*Title: Preliminary results on feasibility of outpatient instrumented transforaminal lumbar interbody fusion.
외래환자의 신경공경유요추체유합술 시행 가능성에 대한 예비결과
*Author: Alan T. Villavicencio, Ewell Lee Nelson, Alexander Mason, Sharad Rajpal, Sigita Burneikiene
*Bibliography: JSpinal Disord Tech. 2013 Aug;26(6):298-304
STUDY DESIGN: A retrospective chart review study
-The primary objective: To examine whether it is safe and effective to perform instrumented lumbar interbody fusions by comparing 2 groups (same day vs stayed overnight).
-The secondary objective: To identify the need for prolonged observation for complications that may occur in the immediate postoperative period.
SUMMARY OF BACKGROUND DATA:
There is currently no information in the literature on the safety and complication rates of instrumented transforaminal lumbar interbody fusions performed in an ambulatory surgery setting.
▶Subject number: Ambulatory Surgery Center(ASC): 27/ Hospital Outpatient Departments (HOD): 25
▶Mean age: 49.8 years (19-72 y)
-The safety of outpatient lumbar fusions: analyzing complications that occurred when the seventh postoperative day (0-7 POD).
- The efficacy of surgical intervention: change in pain, patient satisfaction scores, and fusion rates
-no cases of pneumonia, urinary tract infection, or thromboembolic complications.
-4 patients(14%) in ASC and 1 patient(4%) in HOD had complications within 7 days postoperatively.
-->not statistically significant in difference (P=0.36, Fisher exact test).
-Lower back and leg pain was significantly (P<0.0001) decreased postoperatively as follow.
>The average back pain: 74.5 (range: 0-100) --> 18.8 (range: 0-90)
>The average leg pain: 54.2 (range, 0-100) --> 9.1 (range, 0-60)
*using 0-100 visual analog scale
This study discusses the possibility of performing instrumented lumbar interbody fusions with the transforaminal lumbar interbody fusion technique as an outpatient procedure.