TLIF-MIS VS TLIF-OPEN: COST EVALUATION
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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Sociedade Brasileira de Coluna
2018
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oai:scielo:S1808-185120180002001382018-08-10TLIF-MIS VS TLIF-OPEN: COST EVALUATIONLuna,Luis MuñizSánchez,Rodolfo EcheagarayHeredia,Marco Antonio MarbánStone,Karen Aida IbarraChiang,Erika Silva Intervertebral disc degeneration Spinal fusion Arthrodesis 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.info:eu-repo/semantics/openAccessSociedade Brasileira de ColunaColuna/Columna v.17 n.2 20182018-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200138en10.1590/s1808-185120181702189439 |
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Luna,Luis Muñiz Sánchez,Rodolfo Echeagaray Heredia,Marco Antonio Marbán Stone,Karen Aida Ibarra Chiang,Erika Silva |
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Luna,Luis Muñiz Sánchez,Rodolfo Echeagaray Heredia,Marco Antonio Marbán Stone,Karen Aida Ibarra Chiang,Erika Silva TLIF-MIS VS TLIF-OPEN: COST EVALUATION |
author_facet |
Luna,Luis Muñiz Sánchez,Rodolfo Echeagaray Heredia,Marco Antonio Marbán Stone,Karen Aida Ibarra Chiang,Erika Silva |
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Luna,Luis Muñiz |
title |
TLIF-MIS VS TLIF-OPEN: COST EVALUATION |
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 |
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. |
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Sociedade Brasileira de Coluna |
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2018 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200138 |
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