Comparison of peri-operative and 12-month lifestyle outcomes in minimally invasive transforaminal lumbar interbody fusion versus conventional lumbar fusion

Autor: George Anagnostopoulos, Adarsh Nadig, Jagdeep Singh Virdee, Kuriakose Joshi George
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Activities of daily living
medicine.medical_treatment
Operative Time
Lumbar vertebrae
Intervertebral Disc Degeneration
Anxiety
03 medical and health sciences
Young Adult
0302 clinical medicine
Lumbar
Postoperative Complications
Activities of Daily Living
Medicine
Humans
Minimally Invasive Surgical Procedures
Young adult
Mobility Limitation
Life Style
Depression (differential diagnoses)
Aged
Retrospective Studies
Aged
80 and over
030222 orthopedics
Pain
Postoperative
Lumbar Vertebrae
business.industry
Retrospective cohort study
General Medicine
Perioperative
Length of Stay
Middle Aged
Surgery
Self Care
medicine.anatomical_structure
Spinal Fusion
Treatment Outcome
Anesthesia
Spinal fusion
Female
Neurology (clinical)
business
030217 neurology & neurosurgery
Zdroj: British journal of neurosurgery. 31(2)
ISSN: 1360-046X
Popis: To compare the results of minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) versus conventional lumbar interbody fusion in terms of peri-operative and long-term outcome measures.Retrospective secondary data analysis.The study involved patients who had primary single-level spinal interbody fusion between October 2012 and May 2014 with 1-year follow-up, resulting in 36 patients for MI-TLIF and 60 patients for open surgery.Patients responded to Euro-Spine (TANGO) forms 12-month post-surgery, which provided the lifestyle factors. Peri-operative factors were retrieved from hospital notes. Operating time, length of post-operative stay, peri-operative complications, mobility, self-care, ability to perform daily activities, pain and discomfort, anxiety and depression, back and leg pain were observed in the study.On average, MI-TLIF patients spent 3.25 days (±0.38) in hospital with conventional surgery patients staying for 6.92 days (±1.13). The average surgical time for MI-TLIF was 260.44 min (±9.95) compared to 297.05 min (±9.28) for open patients. Patients undergoing open surgery were more prone to post-operative complications than MI-TLIF patients (open 43.3%, MI-TLIF 16.7% p = 0.004). The TANGO data show statistical differences in severe pain (open 29%, MI-TLIF 17% p = 0.039), moderate mobility (open 69%, MI-TLIF 53% p = 0.011), and anxiety (open 14%, MI-TLIF 3% p = 0.034).MI-TLIF appears to have significant advantages over conventional surgery with statistically significant differences in length of stay, perioperative complications and pain, mobility and anxiety levels.
Databáze: OpenAIRE
Externí odkaz: