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. 2018 Jun 26;10:349–357. doi: 10.2147/CEOR.S164129

Table 2.

Reasons and types of reoperations for ACD and control groups

Reoperation
ACD (N=272)
Control (N=278)
p-value
Reason Procedure Procedures Subjects Procedures Subjects Procedures Subjects
Reherniation Re-discectomy 10 (3.7%) 10 (3.7%) 37 (13.3%) 35 (12.6%) 0.0001* 0.0003*
Fusion 4 (1.5%) 4 (1.5%) 5 (1.8%) 5 (1.8%)
Segmental instability Fusion 6 (2.2%) 5 (1.8%) 7 (2.5%) 6 (2.2%) 0.99 0.99
Dural tear (not at primary procedure) Dural tear repair 1 (0.4%) 1 (0.4%) 0 0 0.49 0.49
Hematoma Decompression 0 0 3 (1.1%) 3 (1.1%) 0.25 0.25
Other Decompression 3 (1.1%) 3 (1.1%) 2 (0.7%) 2 (0.7%) 0.68 0.68
Device failure Removal 4 (1.5%) 4 (1.5%) N/A N/A N/A N/A
Infection or wound healing disorder Wound revision 0 0 6 (2.2%) 3 (1.1%) 0.03* 0.25
Total reoperations# 28 (10.3%) 27 (9.9%) 60 (21.6%) 54 (19.4%) 0.0003* 0.0017*

Notes: Other=Scar tissue, cyst, residual herniation, fibrosis, unspecified nerve root decompression.

*

Statistically significant by p<0.05.

#

Note that subject reoperation totals differ from the total number of unique patients who underwent reoperation because some patients underwent more than one type of reoperation.

Abbreviations: ACD, annular closure device; N/A, not applicable.