The Role of Minimally Invasive Techniques in Scoliosis Correction Surgery
Joint Authors
Dahdaleh, Nader S.
Cloney, Michael B.
Goergen, Jack A.
Bohnen, Angela M.
Smith, Zachary A.
Koski, Tyler
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-24
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Cloney, Michael B.& Goergen, Jack A.& Bohnen, Angela M.& Smith, Zachary A.& Koski, Tyler& Dahdaleh, Nader S.. 2018. The Role of Minimally Invasive Techniques in Scoliosis Correction Surgery. Minimally Invasive Surgery،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1204555
Modern Language Association (MLA)
Cloney, Michael B.…[et al.]. The Role of Minimally Invasive Techniques in Scoliosis Correction Surgery. Minimally Invasive Surgery No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1204555
American Medical Association (AMA)
Cloney, Michael B.& Goergen, Jack A.& Bohnen, Angela M.& Smith, Zachary A.& Koski, Tyler& Dahdaleh, Nader S.. The Role of Minimally Invasive Techniques in Scoliosis Correction Surgery. Minimally Invasive Surgery. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1204555
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1204555