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Titolo:
Anterior/posterior lumbar fusion versus transforaminal lumbar interbody fusion: Analysis of complications and predictive factors
Autore:
Hee, HT; Castro, FP; Majd, ME; Holt, RT; Myers, L;
Indirizzi:
Spine Surg PSC, Louisville, KY USA Spine Surg PSC Louisville KY USASpine Surg PSC, Louisville, KY USA
Titolo Testata:
JOURNAL OF SPINAL DISORDERS
fascicolo: 6, volume: 14, anno: 2001,
pagine: 533 - 540
SICI:
0895-0385(200112)14:6<533:ALFVTL>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
CIRCUMFERENTIAL FUSION; SPINAL-FUSION; INSTRUMENTATION; FIXATION; SYSTEM;
Keywords:
adjunctive treatment; anterior/posterior lumbar fusion; complications; hospital stay; pseudarthrosis; radiculopathy; transforaminal lumbar interbody fusion; wound infection;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Hee, HT Natl Univ Singapore Hosp, Dept Orthopaed Surg, Div Spinal Surg, 5 Lower Kent Ridge Rd, Singapore 119074, Singapore Natl Univ Singapore Hosp 5Lower Kent Ridge Rd Singapore Singapore 119074
Citazione:
H.T. Hee et al., "Anterior/posterior lumbar fusion versus transforaminal lumbar interbody fusion: Analysis of complications and predictive factors", J SPINAL D, 14(6), 2001, pp. 533-540

Abstract

No previous study has compared the complications between anterior/posterior and transforaminal interbody fusions. We performed a retrospective analysis of 164 patients to compare the complications and associated predictive factors of the two techniques of circumferential lumbar fusion. Fifty-three had same-day anterior/posterior fusion (group 1), and 111 had transforaminal interbody fusion (group 2). Mean operating time (p < 0.0001) and hospitalstay (p < 0.0001) was significantly longer for group 1 patients. Average blood loss was greater for group 1 patients (p < 0.01). Higher complication rates were found in group 1 patients (p < 0.004). Wound infection occurred more frequently in patients with adjunctive treatment (p < 0.04). Hospital stay was an independent predictor of complications in both groups. In group1, body mass index was independently associated with complications. In group 2, both hospital stay and adjunctive treatment were predictive of complications. Transforaminal lumbar interbody fusion is the preferred technique because it is associated with shorter operating time, less blood loss, shorter hospital stay, and lower incidence of complications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 12:29:56