Abstract
Purpose: The purpose of this study is to describe national trends in spinal decompression without fusion and discectomy procedures in the US pediatric inpatient population. Methods: The Kids’ Inpatient Database (KID) was queried for pediatric patients with primary diagnoses of spinal spondylolysis/stenosis or disc herniation and having undergone spinal decompression without fusion or discectomy over more than a decade (2000 to 2012). The primary (indirect) outcomes of interest were in-hospital complication rates, length of stay (LOS), total costs, and discharge dispositions. Results: A total of 7315 patients, comprised of pediatric spinal spondylolysis/stenosis (n = 287, 3.92%) and pediatric disc herniation (n = 7028, 96.1%) patients, were included in the study. During the years 2000 to 2012, diagnoses of pediatric spondylolysis/spinal stenosis increased from 61 to 90 diagnoses per 3-year period, while diagnoses of pediatric disc herniation decreased from 2133 to 1335 diagnoses per 3-year period. Spinal decompression was associated with higher in-hospital complication rates (18.1 vs 5.3%, p < 0.0001), longer hospital stays (5 vs 1.69 days, p < 0.0001), higher mean total charges ($49,186 vs $19,057, p < 0.0001), and higher non-routine discharge rates (12.3 vs 2.5%, p < 0.0001) versus discectomy. Conclusions: Spinal decompression is associated with longer hospital stays, more complications, higher costs, and more non-routine discharges when compared to discectomy. The data supports the disparate nature of these disease processes and elucidates basic clinical trends in uncommon spinal disorders affecting children.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1563-1570 |
| Number of pages | 8 |
| Journal | Child's Nervous System |
| Volume | 33 |
| Issue number | 9 |
| DOIs | |
| State | Published - Sep 1 2017 |
| Externally published | Yes |
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Keywords
- Discectomy
- Pediatrics
- Spinal decompression
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Clinical Neurology
Cite this
Pediatric spondylolysis/spinal stenosis and disc herniation : national trends in decompression and discectomy surgery evaluated through the Kids’ Inpatient Database. / Huynh, Tridu R.; Lagman, Carlito; Sweiss, Fadi; Shweikeh, Faris; Nuno, Miriam A; Drazin, Doniel.
In: Child's Nervous System, Vol. 33, No. 9, 01.09.2017, p. 1563-1570.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pediatric spondylolysis/spinal stenosis and disc herniation
T2 - national trends in decompression and discectomy surgery evaluated through the Kids’ Inpatient Database
AU - Huynh, Tridu R.
AU - Lagman, Carlito
AU - Sweiss, Fadi
AU - Shweikeh, Faris
AU - Nuno, Miriam A
AU - Drazin, Doniel
PY - 2017/9/1
Y1 - 2017/9/1
N2 - Purpose: The purpose of this study is to describe national trends in spinal decompression without fusion and discectomy procedures in the US pediatric inpatient population. Methods: The Kids’ Inpatient Database (KID) was queried for pediatric patients with primary diagnoses of spinal spondylolysis/stenosis or disc herniation and having undergone spinal decompression without fusion or discectomy over more than a decade (2000 to 2012). The primary (indirect) outcomes of interest were in-hospital complication rates, length of stay (LOS), total costs, and discharge dispositions. Results: A total of 7315 patients, comprised of pediatric spinal spondylolysis/stenosis (n = 287, 3.92%) and pediatric disc herniation (n = 7028, 96.1%) patients, were included in the study. During the years 2000 to 2012, diagnoses of pediatric spondylolysis/spinal stenosis increased from 61 to 90 diagnoses per 3-year period, while diagnoses of pediatric disc herniation decreased from 2133 to 1335 diagnoses per 3-year period. Spinal decompression was associated with higher in-hospital complication rates (18.1 vs 5.3%, p < 0.0001), longer hospital stays (5 vs 1.69 days, p < 0.0001), higher mean total charges ($49,186 vs $19,057, p < 0.0001), and higher non-routine discharge rates (12.3 vs 2.5%, p < 0.0001) versus discectomy. Conclusions: Spinal decompression is associated with longer hospital stays, more complications, higher costs, and more non-routine discharges when compared to discectomy. The data supports the disparate nature of these disease processes and elucidates basic clinical trends in uncommon spinal disorders affecting children.
AB - Purpose: The purpose of this study is to describe national trends in spinal decompression without fusion and discectomy procedures in the US pediatric inpatient population. Methods: The Kids’ Inpatient Database (KID) was queried for pediatric patients with primary diagnoses of spinal spondylolysis/stenosis or disc herniation and having undergone spinal decompression without fusion or discectomy over more than a decade (2000 to 2012). The primary (indirect) outcomes of interest were in-hospital complication rates, length of stay (LOS), total costs, and discharge dispositions. Results: A total of 7315 patients, comprised of pediatric spinal spondylolysis/stenosis (n = 287, 3.92%) and pediatric disc herniation (n = 7028, 96.1%) patients, were included in the study. During the years 2000 to 2012, diagnoses of pediatric spondylolysis/spinal stenosis increased from 61 to 90 diagnoses per 3-year period, while diagnoses of pediatric disc herniation decreased from 2133 to 1335 diagnoses per 3-year period. Spinal decompression was associated with higher in-hospital complication rates (18.1 vs 5.3%, p < 0.0001), longer hospital stays (5 vs 1.69 days, p < 0.0001), higher mean total charges ($49,186 vs $19,057, p < 0.0001), and higher non-routine discharge rates (12.3 vs 2.5%, p < 0.0001) versus discectomy. Conclusions: Spinal decompression is associated with longer hospital stays, more complications, higher costs, and more non-routine discharges when compared to discectomy. The data supports the disparate nature of these disease processes and elucidates basic clinical trends in uncommon spinal disorders affecting children.
KW - Discectomy
KW - Pediatrics
KW - Spinal decompression
UR - http://www.scopus.com/inward/record.url?scp=85021180976&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021180976&partnerID=8YFLogxK
U2 - 10.1007/s00381-017-3471-5
DO - 10.1007/s00381-017-3471-5
M3 - Article
C2 - 28643037
AN - SCOPUS:85021180976
VL - 33
SP - 1563
EP - 1570
JO - Child's Nervous System
JF - Child's Nervous System
SN - 0256-7040
IS - 9
ER -