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2013년 9월 23일 월요일

Perioperative complications in transforaminal lumbar interbody fusion versus anterior-posterior reconstruction for lumbar disc degeneration and instability.

Brief review 2

*Title: Perioperative complications in transforaminal lumbar interbody fusion versus anterior-posterior reconstruction for lumbar disc degeneration and instability.

*Authors: Alan T. Villavicencio, MD,  Sigita Burneikiene, MD,  Ketan R. Bulsara, MD,  Jeffrey J. Thramann, MD




OBJECTIVES: 
To assess clinical parameters for TLIF and AP reconstructive surgery for lumbar fusion.

(clinical parameters: 1)surgical blood loss, 2)duration of the procedure, 3)length of 
hospitalization, 4)complications)



METHODS: retrospective analysis -chart review (2002.01~2004.03)

Subject number: Total 167 cases
-TLIF: 124 patients (73 minimally invasive + 51 open cases) & AP surgery: 43 patients

Indications: 
-painful degenerative disc disease
-facet arthropathy
-degenerative instability
-spinal stenosis
-degenerative spondylolisthesis.



RESULTS:
1)blood loss, 2)operative times, 3)hospitalization times are listed belows.



 >OR Time: OpeRation Time
   EBL: Estimated Blood Loss
   LOS: Length Of Stay











4)complication rate are as follows.

-Major Complications
















-Minor Complications
















CONCLUSIONS:

1)blood loss : AP lumbar interbody fusion (significantly increased) > TLIF 

2)operative times: AP lumbar interbody fusion (more longer) > TLIF

3)hospitalization times: AP lumbar interbody fusion (more longer) > TLIF

4)complication rate: AP lumbar interbody fusion (more than 2 times higher) > TLIF