INCIDENCE OF LUMBAR-DISK SURGERY - A POPULATION-BASED STUDY IN OLMSTED COUNTY, MINNESOTA, 1950-1979

被引:52
作者
BRUSKEHOHLFELD, I [1 ]
MERRITT, JL [1 ]
ONOFRIO, BM [1 ]
STONNINGTON, HH [1 ]
OFFORD, KP [1 ]
BERGSTRALH, EJ [1 ]
BEARD, CM [1 ]
MELTON, LJ [1 ]
KURLAND, LT [1 ]
机构
[1] MAYO CLIN & MAYO FDN,HLTH SCI RES DEPT,ROCHESTER,MN 55905
关键词
Disc surgery; Epidemiology; Lumbar disc herniation; Risk of second prolapse;
D O I
10.1097/00007632-199001000-00009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Age- and sex-specific incidence rates of operation for suspected lumbar disc prolapse were determined for residents of Olmsted County, Minnesota, for the 30-year period 1950 through 1979. The incidence rate (adjusted to the age and sex distribution of the United States white population in 1980) was 52.3 per 100,000 person-years for all such operations and 46.3 per 100,000 person-years for initial operations. These rates remained fairly constant over the study period. A distinction was made between surgically proven and unproven cases of lumbar disc prolapse. Patients with a surgically proven lumbar disc prolapse had about 10 times the risk of another operation for disc prolapse within 10 years after the first operation compared with the general population. © Lippincott-Raven Publishers.
引用
收藏
页码:31 / 35
页数:5
相关论文
共 13 条
[1]  
Beyer W.H., C.R.C. Handbook of Tables for Probability and Statistics, pp. 58-64, (1966)
[2]  
Kaplan E.L., Meier P., Nonparametric estimation from incomplete observations, J am Stat Assoc, 53, pp. 457-481, (1958)
[3]  
Kelsey J.L., Ostfeld A.M., Demographic characteristics of persons with acute herniated lumbar intervertebral disc, J Chron Dis, 28, pp. 37-50, (1975)
[4]  
Kramer J., Intervertebral Disk Diseases: Causes, Diagnosis, Treatment and Prophylaxis, (1981)
[5]  
Kurland L.T., Molgaard C.A., The patient record in epidemiology, Sci Am, 245, pp. 54-63, (1981)
[6]  
Maistrelli G.L., Vaughan P.A., Evans D.C., Barrington T.W., Lumbar disc herniation in the elderly, Spine, 12, pp. 63-66, (1987)
[7]  
Melton L., Selection bias in the referral of patients and the natural history of surgical conditions (Editorial), Mayo Clin Proc, 60, pp. 880-885, (1985)
[8]  
Miller J., Schmatz C., Schultz A.B., Lumbar disc degeneration: Correlation with age, sex, and spine level in 600 autopsy specimens, Spine, 13, pp. 173-178, (1988)
[9]  
Mixter W.J., Barr J.S., Rupture of the intervertebral disc with involvement of the spinal canal, N Engl J Med, 211, pp. 210-215, (1934)
[10]  
Schroeder D.J., Offord K.P., A SAS macro which utilizes local and reference population counts appropriate for incidence, prevalence, and mortality rate calculations in Rochester and Olmsted County, Minnesota, Technical Report Series No, (1982)