Rate of Return to Military Active Duty After Single Level Lumbar Interbody Fusion
- 1 August 2012
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Neurosurgery
- Vol. 71 (2), 317-324
- https://doi.org/10.1227/neu.0b013e318258e1da
Abstract
Lumbar interbody fusion has been extensively studied in the civilian population; however, data regarding its efficacy in the military are lacking. To identify the rate of return to unrestricted active military duty after single-level lumbar interbody fusion surgery. The surgical database at a single tertiary care military treatment facility was queried for active-duty patients who underwent a single-level lumbar interbody fusion over a 5-year period. A retrospective chart review was performed with backward stepwise logistic regression analysis, and Fisher exact and Wilcoxon rank sum tests were used for statistical analysis. A total of 102 patients met the inclusion criteria. Mean age at surgery was 34.0 years (range, 19–51 years). Most surgeries (59%) were performed for discogenic pain secondary to degenerative disc disease; the remaining patients underwent surgery for spondylolisthesis (39%) or spinal stenosis (2%). Thirty-nine patients (38%) were treated via an anterior approach (anterior lumbar interbody fusion), whereas 63 patients (62%) underwent fusion via a posterior approach (transforaminal or posterior lumbar interbody fusion). Fifty-six patients (55%) were able to return to unrestricted full active duty, and the remaining 46 patients (45%) were separated from the military. The return to active duty rate was significantly higher in older patients and those ranking E7 (Chief Petty Officer) and above (84.8%). Fifty-five percent of the service members who underwent a single-level lumbar interbody fusion returned to unrestricted full duty. Older age and higher rank were statistically significant positive predictors of a successful return to active duty.Keywords
This publication has 28 references indexed in Scilit:
- Degenerative SpondylolisthesisSpine, 2009
- Surgical Compared with Nonoperative Treatment for Lumbar Degenerative SpondylolisthesisJournal of Bone and Joint Surgery, 2009
- Are Preoperative Health-Related Quality of Life Scores Predictive of Clinical Outcomes After Lumbar Fusion?Spine, 2009
- The Outcomes of Lumbar Microdiscectomy in a Young, Active PopulationSpine, 2008
- Anterior lumbar interbody fusion in comparison with transforaminal lumbar interbody fusion: implications for the restoration of foraminal height, local disc angle, lumbar lordosis, and sagittal balanceJournal of Neurosurgery: Spine, 2007
- Comparison of anterior- and posterior-approach instrumented lumbar interbody fusion for spondylolisthesisJournal of Neurosurgery: Spine, 2007
- Surgical versus Nonsurgical Treatment for Lumbar Degenerative SpondylolisthesisNew England Journal of Medicine, 2007
- Single-level lumbar fusion in chronic discogenic low-back pain: psychological and emotional status as a predictor of outcome measured using the 36-item Short FormJournal of Neurosurgery: Spine, 2005
- Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 11: interbody techniques for lumbar fusionJournal of Neurosurgery: Spine, 2005
- Lumbar Interbody Fusion Using the Brantigan I/F Cage for Posterior Lumbar Interbody Fusion and the Variable Pedicle Screw Placement SystemSpine, 2000