[Need for a national database on lumbar fusion surgery].

INTRODUCTION

The indication for surgical technique in lumbar fusion is debated. The objective of this study was to analyse the indication and operative technique in lumbar surgery clinics in Denmark.

MATERIAL AND

METHODS

A cohort study based on a sample from four public and four private clinics in 2006 was used.

RESULTS

There was no difference in patient demographics and diagnosis between public and private clinics. In 62% of the patient files, information was lacking. Considerations on indication and surgery did not differ from public to private clinics. A standard preoperative rehabilitation program was performed in 59% of the cases. Combined anterior and posterior fusion was performed in 37 cases, posterior instrumented fusion in 77 cases and posterior uninstrumented fusion in 105 cases, interspinous spacer was used in six cases and disc arthroplasty in 13 cases.

CONCLUSION

Adequate evaluation of indication and choice of surgical technique in lumbar fusion based on patient files was not possible. We found no qualitative differences between public and private clinics. A national database is needed to monitor indication and choice of operative procedure.