Jatana Spine

Book an Appointment
303-MY-SPINE
Sanjay Jatana, M.D.

Outcomes

Outcomes Report

Outcomes 2015

When considering spine surgery, it is important to evaluate a spine surgeon’s success and complication rates. One option is to check with web-based physician rating companies, but in general, they rely on data from Medicare and based on a physician’s practice, this may not reflect his or her practice volume or insurance mix. A better option is to have your surgeon’s outcomes determined by a third-party survey.

At my practice, we work in partnership with Denver Spine Surgeons and use web-based patient surveys that look at pain control, return to work and recreational activities.

Local hospitals also gather data but do not report a specific surgeon’s outcomes. Locating the surgeons with the least number of complications and higher success rates can be difficult.  Most often the Internet reflects opinions volunteered by patients. It is important to know the rate of infections, re-admissions within 30 days of the original operation, complications, and re-operations immediately after the first surgery compared to published national standards. In addition, the complexity of the surgery and the high risk patients that a surgeon operates on are also important factors to consider.

unnamed-3.jpg

Below are my 2015 outcomes data for all surgeries performed (265) on the cervical spine (neck), lumbar spine (low back), and deformity (scoliosis, kyphosis), including:

- Microdiscectomy lamiminotomy-foraminotomoy
- Laminoplasty (neck)
- Spinal Fusion of the neck and back
- Surgery for Scoliosis, Kyphosis
- Surgery for Spondylolisthesis (slipped vertebrae)
- Artificial Disc Replacement of the neck and low back
- Revision Surgery for non-union, spinal stenosis, next level disease
- Instrumentation of the cervical, thoracic, and lumbar spine
- Removal of Spinal Instrumentation
- Spinal Cord Stimulator placement

RESULTS

Infection rate: 3 patients, 1.1% (Range: 1.4 – 4.2%)

Re-admission within 30 days of first surgery: 7 patients, 2.6%

-       3 patients for pain management
-       3 patients for infection
-       1 patient for spinal fluid leak requiring repair

NEW Neurologic weakness more than 6 months: one patient, 0.4%

Bleeding after surgery (hematoma) requiring repeat surgery: 0%

Dural Tear requiring repeat surgery: one patient, 0.4% (Range 0.8 – 7.2%)

Recurrent Disc Herniation requiring surgery: 12.9% (Range 2 – 18%)

Eye complications: 0% (Range less than 0.2%)

Mortality: medical complication not procedure related: one patient, respiratory compromise

Vocal Cord Paralysis: 0% (Range less than or equal to 5%)