门诊环境下的腰椎融合术：管理、手术入路及规划的最新进展
Lumbar spinal fusion in the outpatient setting: an update on management, surgical approaches and planning.
作者信息
Basques Bryce A, Ferguson Joseph, Kunze Kyle N, Phillips Frank M
机构信息
Division of Spine Surgery, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
出版信息
J Spine Surg. 2019 Sep;5(Suppl 2):S174-S180. doi: 10.21037/jss.2019.04.14.
Abstract
Outpatient lumbar spinal fusion surgery has the potential for improved patient satisfaction, speed of recovery, and economic advantages when compared to inpatient surgery. Despite the rise in the number of these procedures performed annually, the literature on this topic remains scarce. As such, there is a need for a comprehensive review of current concepts in indications and management. The current review will present the most recent literature regarding pre-operative, intra-operative, and post-operative considerations when performing outpatient lumbar spinal fusion surgery.
摘要
与住院手术相比，门诊腰椎融合手术有可能提高患者满意度、加快康复速度并具有经济优势。尽管每年此类手术的数量在增加，但关于这一主题的文献仍然很少。因此，需要对适应症和管理方面的当前概念进行全面综述。本综述将介绍进行门诊腰椎融合手术时术前、术中和术后注意事项的最新文献。
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本文引用的文献
1
Anatomic Considerations in the Lateral Transpsoas Interbody Fusion: The Impact of Age, Sex, BMI, and Scoliosis.
Clin Spine Surg. 2019 Jun;32(5):215-221. doi: 10.1097/BSD.0000000000000760.
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.
J Neurosurg Spine. 2018 Dec 1;29(6):687-695. doi: 10.3171/2018.4.SPINE1864. Epub 2018 Sep 14.
3
Spine Surgery in the Ambulatory Surgery Center Setting: Value-Based Advancement or Safety Liability?
Neurosurgery. 2018 Aug 1;83(2):159-165. doi: 10.1093/neuros/nyy057.
4
Short-term outcomes of lateral lumbar interbody fusion without decompression for the treatment of symptomatic degenerative spondylolisthesis at L4-5.
Neurosurg Focus. 2018 Jan;44(1):E6. doi: 10.3171/2017.10.FOCUS17566.
5
Outpatient elective posterior lumbar fusions appear to be safely considered for appropriately selected patients.
Spine J. 2018 Jul;18(7):1188-1196. doi: 10.1016/j.spinee.2017.11.011. Epub 2017 Nov 16.
6
Aortic Injury during Transforaminal Lumbar Interbody Fusion.
Korean J Spine. 2017 Sep;14(3):118-120. doi: 10.14245/kjs.2017.14.3.118. Epub 2017 Sep 30.
7
Lateral lumbar interbody fusion: a systematic review of complication rates.
Spine J. 2017 Oct;17(10):1412-1419. doi: 10.1016/j.spinee.2017.04.022. Epub 2017 Apr 26.
8
Multimodal Analgesia Versus Intravenous Patient-Controlled Analgesia for Minimally Invasive Transforaminal Lumbar Interbody Fusion Procedures.
Spine (Phila Pa 1976). 2017 Aug 1;42(15):1145-1150. doi: 10.1097/BRS.0000000000001992.
9
Best Practices for Outpatient Anterior Cervical Surgery: Results From a Delphi Panel.
Spine (Phila Pa 1976). 2017 Jun 1;42(11):E648-E659. doi: 10.1097/BRS.0000000000001925.
10
Clinical Outcomes With Midline Cortical Bone Trajectory Pedicle Screws Versus Traditional Pedicle Screws in Moving Lumbar Fusions From Hospitals to Outpatient Surgery Centers.
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