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Risk of Subsequent Fusion After Isolated Decompression of Lumbar Facet Cysts – Lumbar Fusion

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This article discusses the risk of lumbar fusion after isolated decompression and facet cyst excision in elderly patients with lumbar facet cysts. The study reviewed the PearlDiver database for patients who underwent isolated laminectomy for lumbar facet cysts from 2015 to 2018. The results showed that 6.79% of patients who underwent isolated decompression underwent subsequent lumbar fusion at the 5-year follow-up. Risk factors for requiring subsequent fusion included chronic kidney disease, hypertension, and osteoarthritis. This information will help spine surgeons counsel patients on the potential risks and postoperative course of isolated decompression

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

: Patients undergoing isolated decompression for lumbar facet cysts undergo subsequent lumbar fusion at a 5-year rate of 6.79%. Risk factors for subsequent decompression include chronic kidney disease, hypertension, and osteoarthritis. This study will assist spine surgeons in appropriately counseling patients on expected postoperative course and potential risks of isolated decompression.

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J Am Acad Orthop Surg. 2024 Feb 1. doi: 10.5435/JAAOS-D-23-00765. Online ahead of print.ABSTRACTINTRODUCTION: Lumbar facet cysts represent a potential source of nerve root compression in elderly patients. Isolated decompression without fusion has proven to be a reasonable treatment option in properly indicated patients. However, the risk of lumbar fusion after isolated decompression and facet,

J Am Acad Orthop Surg. 2024 Feb 1. doi: 10.5435/JAAOS-D-23-00765. Online ahead of print.

ABSTRACT

INTRODUCTION: Lumbar facet cysts represent a potential source of nerve root compression in elderly patients. Isolated decompression without fusion has proven to be a reasonable treatment option in properly indicated patients. However, the risk of lumbar fusion after isolated decompression and facet cyst excision has yet to be elucidated.

METHODS: The PearlDiver database was reviewed for patients undergoing isolated laminectomy for lumbar facet cyst from January 2015 to December 2018 using Current Procedural Terminology coding. Patients undergoing concomitant fusion or additional decompression, as well as those diagnosed with preexisting spondylolisthesis or without a minimum of 5-year follow-up, were excluded. Rates of subsequent lumbar fusion and potential risk factors for subsequent fusion were identified. Statistical analysis included descriptive statistics, chi square test, and multivariate logistic regression. Results were considered significant at P < 0.05.

RESULTS: In total, 10,707 patients were ultimately included for analysis. At 5-year follow-up, 727 (6.79%) of patients underwent subsequent lumbar fusion after initial isolated decompression. Of these, 301 (2.81% of total patients, 41.4% of fusion patients) underwent fusion within the first year after decompression. Multivariate analysis identified chronic kidney disease, hypertension, and osteoarthritis as risk factors for requiring subsequent lumbar fusion at 5 years following the index decompression procedure (P < 0.033; all).

: Patients undergoing isolated decompression for lumbar facet cysts undergo subsequent lumbar fusion at a 5-year rate of 6.79%. Risk factors for subsequent decompression include chronic kidney disease, hypertension, and osteoarthritis. This study will assist spine surgeons in appropriately counseling patients on expected postoperative course and potential risks of isolated decompression.

PMID:38320287 | DOI:10.5435/JAAOS-D-23-00765

The London Spine Unit : best recognised spine facility in the world

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Risk of Subsequent Fusion After Isolated Decompression of Lumbar Facet Cysts

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J Am Acad Orthop Surg. 2024 Feb 1. doi: 10.5435/JAAOS-D-23-00765. Online ahead of print.ABSTRACTINTRODUCTION: Lumbar facet cysts represent a potential source of nerve root compression in elderly patients. Isolated decompression without fusion has proven to be a reasonable treatment option in properly indicated patients. However, the risk of lumbar fusion after isolated decompression and facet

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