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Patient Outcomes after Reoperation on the Lumbar Spine*
GEOFFREY STEWART, M.D.†; BARTON L. SACHS, M.D.‡, BOSTON, MASSACHUSETTS
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Investigation performed at Tufts-New England Medical Center, Boston
J Bone Joint Surg Am, 1996 May 01;78(5):706-11
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Abstract

A consecutive series of thirty-nine patients who had had a reoperation on the lumbar spine was followed for an average of forty-eight months (range, twenty-four to eighty-six months). The patients were evaluated with regard to pain, functional status, and work status. Twenty-eight patients (72 per cent) had a successful outcome, as determined by their ability to return to work, their lack of a need for narcotic analgesics, and their satisfaction with the operative result. Factors that were significantly associated with a successful outcome included a younger age (p < 0.02), working outside of the home (p < 0.05), an initial period of improvement after the previous (index) operation (p < 0.01), fewer spinal levels operated on previously (p < 0.05), and a revision procedure incorporating anterior interbody arthrodesis (p < 0.02).

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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