Total return to work |
Operative |
85% |
63% |
73% |
– |
Nonoperative |
38% |
83% |
67% |
– |
Time to return to work |
Operative |
Mean time postinjury = 6.7 months (1–18 months) |
Within 6 months after discharge = 42%; within 24 months = 58% |
– |
– |
24 months or more = 63% |
Nonoperative |
Mean time = 13.6 months (6–33 months) |
Within 6 months = 74%; within 24 months = 83% |
– |
– |
Workload at return to work |
Operative |
Same profession = 100% |
Similar job = 53% |
Heavy work = 63%; light work = 90%; |
– |
less demanding = 47% |
Nonoperative |
Same profession = 60%; less demanding job = 40% |
Similar job = 79%; less demanding = 21% |
Heavy work = 56%; light work = 86% |
– |
Complications |
General |
Operative |
3 |
11 |
1 |
– |
Nonoperative |
1 |
2 |
0 |
– |
Further surgery owing to complications |
Operative |
2 |
6 |
5 |
– |
Nonoperative |
0 |
0 |
0 |
– |
Neurologic deterioration |
Operative |
0 |
0 |
0 |
– |
Nonoperative |
2 |
0 |
0 |
– |
Mean canal stenosis |
Time of injury |
Followup |
Time of injury |
Followup |
|
Operative |
– |
39% (13–63) |
22% (0–58) |
32% (10–70) |
Unavailable |
– |
Nonoperative |
– |
34% (5–75) |
19% (0–46) |
34% (10–70) |
15% |
– |
Cost |
Operative |
– |
$49,063 ($26,517–$102,583) |
Operative treatment four times the cost of nonoperative treatment |
$45,300 ± $12,400 |
Nonoperative |
– |
$11,264 ($4686–$20,891) |
$13,900 ± $5400 |
Mean duration of hospitalization (days) |
Operative |
14.6 (9–21) |
10.7 (6–27) |
10.4 |
– |
Nonoperative |
12.2 (6–25) |
7.9 (2–17) |
9.2 |
– |
Patient satisfaction |
Operative |
– |
– |
Very satisfied = 30%; satisfied = 55%; unsatisfied = 9%; very unsatisfied = 6% |
– |
Nonoperative |
– |
– |
Very satisfied = 38%; satisfied = 49%; unsatisfied = 13% |
– |
Mean followup (months) |
Operative |
51.6 |
43 |
24 |
21 |
Nonoperative |
51.9 |
46 |
24 |
9 |