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对于特定患者而言,使用微创技术增加了价值考量因素。

Using minimally invasive techniques adds to the value equation for select patients.

作者信息

Mok Jung Kee, Gang Catherine Himo, Qureshi Sheeraz, McAnany Steven J

机构信息

Weill Cornell Medical College, New York, NY, USA.

Hospital for Special Surgery, New York, NY, USA.

出版信息

J Spine Surg. 2019 Jun;5(Suppl 1):S101-S107. doi: 10.21037/jss.2019.05.03.

DOI:10.21037/jss.2019.05.03
PMID:31380498
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6626757/
Abstract

Conditions of the spine are one of the most prevalent causes of global disability, and result in a considerable portion of total health expenditures. Surgical treatment of the spine has been demonstrated in multiple studies to be a cost-effective treatment option for many patients, especially with continuing improvements in surgical technique and instrumentation. Minimally invasive spine surgery (MISS), in particular, has evolved as a valuable option in treating certain patients. Numerous studies have analyzed minimally invasive techniques in regards to cost-effectiveness and other purported advantages. These advantages include conduciveness to outpatient settings, better perioperative and immediate post-operative benefits, and faster time to recovery. This article will describe the current literature on the advantages of MISS, specifically in regards to value and cost savings.

摘要

脊柱疾病是导致全球残疾的最常见原因之一,在总医疗支出中占相当大的比例。多项研究表明,脊柱手术对许多患者来说是一种具有成本效益的治疗选择,尤其是随着手术技术和器械的不断改进。特别是,微创脊柱手术(MISS)已成为治疗某些患者的一种有价值的选择。许多研究分析了微创技术在成本效益和其他所谓优势方面的情况。这些优势包括适合门诊治疗、更好的围手术期和术后即刻效果,以及更快的恢复时间。本文将介绍当前关于微创脊柱手术优势的文献,特别是在价值和成本节约方面。

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1
Using minimally invasive techniques adds to the value equation for select patients.对于特定患者而言,使用微创技术增加了价值考量因素。
J Spine Surg. 2019 Jun;5(Suppl 1):S101-S107. doi: 10.21037/jss.2019.05.03.
2
Cost-effectiveness analysis in minimally invasive spine surgery.微创脊柱手术的成本效益分析。
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J Neurosurg Spine. 2015 May;22(5):518-25. doi: 10.3171/2014.10.SPINE131201. Epub 2015 Feb 27.
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Minimally invasive spine surgery for degenerative spine disease and deformity correction: a literature review.用于退行性脊柱疾病和畸形矫正的微创脊柱手术:文献综述
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Does interbody cage lordosis impact actual segmental lordosis achieved in minimally invasive lumbar spine fusion?椎间笼前凸是否会影响微创腰椎融合术中实际获得的节段前凸?
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本文引用的文献

1
Safety and Efficacy of Revision Minimally Invasive Lumbar Decompression in the Ambulatory Setting.门诊环境下微创腰椎减压术翻修的安全性和疗效。
Spine (Phila Pa 1976). 2019 Apr 15;44(8):E494-E499. doi: 10.1097/BRS.0000000000002881.
2
Does patient selection account for the perceived cost savings in outpatient spine surgery? A meta-analysis of current evidence and analysis from an administrative database.患者选择是否是门诊脊柱手术中所认为的成本节约的原因?对现有证据的荟萃分析及来自行政数据库的分析。
J Neurosurg Spine. 2018 Dec 1;29(6):687-695. doi: 10.3171/2018.4.SPINE1864. Epub 2018 Sep 14.
3
A Cost-Effectiveness Analysis of the Integration of Robotic Spine Technology in Spine Surgery.机器人脊柱技术在脊柱手术中应用的成本效益分析
Neurospine. 2018 Sep;15(3):216-224. doi: 10.14245/ns.1836082.041. Epub 2018 Aug 29.
4
The cost effectiveness of minimally invasive spine surgery in the treatment of adult degenerative scoliosis: a comparison of transpsoas and open techniques.经皮椎间孔入路脊柱微创技术与传统开放手术治疗成人退变性脊柱侧弯的成本效果分析。
Spine J. 2019 Feb;19(2):339-348. doi: 10.1016/j.spinee.2018.05.040. Epub 2018 May 31.
5
Minimally Invasive Lateral Access Surgery and Reoperation Rates: A Multi-Institution Retrospective Review of 2060 Patients.微创外侧入路手术与再次手术率:对2060例患者的多机构回顾性研究
World Neurosurg. 2018 Aug;116:e744-e749. doi: 10.1016/j.wneu.2018.05.082. Epub 2018 May 19.
6
Minimally Invasive Lumbar Spinal Fusion Is More Effective Than Open Fusion: A Meta-Analysis.微创腰椎融合术比开放融合术更有效:一项荟萃分析。
Yonsei Med J. 2018 Jun;59(4):524-538. doi: 10.3349/ymj.2018.59.4.524.
7
Limitations and complications of minimally invasive spinal surgery in adult deformity.成人脊柱畸形微创手术的局限性与并发症
Ann Transl Med. 2018 Mar;6(6):109. doi: 10.21037/atm.2018.01.29.
8
Spine Surgery in the Ambulatory Surgery Center Setting: Value-Based Advancement or Safety Liability?在日间手术中心进行脊柱手术:基于价值的提升还是安全责任?
Neurosurgery. 2018 Aug 1;83(2):159-165. doi: 10.1093/neuros/nyy057.
9
Outcomes of Minimally Invasive Surgery Compared to Open Posterior Lumbar Instrumentation and Fusion.与开放后路腰椎内固定融合术相比,微创手术的疗效
Asian J Neurosurg. 2017 Oct-Dec;12(4):620-637. doi: 10.4103/ajns.AJNS_331_16.
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Is minimally invasive surgery superior to open surgery for treatment of lumbar spinal stenosis? A systematic review.微创手术治疗腰椎管狭窄症是否优于开放手术?一项系统评价。
J Orthop Surg (Hong Kong). 2017 May-Aug;25(2):2309499017716254. doi: 10.1177/2309499017716254.