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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXVI | Pages 31 - 31
1 Jun 2012
Cross C Kapoor V Todd B Bhutta M
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Background

Surgical patients have cost the NHS 1.3 billion GBP from 1995. Spinal pathologies can present diagnostic challenges, and the consequences of delayed diagnosis or surgical complications can be devastating and so creating high indemnity costs.

We aim to highlight the spinal associated litigation patterns within the United Kingdom.

Method

Data was obtained from the NHS Litigation Authority from 2002 to 2010.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXVI | Pages 26 - 26
1 Jun 2012
Bhutta MA Wilkinson J Cross C Tandon V Kapoor V Todd BD
Full Access

Introduction

Lumbar spinal pain can be a consequence of discogenic pain. After failure of conservative management, lumbar fusions are popular and considered the gold standard. However, these techniques are associated with significant morbidity.

A percutaneous trans-sacral technique may address these for L4/L5 and/or L5/S1 alone spinal fusions. Our unit has adopted this technique and presents our initial experience of 51 patients and preliminary results.

Method

Patients with a confirmed clinical and radiological evidence of degenerate intervertebral disc with or without prior surgical intervention were selected. Patients with a history of pelvic surgery/radiotherapy were excluded. Data was collected prospectively using the Global Patient Outcome Scoring System and Oswestry Disability Index (ODI) scores at clinical follow-up.