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THE INTERNATIONAL SPINE REGISTER SPINE TANGO – STATUS QUO & FIRST RESULTS



Abstract

SPINE TANGO is the first International Spine Register. While it has now been fully operational for five years, no results of its collected data have been presented yet. The Swedish Spine Register has already shown that a National Spine Register can generate valid and meaningful data. Here we present data from the first three versions of SPINE TANGO.

From 2002 until 2006 about 6000 datasets were submitted by 25 hospitals worldwide. Descriptive analysis was performed for demographic, surgery, and follow-up data comparing all three versions of SPINE TANGO.

Over the course of its existence the SPINE TANGO data base showed a rise in median patient age from 52.3 years to 58.6 years and an increasing percentage of degenerative disease as main pathology from 60.1% to 71.4 %. Posterior decompression was the most frequent surgical measure. About one third of all patients had follow-ups. Rehabilitation was arranged more frequently, especially home-based and outpatient rehabilitation. The complication rate was decreasing below 10%.

The feasibility of data analysis from the International Spine Register SPINE TANGO could be demonstrated performing descriptive analysis with an evidence level III. In the near future, the meanwhile established SPINE TANGO version 3 with patient based data will make outcome

evaluation possible. This will enable us to present more comprehensive analyses of SPINE TANGO and to make the data base even more beneficial for the whole spine community. In parallel to the International Spine Register SPINE TANGO, a National Spine Register in New Zealand could be set up – comparable to NZOA’s National Joint Register.

Correspondence should be addressed to Associate Professor N. Susan Stott at Orthopaedic Department, Starship Children’s Hospital, Private Bag 92024, Auckland, New Zealand