scholarly journals Does obesity affect long-term outcomes of minimally-invasive transforaminal lumbar interbody fusion?

2021 ◽  
Vol 1 ◽  
pp. 100156
Author(s):  
Daniel Coban ◽  
Stuart Changoor ◽  
Conor Dunn ◽  
Michael Pompliano ◽  
Kumar Sinha ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Interbody Fusion ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Long Term Outcomes

scholarly journals Minimally Invasive Versus Open Transforaminal Lumbar Interbody Fusion Surgery: An Analysis of Opioids, Nonopioid Analgesics, and Perioperative Characteristics

2019 ◽  
Vol 9 (6) ◽  
pp. 624-629 ◽  
Author(s):  
Aaron Hockley ◽  
David Ge ◽  
Dennis Vasquez-Montes ◽  
Mohamed A. Moawad ◽  
Peter Gust Passias ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Interbody Fusion ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Opioid Use ◽  
Estimated Blood Loss ◽  
History Of ◽  
Nonopioid Analgesics

Study Design: Retrospective study of consecutive patients at a single institution.Objective: Examine the effect of minimally invasive surgery (MIS) versus open transforaminal lumbar interbody fusion (TLIF) surgery on long-term postoperative narcotic consumption. Objective: Examine the effect of minimally invasive versus open TLIF on short-term postoperative narcotic consumption. Methods: Differences between MIS and open TLIF, including inpatient opioid and nonopioid analgesic use, discharge opioid use, and postdischarge duration of narcotic usage were compared using appropriate statistical methods. Results: A total of 172 patients (109 open; 63 MIS) underwent primary TLIF. There was no difference in baseline characteristics. The MIS TLIF cohort had a significantly shorter operative time (223 vs 251 min, P = .006) and length of stay (2.7 vs 3.7 days, P < .001) as well as less estimated blood loss (184 vs 648 mL, P < .001). MIS TLIF had significantly less total inpatient opioid usage (167 vs 255 morphine milligram equivalent [MME], P = .006) and inpatient oxycodone usage (71 vs 105 mg, P = .049). Open TLIF cases required more ongoing opiate usage at 3-month follow-up (36% open vs 21% MIS, P = .041). A subanalysis found that patients who underwent an open TLIF with a history of preoperative opioid use are significantly more likely to remain on opioids at 6-week follow-up (87% vs 65%, P = .027), 3-month follow-up (63% vs 31%, P = .008), and 6-month follow-up (50% vs 21%, P = .018) compared with MIS TLIF. Conclusion: Patients undergoing MIS TLIF required less inpatient opioids and had a decreased incidence of opioid dependence at 3-month follow-up. Patients with preoperative opioid use undergoing MIS TLIF are less likely to require long-term opioids.

Long-term outcomes of transforaminal lumbar interbody fusion in patients with spinal stenosis and degenerative scoliosis

2018 ◽  
Vol 18 (6) ◽  
pp. 1014-1021 ◽  
Author(s):  
Swamy Kurra ◽  
William F. Lavelle ◽  
Michael P. Silverstein ◽  
Jason W. Savage ◽  
R. Douglas Orr
Keyword(s):  
Spinal Stenosis ◽  
Interbody Fusion ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Long Term Outcomes ◽  
Degenerative Scoliosis

scholarly journals Quality-of-Life Outcomes With Minimally Invasive Transforaminal Lumbar Interbody Fusion Based on Long-Term Analysis of 304 Consecutive Patients

Spine ◽  
2014 ◽  
Vol 39 (3) ◽  
pp. E191-E198 ◽  
Author(s):  
Mick J. Perez-Cruet ◽  
Namath S. Hussain ◽  
G. Zachary White ◽  
Evan M. Begun ◽  
Robert A. Collins ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Interbody Fusion ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Life Outcomes ◽  
Quality Of Life Outcomes ◽  
Term Analysis
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