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dc.contributor.authorHelseth, Øystein
dc.contributor.authorLied, Bjarne Lidvar
dc.contributor.authorHalvorsen, Charlotte Marie
dc.contributor.authorEkseth, Kåre
dc.contributor.authorHelseth, Eirik
dc.identifier.citationNeurosurgery 2015, 76(6):728-738eng
dc.description.abstract<p>BACKGROUND: There is an increasing demand for surgery of degenerative spinal disease. Limited healthcare resources draw attention to the need for cost-effective treatments. Outpatient surgery, when safe and feasible, is more cost effective than inpatient surgery.</p> <p>OBJECTIVE: To study types and rates of complications after outpatient lumbar and cervical spine decompressions.</p> <p>METHODS: Complications were recorded prospectively in 1449 (1073 lumbar, 376 cervical) outpatients undergoing microsurgical decompression for degenerative spinal disease at the private Oslofjord Clinic from 2008 to 2013.</p> <p>RESULTS: Surgical mortality was 0%. A total of 51 (3.5%) minor and major complications were recorded in 51 patients. Three (0.2%) patients had to be admitted to a hospital the day of surgery. Twenty-two (1.5%) patients were admitted to a hospital within 3 months due to surgery-related events. The encountered complications were postoperative hematoma (0.6%), neurological deterioration (0.3%), deep wound infection (0.9%), dural lesions with cerebrospinal fluid leakage (1.0%), persistent dysphagia (0.1%), persistent hoarseness (0.1%), and severe pain/headache (0.4%). All of the life-threatening hematomas were detected within 6 and 3 hours after cervical and lumbar surgery, respectively.</p> <p>CONCLUSION: This series of 1449 consecutive outpatient microsurgical spine decompressions adds to the growing literature in favor of outpatient spinal surgery in properly selected patients. In our study, 99.8% of the patients were successfully discharged either to their homes or to a hotel on the day of surgery. The overall complication rate was 3.5%, surgical mortality was 0%, and only 1.5% had to be admitted to a hospital within 3 months after surgery.</p>eng
dc.publisherWolters Kluwereng
dc.rightsAttribution CC BY-NC-NDeng
dc.subjectAmbulatory careeng
dc.subjectCervical spondylosiseng
dc.subjectLumbar spondylosiseng
dc.subjectPostoperative complicationseng
dc.subjectSpinal degenerative diseaseseng
dc.titleOutpatient cervical and lumbar spine surgery is feasible and safe: A consecutive single center series of 1449 patientseng
dc.typeJournal articleeng
dc.subject.nsiVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Nevrokirurgi: 786
dc.subject.nsiVDP::Midical sciences: 700::Clinical medical sciences: 750::Neurosurgery: 786
dc.rights.holderCopyright by the Congress of Neurological Surgeonseng
bora.peerreviewedPeer reviewedeng
dc.type.documentJournal article

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