scholarly journals Minimally invasive surgery in adult degenerative scoliosis: a systematic review and meta-analysis of decompression, anterior/lateral and posterior lumbar approaches

2016 ◽  
Vol 2 (2) ◽  
pp. 89-104 ◽  
Author(s):  
Kevin Phan ◽  
Ya Ruth Huo ◽  
Jarred A. Hogan ◽  
Joshua Xu ◽  
Alexander Dunn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Meta Analysis ◽  
Degenerative Scoliosis ◽  
Adult Degenerative Scoliosis

Open Versus Minimally Invasive Surgery for Extraforaminal Lumbar Disk Herniation: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 108 ◽  
pp. 924-938.e3 ◽  
Author(s):  
Oluwaseun O. Akinduro ◽  
Panagiotis Kerezoudis ◽  
Mohammed Ali Alvi ◽  
Jang W. Yoon ◽  
Jamachi Eluchie ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Meta Analysis ◽  
Disk Herniation ◽  
Lumbar Disk Herniation ◽  
Lumbar Disk ◽  
Open Versus

Minimally invasive surgery for lumbar disc herniation: a systematic review and meta-analysis

2014 ◽  
Author(s):  
Steven J. Kamper ◽  
Raymond W. J. G. Ostelo ◽  
Sidney M. Rubinstein ◽  
Jorm M. Nellensteijn ◽  
Wilco C. Peul ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Invasive Surgery ◽  
Lumbar Disc ◽  
Meta Analysis

scholarly journals Cost minimization in treatment of adult degenerative scoliosis

2015 ◽  
Vol 23 (6) ◽  
pp. 798-806 ◽  
Author(s):  
Omar M. Uddin ◽  
Raqeeb Haque ◽  
Patrick A. Sugrue ◽  
Yousef M. Ahmed ◽  
Tarek Y. El Ahmadieh ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Blood Loss ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Open Surgery ◽  
Cost Minimization ◽  
Degenerative Scoliosis ◽  
Adult Degenerative Scoliosis ◽  
Vas Scores

OBJECT Back pain is an increasing concern for the aging population. This study aims to evaluate if minimally invasive surgery presents cost-minimization benefits compared with open surgery in treating adult degenerative scoliosis. METHODS Seventy-one patients with adult degenerative scoliosis received 2-stage, multilevel surgical correction through either a minimally invasive spine surgery (MIS) approach with posterior instrumentation (n = 38) or an open midline (Open) approach (n = 33). Costs were derived from hospital and rehabilitation charges. Length of stay, blood loss, and radiographic outcomes were obtained from electronic medical records. Functional outcomes were measured with Oswestry Disability Index (ODI) and visual analog scale (VAS) surveys. RESULTS Patients in both cohorts were similar in age (AgeMIS = 65.68 yrs, AgeOpen = 63.58 yrs, p = 0.28). The mean follow-up was 18.16 months and 21.82 months for the MIS and Open cohorts, respectively (p = 0.34). MIS and Open cohorts had an average of 4.37 and 7.61 levels of fusion, respectively (p < 0.01). Total inpatient charges were lower for the MIS cohort ($269,807 vs $391,889, p < 0.01), and outpatient rehabilitation charges were similar ($41,072 vs $49,272, p = 0.48). MIS patients experienced reduced length of hospital stay (7.03 days vs 14.88 days, p < 0.01) and estimated blood loss (EBL) (EBLMIS = 470.26 ml, EBLOpen= 2872.73 ml, p < 0.01). Baseline ODI scores were lower in the MIS cohort (40.03 vs 48.04, p = 0.03), and the cohorts experienced similar 1-year improvement (ΔODIMIS = −15.98, ΔODIOpen = −21.96, p = 0.25). Baseline VAS scores were similar (VASMIS = 6.56, VASOpen= 7.10, p = 0.32), but MIS patients experienced less reduction after 1 year (ΔVASMIS = −3.36, ΔVASOpen = −4.73, p = 0.04). Preoperative sagittal vertical axis (SVA) were comparable (preoperative SVAMIS = 63.47 mm, preoperative SVAOpen = 71.3 mm, p = 0.60), but MIS patients had larger postoperative SVA (postoperative SVAMIS = 51.17 mm, postoperative SVAOpen = 28.17 mm, p = 0.03). CONCLUSIONS Minimally invasive surgery demonstrated reduced costs, blood loss, and hospital stays, whereas open surgery exhibited greater improvement in VAS scores, deformity correction, and sagittal balance. Additional studies with more patients and longer follow-up will determine if MIS provides cost-minimization opportunities for treatment of adult degenerative scoliosis.

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