the role of minimally invasive techniques in scoliosis correction surgery

the role of minimally invasive techniques in scoliosis correction surgery

;Michael B. Cloney;Jack A. Goergen;Angela M. Bohnen;Zachary A. Smith;Tyler Koski;Nader Dahdaleh
Фармацевтичний журнал 2018 Vol. 2018 pp. -
168
cloney2018minimallythe

Abstract

Objective. Recently, minimally invasive surgery (MIS) has been included among the treatment modalities for scoliosis. However, literature comparing MIS to open surgery for scoliosis correction is limited. The objective of this study was to compare outcomes for scoliosis correction patients undergoing MIS versus open approach. Methods. We retrospectively collected data on demographics, procedure characteristics, and outcomes for 207 consecutive scoliosis correction surgeries at our institution between 2009 and 2015. Results. MIS patients had lower number of levels fused (p<0.0001), shorter surgeries (p=0.0023), and shorter overall lengths of stay (p<0.0001), were less likely to be admitted to the ICU (p<0.0001), and had shorter ICU stays (p=0.0015). On multivariable regression, number of levels fused predicted selection for MIS procedure (p=0.004), and multiple other variables showed trends toward significance. Age predicted ICU admission and VTE. BMI predicted any VTE, and DVT specifically. Comorbid disease burden predicted readmission, need for transfusion, and ICU admission. Number of levels fused predicted prolonged surgery, need for transfusion, and ICU admission. Conclusions. Patients undergoing MIS correction had shorter surgeries, shorter lengths of stay, and shorter and fewer ICU stays, but there was a significant selection effect. Accounting for other variables, MIS did not independently predict any of the outcomes.

Keywords

Citation

ID: 246105
Ref Key: cloney2018minimallythe
Use this key to autocite in SciMatic or Thesis Manager

References

Blockchain Verification

Account:
NFT Contract Address:
0x95644003c57E6F55A65596E3D9Eac6813e3566dA
Article ID:
246105
Unique Identifier:
10.1155/2018/4185840
Network:
Scimatic Chain (ID: 481)
Loading...
Blockchain Readiness Checklist
Authors
Abstract
Journal Name
Year
Title
5/5
Creates 1,000,000 NFT tokens for this article
Token Features:
  • ERC-1155 Standard NFT
  • 1 Million Supply per Article
  • Transferable via MetaMask
  • Permanent Blockchain Record
Blockchain QR Code
Scan with Saymatik Web3.0 Wallet

Saymatik Web3.0 Wallet