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

*Bibliography: J Spinal Disord Tech. 2006Apr;19(2):92-7.

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