التفاصيل البيبلوغرافية
| العنوان: |
Comparative Analysis of Inpatient Opioid Consumption Between Different Surgical Approaches Following Single Level Lumbar Spinal Fusion Surgery. |
| المؤلفون: |
Zabat, Michelle A., Mottole, Nicole A., Ashayeri, Kimberly, Norris, Zoe A., Patel, Hershil, Sissman, Ethan, Balouch, Eaman, Maglaras, Constance, Protopsaltis, Themistocles S., Buckland, Aaron J., Fischer, Charla R. |
| المصدر: |
Global Spine Journal; Oct2023, Vol. 13 Issue 8, p2508-2515, 8p |
| مصطلحات موضوعية: |
SPINAL fusion, SPINAL surgery, MINIMALLY invasive procedures, KRUSKAL-Wallis Test, COMPARATIVE studies, ONE-way analysis of variance |
| الشركة/الكيان: |
CENTERS for Medicare & Medicaid Services (U.S.) |
| مستخلص: |
Study Design: Single-center retrospective cohort study Objectives: To evaluate inpatient MME administration associated with different lumbar spinal fusion surgeries Methods: Patients ≥18 years of age with a diagnosis of Grade I or II spondylolisthesis, stenosis, degenerative disc disease or pars defect who underwent one-level Transforaminal Lumbar Interbody Fusion (TLIF) or one-level Anterior Lumbar Interbody Fusion (ALIF) or Lateral Lumbar Interbody Fusion (LLIF) through traditional MIS, anterior-posterior position or single position approaches between L2-S1. Outcome measures included patient demographics, surgical procedure and approach, perioperative clinical characteristics, incidence of ileus and inpatient MME. Statistical analysis included one-way ANOVA with a post-hoc Tukey Test and Kruskal–Wallis Test with post-hoc Mann–Whitney test. MME was calculated as per the Centers for Medicare and Medicaid Services and previous literature. Significance set at P <.05. Results: Mean age differed significantly between MIS TLIF (55.6 ± 12.5 years) and all other groups (Open TLIF 57.1 ± 12.5, SP ALIF/LLIF 57.9 ± 9.9, TP ALIF/LLIF 50.9 ± 12.7, Open ALIF/LLIF 58.4 ± 15.5). MIS TLIF had the shortest LOS compared to all groups except SP ALIF/LLIF. Total MME was significantly different between MIS TLIF and Open ALIF/LLIF (172.5 MME vs 261.1 MME, P =.044) as well as MIS TLIF and TP ALIF/LLIF (172.5 MME vs 245.4 MME, P =.009). There were no significant differences in MME/hour and incidence of ileus between all groups. Conclusion: Patients undergoing MIS TLIF had lower inpatient opioid intake compared to TP and SP ALIF/LLIF, as well as shorter LOS compared to all groups except SP ALIF/LLIF. Thus, it appears that the advantages of minimally invasive surgery are seen in minimally invasive TLIFs. [ABSTRACT FROM AUTHOR] |
|
Copyright of Global Spine Journal is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder