Impact of the Economic Downturn on Elective Lumbar Spine Surgery in the United States: A National Trend Analysis, 2003 to 2013.

20 In addition, Swedish researchers have utilized the Swedish Spine Register to demonstrate an increasing trend in surgical lumbar spine interventions over our years of interest, which suggests that the economic downturn may not have affected spinal procedures within Sweden as well. 21 The incidence of elective lumbar spine surgery relative to the employed population increased during the economic downturn from 2008 to 2009 (4.9%).

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From 2003 to 2013, lumbar discectomies showed a decreasing trend and, in total, declined by 19.8% ( Figure 2 ).

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