(Agency for Healthcare Research and Quality)William Kreuter(University of Washington)Sohail K. Mirza(University of Washington)Brook I. Martin(Agency for Healthcare Research and Quality)

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Abstract

Lumbar fusion rates rose even more rapidly in the 90s than in the 80s. The most rapid increases followed the approval of new surgical implants and were much greater than increases in other major orthopedic procedures. The most rapid increases in fusion rates were among adults aged 60 and above. These increases were not associated with reports of clarified indications or improved efficacy, suggesting a need for better data on the efficacy of various fusion techniques for various indications.

Spine and Intervertebral Disc Pathology Spinal Fractures and Fixation Techniques Pelvic and Acetabular InjuriesMedicineLumbarOrthopedic surgerySpinal fusionRetrospective cohort studyArthroplastyPopulationCohortSurgeryPhysical therapy