Davis H
Division of Health Examination Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland.
Spine (Phila Pa 1976). 1994 May 15;19(10):1117-23; discussion 1123-4. doi: 10.1097/00007632-199405001-00003.
Data from annual national surveys of hospitalizations were used to review trends.
The trends in rates of hospitalizations with cervical and lumbar spine surgery were examined among persons > or = 25 years old.
Preliminary analysis of national survey data indicated that during 1979 to 1990 the number of spine operations increased markedly.
Data from the National Hospital Discharge Survey were used to calculate age-adjusted rates of hospitalizations.
From 1979-81 to 1988-90, in each sex, the rate of hospitalizations with cervical spine surgery increased > 45%, with the rates for cervical fusion surgery increasing > 70%. The rate of hospitalizations with lumbar spine surgery increased > 33% in each sex, with the rate for lumbar fusion surgery increasing > 60% in each sex, the rate for lumbar disc surgery increasing 40% among males and 21% among females, and the rate for lumbar exploration/decompression surgery increasing > 65% in each sex.
Between 1979 and 1990, rates of hospitalizations with cervical and lumbar spine surgery increased markedly among both sexes and for different categories of spine surgery.
利用全国年度住院调查数据来回顾趋势。
对25岁及以上人群中颈椎和腰椎手术住院率的趋势进行研究。
对全国调查数据的初步分析表明，1979年至1990年间脊柱手术数量显著增加。
使用国家医院出院调查数据来计算年龄调整后的住院率。
从1979 - 1981年到1988 - 1990年，在每个性别中，颈椎手术住院率增长超过45%，颈椎融合手术住院率增长超过70%。腰椎手术住院率在每个性别中增长超过33%，腰椎融合手术住院率在每个性别中增长超过60%，男性腰椎间盘手术住院率增长40%，女性增长21%，腰椎探查/减压手术住院率在每个性别中增长超过65%。
1979年至1990年间，颈椎和腰椎手术住院率在两性中以及不同类型的脊柱手术中均显著增加。
