TLIF-MIS VS TLIF-OPEN: COST EVALUATION

Detalhes bibliográficos
Autor(a) principal: Luna,Luis Muñiz
Data de Publicação: 2018
Outros Autores: Sánchez,Rodolfo Echeagaray, Heredia,Marco Antonio Marbán, Stone,Karen Aida Ibarra, Chiang,Erika Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Coluna/Columna
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200138
Resumo: ABSTRACT Objective: To evaluate the direct costs of transforaminal lumbar interbody fusion (TLIF) and minimally invasive surgery (MIS) or open technique (OPEN). Methods: The present study is descriptive and retrospective. Sixteen patients with degenerative spinal pathology operated on with the TLIF MIS technique and TLIF OPEN were included over a 13-month period. Days of hospital stay, blood loss, surgical time, medical care and costs were compared. Results: The mean number of days of hospital stay was 6.7 ± 4.3 days with TLIF MIS and 11.1 ± 6.5 days with TLIF OPEN. The blood loss was 307 ± 81.6 ml (range 200400 ml) with TLIF MIS and 803 ± 701.3 ml (range 200-1800 ml) with TLIF OPEN. The surgical time was 320 ± 92.6 minutes (range 210-500 minutes) in TLIF MIS and 372 ± 95.2 minutes (280-540 minutes) in TLIF OPEN. Conclusions: The difference in surgical costs and time between the two procedures was not statistically significant. There was less bleeding during the TLIF-MIS surgery, as well as a correlation between shorter days of hospital stay proportional to bleeding and surgical time, which translates into a reduction in the cost of these items. Level of Evidence III; Analysis based on alternatives and limited costs.
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spelling TLIF-MIS VS TLIF-OPEN: COST EVALUATIONIntervertebral disc degenerationSpinal fusionArthrodesisABSTRACT Objective: To evaluate the direct costs of transforaminal lumbar interbody fusion (TLIF) and minimally invasive surgery (MIS) or open technique (OPEN). Methods: The present study is descriptive and retrospective. Sixteen patients with degenerative spinal pathology operated on with the TLIF MIS technique and TLIF OPEN were included over a 13-month period. Days of hospital stay, blood loss, surgical time, medical care and costs were compared. Results: The mean number of days of hospital stay was 6.7 ± 4.3 days with TLIF MIS and 11.1 ± 6.5 days with TLIF OPEN. The blood loss was 307 ± 81.6 ml (range 200400 ml) with TLIF MIS and 803 ± 701.3 ml (range 200-1800 ml) with TLIF OPEN. The surgical time was 320 ± 92.6 minutes (range 210-500 minutes) in TLIF MIS and 372 ± 95.2 minutes (280-540 minutes) in TLIF OPEN. Conclusions: The difference in surgical costs and time between the two procedures was not statistically significant. There was less bleeding during the TLIF-MIS surgery, as well as a correlation between shorter days of hospital stay proportional to bleeding and surgical time, which translates into a reduction in the cost of these items. Level of Evidence III; Analysis based on alternatives and limited costs.Sociedade Brasileira de Coluna2018-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200138Coluna/Columna v.17 n.2 2018reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120181702189439info:eu-repo/semantics/openAccessLuna,Luis MuñizSánchez,Rodolfo EcheagarayHeredia,Marco Antonio MarbánStone,Karen Aida IbarraChiang,Erika Silvaeng2018-08-10T00:00:00Zoai:scielo:S1808-18512018000200138Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2018-08-10T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false
dc.title.none.fl_str_mv TLIF-MIS VS TLIF-OPEN: COST EVALUATION
title TLIF-MIS VS TLIF-OPEN: COST EVALUATION
spellingShingle TLIF-MIS VS TLIF-OPEN: COST EVALUATION
Luna,Luis Muñiz
Intervertebral disc degeneration
Spinal fusion
Arthrodesis
title_short TLIF-MIS VS TLIF-OPEN: COST EVALUATION
title_full TLIF-MIS VS TLIF-OPEN: COST EVALUATION
title_fullStr TLIF-MIS VS TLIF-OPEN: COST EVALUATION
title_full_unstemmed TLIF-MIS VS TLIF-OPEN: COST EVALUATION
title_sort TLIF-MIS VS TLIF-OPEN: COST EVALUATION
author Luna,Luis Muñiz
author_facet Luna,Luis Muñiz
Sánchez,Rodolfo Echeagaray
Heredia,Marco Antonio Marbán
Stone,Karen Aida Ibarra
Chiang,Erika Silva
author_role author
author2 Sánchez,Rodolfo Echeagaray
Heredia,Marco Antonio Marbán
Stone,Karen Aida Ibarra
Chiang,Erika Silva
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Luna,Luis Muñiz
Sánchez,Rodolfo Echeagaray
Heredia,Marco Antonio Marbán
Stone,Karen Aida Ibarra
Chiang,Erika Silva
dc.subject.por.fl_str_mv Intervertebral disc degeneration
Spinal fusion
Arthrodesis
topic Intervertebral disc degeneration
Spinal fusion
Arthrodesis
description ABSTRACT Objective: To evaluate the direct costs of transforaminal lumbar interbody fusion (TLIF) and minimally invasive surgery (MIS) or open technique (OPEN). Methods: The present study is descriptive and retrospective. Sixteen patients with degenerative spinal pathology operated on with the TLIF MIS technique and TLIF OPEN were included over a 13-month period. Days of hospital stay, blood loss, surgical time, medical care and costs were compared. Results: The mean number of days of hospital stay was 6.7 ± 4.3 days with TLIF MIS and 11.1 ± 6.5 days with TLIF OPEN. The blood loss was 307 ± 81.6 ml (range 200400 ml) with TLIF MIS and 803 ± 701.3 ml (range 200-1800 ml) with TLIF OPEN. The surgical time was 320 ± 92.6 minutes (range 210-500 minutes) in TLIF MIS and 372 ± 95.2 minutes (280-540 minutes) in TLIF OPEN. Conclusions: The difference in surgical costs and time between the two procedures was not statistically significant. There was less bleeding during the TLIF-MIS surgery, as well as a correlation between shorter days of hospital stay proportional to bleeding and surgical time, which translates into a reduction in the cost of these items. Level of Evidence III; Analysis based on alternatives and limited costs.
publishDate 2018
dc.date.none.fl_str_mv 2018-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200138
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200138
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/s1808-185120181702189439
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coluna
publisher.none.fl_str_mv Sociedade Brasileira de Coluna
dc.source.none.fl_str_mv Coluna/Columna v.17 n.2 2018
reponame:Coluna/Columna
instname:Sociedade Brasileira de Coluna (SBCO)
instacron:SBCO
instname_str Sociedade Brasileira de Coluna (SBCO)
instacron_str SBCO
institution SBCO
reponame_str Coluna/Columna
collection Coluna/Columna
repository.name.fl_str_mv Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)
repository.mail.fl_str_mv coluna.columna@uol.com.br||revistacoluna@uol.com.br
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