Whole Practice Audit and Outcomes - Full Data

This is a summary of my practice in both the NHS and private sector over the last 10 years

	Total	2022	2021	2020	2019	2018	2018	2016	2015	2014	2013
NHS Spinal Operations	1064	79	94	65	100	111	121	117	127	128	122
Private Spinal Operations	167	20	15	16	20	29	32	6	11	14	4
Total Spinal Operations	1231	99	109	81	120	140	153	123	138	142	126
NHS Spinal Injections	1353	25	12	26	127	175	243	187	187	185	186
Private Spinal Injections	644	112	122	50	110	89	54	28	46	25	8
Total Spinal Injections	1997	137	134	76	237	264	297	215	233	210	194
Total Spinal Procedures	3223	231	243	157	357	404	450	338	371	352	320

This is a summary of the main operations that I have performed over the last 10 years

Procedure Name	Total	2022	2021	2020	2019	2018	2017	2016	2015	2014	2013
Nerve Root Block / Foraminal Epidural	1511	115	114	57	179	203	238	158	154	137	156
Facet Joint Injection	360	20	20	18	48	47	45	47	54	41	20
Caudal Epidural	126	2	0	1	10	14	14	10	25	32	18
Anterior Cervical Discectomy Fusion	144	15	8	5	20	17	11	22	15	19	12
Lumbar Microdiscectomy	281	14	22	10	21	29	45	34	40	38	28
Lumbar Decompression	136	14	3	5	9	31	23	9	16	11	15
Lumbar Decompression Fusion	74	4	4	5	9	7	8	14	8	8	7
Transforaminal Lumbar Interbody Fusion	65	2	3	1	0	6	9	4	14	19	7
Posterolateral Lumbar Fusion	18	2	0	0	0	4	0	5	0	2	5
Anterior Lumbar Interbody Fusion	32	2	0	1	1	2	5	4	4	6	7
Thoracolumbar Fractures	117	5	16	6	13	22	17	10	7	11	10
Thoracolumbar Tumours	50	1	2	2	6	2	6	9	8	7	7
Paediatric Deformity	121	20	29	29	21	22	N/A	N/A	N/A	N/A	N/A
Other Spinal Operations	219	20	22	16	25	20	29	12	26	21	28

This is a summary of key performance indicators over the last 10 years

Procedure	Total	Deep Infection	Dural Tear*	Nerve Injury	DVT PE	Unexpected Return Theatre†	Further Surgery‡
Nerve Root Block / Foraminal Epidural	1511	0	0	0	0	0	varies
Facet Joint Injection	360	0	0	0	0	0	varies
Caudal Epidural	126	0	0	0	0	0	varies
Anterior Cervical Discectomy Fusion	144	0	1 (<1%)	4 (<3%)	0	1 (<1%)	5
Lumbar Microdiscectomy	281	1 (<0.5%)	8 (<3%)	2 (<1%)	0	8 (<3%)	22
Lumbar Decompression	136	1 (<1%)	13 (<10%)	1 (<1%)	0	7 (5%)	23
Lumbar Decompression Fusion	74	1 (<1.5%)	1 (<1.5%)	1 (<1.5%)	0	3 (4%)	6
Transforaminal Lumbar Interbody Fusion	65	0	3 (<5%)	2 (3%)	0	5 (8%)	6
Posterolateral Lumbar Fusion	18	0	0	0	0	0	1
Anterior Lumbar Interbody Fusion	32	0	0	0	0	0	2
Thoracolumbar Fractures	117	1 (<1%)	0	1 (<1%)	1 (<1%)	1 (<1%)	1
Thoracolumbar Tumours	50	1 (2%)	0	1 (2%)	1 (2%)	2 (4%)	2
Paediatric Deformity	121	0	0	0	0	1 (<1%)	6 (5%)§
Other Spinal Operations	219	2 (1%)	0	0	1 (0.5%)	1 (0.5%)	10
Total Percentages All Operations		0.6%	2.1%	1.0%	0.2%	2.4%	7.0%

* includes arachnoid blebs (incidental durotomy occurred but arachnoid intact and no spinal fluid leak)

^† unexpected return to theatre post operatively within 3 months of surgery

^‡ varies according to underlying pathology, further surgery refers to ANY further surgery to same region of spine, additional 3 cases revised by someone else

^§ not including growing rod procedures