Analysis of Cost and 30-Day Outcomes in Single-Level Transforaminal Lumbar Interbody Fusion and Less Invasive, Stand-Alone Lateral Transpsoas Interbody Fusion

A comparative evaluation of operative costs between single-level transforaminal interbody fusion (TLIF) and stand-alone lateral transpsoas interbody fusion (LIF) has not yet been done. We analyzed the costs, operative parameters, and early outcomes of single-level stand-alone LIF versus single-level...

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Bibliographic Details
Published in:World neurosurgery 2019-02, Vol.122, p.e1037-e1040
Main Authors: Hartman, Cory, Hemphill, Courtney, Godzik, Jakub, Walker, Corey T., Wewel, Joshua T., Turner, Jay D., Uribe, Juan S.
Format: Article
Language:English
Subjects:
Lateral lumbar interbody fusion
LIF
Minimally invasive spine surgery
MIS
TLIF
Transforaminal lumbar interbody fusion
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Summary:A comparative evaluation of operative costs between single-level transforaminal interbody fusion (TLIF) and stand-alone lateral transpsoas interbody fusion (LIF) has not yet been done. We analyzed the costs, operative parameters, and early outcomes of single-level stand-alone LIF versus single-level TLIF. Ten patients who underwent single-level TLIF and 10 patients who underwent single-level stand-alone LIF were included in the analysis. Total, variable, and fixed costs from perioperative data were available from a single institution. In addition, patient demographics, length of hospital stay, and 30-day outcomes and readmission rates were reviewed. Total cost, variable cost, and fixed costs were significantly lower in the LIF group, and there was no difference in outcomes. Single-level stand-alone LIF may prove to be more cost-effective and provide cost savings with analogous 30-day outcomes compared with single-level TLIF procedures.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2018.10.207