{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T21:29:34Z","timestamp":1790976574304,"version":"4.1.0"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2010,5]]},"abstract":"\nObject<\/jats:title>\nThe purpose of this study was to evaluate the prospectively collected Scoliosis Research Society (SRS) database to assess the incidences of morbidity and mortality (M&M) in the operative treatment of degenerative lumbar stenosis, one of the most common procedures performed by spine surgeons.<\/jats:p><\/jats:sec>\n\nMethods<\/jats:title>\nAll patients who underwent surgical treatment for degenerative lumbar stenosis between 2004 and 2007 were identified from the SRS M&M database. Inclusion criteria for analysis included an age \u2265 21 years and no history of lumbar surgery. Patients were treated with either decompression alone or decompression with concomitant fusion. Statistical comparisons were performed using a 2-sided Fisher exact test.<\/jats:p><\/jats:sec>\n\nResults<\/jats:title>\nOf the 10,329 patients who met the inclusion criteria, 6609 (64%) were treated with decompression alone, and 3720 (36%) were treated with decompression and fusion. Among those who underwent fusion, instrumentation was placed in 3377 (91%). The overall mean patient age was 63 \u00b1 13 years (range 21\u201396 years). Seven hundred nineteen complications (7.0%), including 13 deaths (0.1%), were identified. New neurological deficits were reported in 0.6% of patients. Deaths were related to cardiac (4 cases), respiratory (5 cases), pulmonary embolus (2 cases), and sepsis (1 case) etiologies, and a perforated gastric ulcer (1 case). Complication rates did not differ based on patient age or whether fusion was performed. Minimally invasive procedures were associated with fewer complications and fewer new neurological deficits (p = 0.01 and 0.03, respectively).<\/jats:p><\/jats:sec>\n\nConclusions<\/jats:title>\nThe results from this analysis of the SRS M&M database provide surgeons with useful information for preoperative counseling of patients contemplating surgical intervention for symptomatic degenerative lumbar stenosis.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2009.11.spine09531","type":"journal-article","created":{"date-parts":[[2010,6,10]],"date-time":"2010-06-10T21:15:52Z","timestamp":1276204552000},"page":"443-446","source":"Crossref","is-referenced-by-count":62,"title":["Morbidity and mortality in the surgical treatment of 10,329 adults with degenerative lumbar stenosis"],"prefix":"10.3171","volume":"12","author":[{"given":"Kai-Ming G.","family":"Fu","sequence":"first","affiliation":[{"name":"1Department of Neurosurgery, University of Virginia Health System, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin S.","family":"Smith","sequence":"additional","affiliation":[{"name":"1Department of Neurosurgery, University of Virginia Health System, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Polly","sequence":"additional","affiliation":[{"name":"2Department of Orthopedic Surgery, University of Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph H.","family":"Perra","sequence":"additional","affiliation":[{"name":"3Twin Cities Spine Center, Minneapolis, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles A.","family":"Sansur","sequence":"additional","affiliation":[{"name":"1Department of Neurosurgery, University of Virginia Health System, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigurd H.","family":"Berven","sequence":"additional","affiliation":[{"name":"4Department of Orthopedic Surgery, University of California at San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul A.","family":"Broadstone","sequence":"additional","affiliation":[{"name":"5Spine Surgery Associates, Chattanooga, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore J.","family":"Choma","sequence":"additional","affiliation":[{"name":"6Orthopedic Surgery, University of Missouri, Columbia, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Goytan","sequence":"additional","affiliation":[{"name":"7Health Sciences Centre, Winnipeg, Manitoba, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilali H.","family":"Noordeen","sequence":"additional","affiliation":[{"name":"8Royal National Orthopaedic Hospital and Great Ormond Street Children's Hospital, London, United Kingdom;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Raymond","family":"Knapp","sequence":"additional","affiliation":[{"name":"9Orlando Health, Orlando, Florida;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Hart","sequence":"additional","affiliation":[{"name":"10Department of Orthopedic Surgery, Oregon Health & Science University, Portland, Oregon;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhard D.","family":"Zeller","sequence":"additional","affiliation":[{"name":"11Division of Orthopedic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William F.","family":"Donaldson","sequence":"additional","affiliation":[{"name":"12Department of Orthopedic Surgery, University of Pittsburgh Physicians, Pittsburgh, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oheneba","family":"Boachie-Adjei","sequence":"additional","affiliation":[{"name":"13Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher I.","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"1Department of Neurosurgery, University of Virginia Health System, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0120443","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200006010-00016"},{"key":"b2-0120443","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-4943(02)00172-3"},{"key":"b3-0120443","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1097\/01.brs.0000158953.57966.c0","volume":"30","author":"Atlas SJ","year":"2005","journal-title":"Spine"},{"key":"b4-0120443","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000197188.76369.13"},{"key":"b5-0120443","doi-asserted-by":"crossref","first-page":"536","DOI":"10.2106\/00004623-199274040-00009","volume":"74","author":"Deyo RA","year":"1992","journal-title":"J Bone Joint Surg Am"},{"key":"b6-0120443","first-page":"82","volume":"279","author":"Johnsson KE","year":"1992","journal-title":"Clin Orthop Relat Res"},{"key":"b7-0120443","doi-asserted-by":"crossref","first-page":"809","DOI":"10.2106\/00004623-199173060-00003","volume":"73","author":"Katz JN","year":"1991","journal-title":"J Bone Joint Surg Am"},{"key":"b8-0120443","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000048494.66599.DF"},{"key":"b9-0120443","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1302\/0301-620X.75B3.8496206","volume":"75","author":"Sanderson PL","year":"1993","journal-title":"J Bone Joint Surg Br"},{"issue":"2","key":"b10-0120443","first-page":"181","volume":"91","author":"Vitaz TW","year":"1999","journal-title":"J Neurosurg"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/12\/5\/article-p443.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/12\/5\/article-p443.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,3]],"date-time":"2020-07-03T23:34:38Z","timestamp":1593819278000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/12\/5\/article-p443.xml"}},"subtitle":["Clinical article"],"short-title":[],"issued":{"date-parts":[[2010,5]]},"references-count":10,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2009.11.spine09531","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2010,5]]}}}