Department of Orthopedics Clinical Sciences Lund, Lund University Hospital, SE, 22185 Lund, Sweden.
Eur Spine J. 2013 Apr;22(4):953-74. doi: 10.1007/s00586-013-2758-9.
Swespine, the Swedish National Spine Register, has existed for 20 years and is in general use within the country since over 10 years regarding degenerative lumbar spine disorders. Today there are protocols for registering all disorders of the entire spinal column.
Patient-based pre- and postoperative questionnaires, completed before surgery and at 1, 2, 5 and 10 years postoperatively. Among patient-based data are VAS pain, ODI, SF-36 and EQ-5D. Postoperatively evaluation of leg and back pain as compared to preoperatively ("global assessment"), overall satisfaction with outcome and working conditions are registered in addition to the same parameters as preoperatively evaluation. A yearly report is produced including an analytic part of a certain topic, in this issue disc prosthesis surgery. More than 75,000 surgically treated patients are registered to date with an increasing number yearly. The present report includes 7,285 patients; 1-, 2- and 5-year follow-up data of previously operated patients are also included for lumbar disorders as well as for disc prosthesis surgery.
For the degenerative lumbar spine disorders (disc herniation, spinal stenosis, spondylolisthesis and DDD) significant improvements are seen in all aspects as exemplified by pronounced improvement regarding EQ-5D and ODI. Results seem to be stable over time. Spinal stenosis is the most common indication for spine surgery. Disc prosthesis surgery yields results on a par with fusion surgery in disc degenerative pain. The utility of spine surgery is well documented by the results.
Results of spine surgery as documented on a national basis can be utilized for quality assurance and quality improvement as well as for research purposes, documenting changes over time and bench marking when introducing new surgical techniques. A basis for international comparisons is also laid.
Swespine（瑞典国家脊柱登记处）自成立以来已有 20 年，10 多年来，它一直用于治疗退行性腰椎疾病。现在已经制定了用于登记整个脊柱所有疾病的方案。
基于患者的术前和术后问卷，在手术前和术后 1、2、5 和 10 年完成。患者数据包括 VAS 疼痛评分、ODI、SF-36 和 EQ-5D。除了术前评估的相同参数外，还登记了术后腿部和背部疼痛的评估（与术前相比的“总体评估”）、对治疗结果的总体满意度以及工作条件。每年都会制作一份报告，包括某个主题的分析部分，本期是椎间盘假体手术。迄今为止，已有超过 75000 名接受手术治疗的患者登记，且每年都在增加。本报告包括 7285 名患者；还包括之前接受手术治疗的腰椎疾病以及椎间盘假体手术患者的 1 年、2 年和 5 年随访数据。
对于退行性腰椎疾病（椎间盘突出症、椎管狭窄症、脊椎滑脱症和 DDD），所有方面都有显著改善，如 EQ-5D 和 ODI 显著改善。结果似乎随着时间的推移而稳定。椎管狭窄症是脊柱手术最常见的适应证。在椎间盘退行性疼痛的治疗中，椎间盘假体手术的效果与融合手术相当。脊柱手术的效果为其提供了良好的证明。
基于全国范围的脊柱手术结果可用于质量保证和质量改进以及研究目的，记录随着时间的推移而发生的变化，并在引入新手术技术时进行基准测试。也为国际比较奠定了基础。
