J Korean Soc Geriatr Neurosurg > Volume 18(2); 2022 > Article |
|
Surgeon |
Surgical strategy |
||
---|---|---|---|
DL | PLIF+PS | MIDLF | |
Surgeon 1 | 18 | 10 | 47 |
Surgeon 2 | 8 | 6 | 0 |
Surgeon 3 | 2 | 3 | 0 |
Total | 28 | 19 | 47 |
Characteristic |
Surgical strategy |
P-value | |||
---|---|---|---|---|---|
DL (n=28) | PLIF+PS (n=19) | MIDLF (n=47) | |||
VAS for low back pain | Preop | 3.4±3.1 | 4.5±2.5 | 3.6±3.0 | 0.266 |
POD 7 | 1.3±2.1 | 2.6±2.5 | 1.0±1.5 | 0.013* | |
1 Year f/u | 1.2±2.2 | 0.6±1.3 | 1.0±1.8 | 0.746 | |
VAS for leg pain | Preop | 5.4±2.8 | 5.3±2.5 | 5.6±2.2 | 0.766 |
POD 7 | 2.4±2.6 | 1.8±2.4 | 1.9±2.6 | 0.374 | |
1 Year f/u | 2.0±3.0 | 1.6±2.2 | 1.0±1.9 | 0.177 | |
ODI | Preop | 52.0±12.4 | 53.3±17.5 | 52.0±16.5 | 0.899 |
POD 7 | 22.6±15.7 | 26.4±21.78 | 14.8±15.5 | 0.024* | |
1 Year f/u | 19.1±22.1 | 12.7±16.3 | 14.9±18.2 | 0.394 | |
Bridwell grade one fusion | 1 Year f/u | - | 79% | 82% | 0.188 |
Values are presented as mean±standard deviation or percentage.
DL, decompressive laminectomy; PLIF+PS, posterior lumbar interbody fusion with pedicle screw fixation; MIDLF, midline lumbar fusion; VAS, visual analog scale; ODI, Oswestry disability index; Preop, pre-operation; POD, post-operative day.
Variable |
Surgical strategy |
P-value | ||
---|---|---|---|---|
DL (n=28) | PLIF+PS (n=19) | MIDLF (n=47) | ||
Estimation of blood loss | 320.0±342.1 | 886.1±613.2 | 507.5±567.2 | 0.002** |
Operation time (min) | 105.6±44.8 | 266.8±78.4 | 161.9±56.0 | 0.001*** |
Hospital stay (day) | 14.5±6.6 | 17.4±8.4 | 14.8±12.5 | 0.594 |
Postoperative complications | 1 (3.6) | 6 (31.6) | 2 (4.3) | 0.003** |
Pulmonary complications | 1 | 4 | 2 | |
Cerebral infarction | 0 | 1 | 0 | |
Angina | 0 | 1 | 0 | |
Postoperative degenerative changes | 3 (10.7) | 2 (10.5) | 3 (6.4) | 0.698 |
ASD | 1 | 1 | 3 | |
Dynamic instability | 2 | 0 | 0 | |
Subsidence | - | 1 | 0 |
Giwuk Jang
https://orcid.org/0000-0001-7176-7477
Seungjun Ryu
https://orcid.org/0000-0001-5547-9811