Literature Review
Inpatient Versus Outpatient Laminotomy for Lumbar Disc Herniation
Alexandros F. Pappajohn, BA
Yale School of Medicine New Haven, CT
Jonathan N. Grauer, MD
Yale School of Medicine New Haven, CT
Article Reviewed
Heo, K. Y., Bonsu, J. M., Khawaja, S., Karzon, A., Rajan, P. V., Barber, L. A., & Yoon, S. T. (2024). Database analysis comparing incidence and complication rates between inpatient and outpatient laminotomies for lumbar disc herniation. North American Spine Society Journal, 18, 100328. https://doi.org/10.1016/j.xnsj.2024.100328
Commentary
This is a review of a study by Heo et al entitled, “Database analysis comparing incidence and complication rates between inpatient and outpatient laminotomies for lumbar disc herniation,” that was published in North American Spine Society Journal (NASSJ). The study analyzed the rate and complications of outpatient versus inpatient laminotomy performed for lumbar disc herniation (LDH). With more and more of such surgeries being done in outpatient settings, it's a clinically relevant question.
The study isolated a large cohort of patients between the years 2009 and 2019 from the administrative IBM MarketScan Database. Inclusion criteria were a diagnosis of lumbar disc herniation with a subsequently performed lumbar laminotomy...
Key Takeaways
- This retrospective administrative database study compared rates and complications of laminotomy for lumbar disc herniation when performed as an outpatient versus an inpatient procedure.
- The outpatient group demonstrated decreased rates of 90-day postoperative complications and hospital readmissions.
- The inpatient group demonstrated decreased revision rates.
Author Disclosures
AF Pappajohn: Nothing to disclose
JN Grauer: Board of Directors: NASS (Nonfinancial); Other: NASSJ (D).