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

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

Cory Hartman, Courtney Hemphill, Jakub Godzik, Corey T Walker, Joshua T Wewel, Jay D Turner and Juan S Uribe
World neurosurgery, Vol.122, pp.e1037-e1040
02/2019
PMID: 30414525

Abstract

Adult Aged Aged, 80 and over Cost-Benefit Analysis - trends Female Follow-Up Studies Humans Intervertebral Disc Degeneration - economics Intervertebral Disc Degeneration - surgery Lumbar Vertebrae - surgery Male Middle Aged Minimally Invasive Surgical Procedures Pilot Projects Psoas Muscles - surgery Retrospective Studies Spinal Fusion - economics Spinal Fusion - trends Spondylolisthesis - economics Spondylolisthesis - surgery Time Factors Treatment Outcome
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.

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