Academic Journal
Lumbar intervertebral disc replacement in Australia: An epidemiological study
| Title: | Lumbar intervertebral disc replacement in Australia: An epidemiological study |
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| Authors: | Zac Dragan, Adam R. George, Ryan J. Campbell, Randolph Gray, Brahman Shankar Sivakumar, Michael Symes |
| Source: | Journal of Craniovertebral Junction and Spine, Vol 15, Iss 3, Pp 338-342 (2024) |
| Publisher Information: | Wolters Kluwer Medknow Publications, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Diseases of the musculoskeletal system |
| Subject Terms: | degenerative disc disease, intervertebral disc replacement, lower back pain, lumbar spine, Diseases of the musculoskeletal system, RC925-935 |
| More Details: | Introduction: Favorable short- and long-term outcomes have been reported for lumbar intervertebral total disc replacement (L-TDR). However, there is little evidence regarding the uptake of L-TDR in practice. The objective of this study was to analyze Australian-based population trends in L-TDR over the past 5 years. Methods: The 5-year incidence of L-TDR from 2019 to 2023 in adult patients was analyzed using the Medicare Benefits Schedule (MBS) database. Data were stratified by sex and year, with an offset term introduced using population data from the Australian Bureau of Statistics to account for population changes over the study period. Results: A total of 1558 L-TDRs were completed in Australia under the MBS in the 5 years of interest. The 5-year annual mean case volume was 311.6 cases per annum. A downtrend and plateau in the rate of L-TDR has been seen from 2021 onward. The distribution of L-TDR across ages showed a significantly higher concentration in the 35–44 and 45–54 age groups (P < 0.05). More operations were performed in males (n = 876, 56.2%) than females (n = 682, 43.8%). Conclusions: The uptake of L-TDR has declined throughout the 5-year study period in Australia. Despite modest use currently, the future of L-TDR will rely on more robust long-term outcome data. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 0974-8237 0976-9285 |
| Relation: | https://journals.lww.com/10.4103/jcvjs.jcvjs_119_24; https://doaj.org/toc/0974-8237; https://doaj.org/toc/0976-9285 |
| DOI: | 10.4103/jcvjs.jcvjs_119_24 |
| Access URL: | https://doaj.org/article/37f6f4e3fbd74bd8a1ce2b7814462877 |
| Accession Number: | edsdoj.37f6f4e3fbd74bd8a1ce2b7814462877 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 09748237 09769285 |
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| DOI: | 10.4103/jcvjs.jcvjs_119_24 |
| Published in: | Journal of Craniovertebral Junction and Spine |
| Language: | English |