Evidence map›Paper›PMID 30547113›Full record

ArticleJournal of spine surgery (Hong Kong)2018

A comparison of narcotic usage and length of post-operative hospital stay in open versus minimally invasive lumbar interbody fusion with percutaneous pedicle screws.

Darshan Vora, Matthew Kinnard, David Falk, Michael Hoy, Sachin Gupta, Christine Piper, Warren Yu, Faisal Siddiqui, Joseph O'Brien

Abstract read
In one paragraph

Article in Journal of spine surgery (Hong Kong), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Orthobiologics in minimally invasive lumbar fusion.Journal of spine surgery (Hong Kong) · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Darshan VoraSchool of Medicine & Health Sciences, The George Washington University, Washington, DC, USA.
Matthew KinnardSchool of Medicine & Health Sciences, The George Washington University, Washington, DC, USA.
David FalkSchool of Medicine & Health Sciences, The George Washington University, Washington, DC, USA.
Michael HoySchool of Medicine & Health Sciences, The George Washington University, Washington, DC, USA.
Sachin GuptaSchool of Medicine & Health Sciences, The George Washington University, Washington, DC, USA.
Christine PiperSchool of Medicine & Health Sciences, The George Washington University, Washington, DC, USA.
Warren YuSchool of Medicine & Health Sciences, The George Washington University, Washington, DC, USA.
Faisal SiddiquiThe Spine Care Center, Manassas, VA, USA.
Joseph O'BrienWashington Spine & Scoliosis Institute, Bethesda, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInstrumented lumbar fusion can be accomplished through open or minimally invasive techniques. The focus of this study was to compare perioperative narcotic usage and length of hospital stay between patients undergoing open versus minimally invasive spinal surgery (MISS).

methodsA retrospective chart review was performed on 110 patients who underwent instrumented lumbar fusion over 2 years at our institution. These patients were divided into two groups: those that received open transforaminal interbody fusion (n=69), and those whose surgeries were performed minimally invasively with lateral lumbar transpsoas interbody fusion (LLIF) and percutaneous pedicle screws (n=41). Narcotic usage was recorded for both groups intra-operatively and post-operatively throughout their hospital stay. These values were standardized using an equianalgesia chart.

resultsAverage narcotic usage post-operatively was significantly lower for the LLIF group relative to those who underwent open lumbar fusion (278.48

conclusionsPatients who underwent minimally invasive surgery (MIS) LLIF had decreased overall use of opioids in the perioperative period and shorter hospital stays when compared to patients who underwent the open transforaminal interbody fusion approach. These findings support pre-existing literature in favor of LLIF MISS with regards to the above stated outcome measures. The long-term benefits of MISS with regards to narcotic usage in spine patients are not yet known.

Indexed as

lumbar fusionMinimally invasive surgerynarcoticspainspine

Identifiers

PMID30547113
PMCPMC6261750

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.