Feasibility of outpatient robot assisted minimally invasive transforaminal lumbar interbody fusion
Introduction: Lumbar interbody fusion is a common spine procedure. 199,140 elective lumbar fusions were performed in the United States in 2015. Robot assisted (RA) pedicle screw placement has advanced minimally invasive spine surgery (MIS) making short stay transforaminal lumbar interbody fusions (T...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | North American Spine Society Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666548422000956 |
| _version_ | 1797867366504202240 |
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| author | Andrew Guillotte Gabriel LeBeau Anthony Alvarado Justin Davis |
| author_facet | Andrew Guillotte Gabriel LeBeau Anthony Alvarado Justin Davis |
| author_sort | Andrew Guillotte |
| collection | DOAJ |
| description | Introduction: Lumbar interbody fusion is a common spine procedure. 199,140 elective lumbar fusions were performed in the United States in 2015. Robot assisted (RA) pedicle screw placement has advanced minimally invasive spine surgery (MIS) making short stay transforaminal lumbar interbody fusions (TLIF) with same day or next day discharge a possibility for select patients. Methods: This study is a retrospective case series of a single surgeon's experience with RA MIS TLIF using the Globus ExcelsiusGPS system. Patients undergoing RA MIS TLIF at an outpatient surgery center between August 2020 and February 2021 were included in the study. Results: Twenty-three patients met inclusion criteria. Ninety-six RA pedicle screws and 25 interbody cages were placed. 96/96 (100%) pedicle screws and 25/25 (100%) interbodies were found to be in satisfactory position using intraoperative x-ray. None of the instrumentation required re-placement or revision intraoperatively. 20/23 (87%) patients were able to discharge within 24 hours of the procedure. 2/23 (8.7%) patients discharged on the day of surgery. One patient of 23 (4.3%) required discharge to an inpatient rehabilitation facility post operatively. 0/23 (0%) patients required readmission for pain control. Conclusions: Our study demonstrates the safety and feasibility of outpatient RA MIS TLIF for select patients. Future directions include a larger study to elucidate characteristics of the best candidates for outpatient RA MIS TLIF. |
| first_indexed | 2024-04-09T23:39:05Z |
| format | Article |
| id | doaj.art-1ac75f458aa945428def586cd2805b3a |
| institution | Directory Open Access Journal |
| issn | 2666-5484 |
| language | English |
| last_indexed | 2024-04-09T23:39:05Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | North American Spine Society Journal |
| spelling | doaj.art-1ac75f458aa945428def586cd2805b3a2023-03-19T04:38:40ZengElsevierNorth American Spine Society Journal2666-54842023-03-0113100192Feasibility of outpatient robot assisted minimally invasive transforaminal lumbar interbody fusionAndrew Guillotte0Gabriel LeBeau1Anthony Alvarado2Justin Davis3University of Kansas Medical Center, Kansas City Department of Neurological Surgery, 3901 Rainbow Boulevard, Kansas City, KS 66160, United States; Corresponding author.University of Kansas Medical Center, Kansas City Department of Neurological Surgery, 3901 Rainbow Boulevard, Kansas City, KS 66160, United StatesRush University Department of Neurological Surgery, Professional Building, 1725 W. Harrison Street, 8-855, Chicago, IL 60612, United StatesUniversity of Kansas Medical Center, Kansas City Department of Neurological Surgery, 3901 Rainbow Boulevard, Kansas City, KS 66160, United StatesIntroduction: Lumbar interbody fusion is a common spine procedure. 199,140 elective lumbar fusions were performed in the United States in 2015. Robot assisted (RA) pedicle screw placement has advanced minimally invasive spine surgery (MIS) making short stay transforaminal lumbar interbody fusions (TLIF) with same day or next day discharge a possibility for select patients. Methods: This study is a retrospective case series of a single surgeon's experience with RA MIS TLIF using the Globus ExcelsiusGPS system. Patients undergoing RA MIS TLIF at an outpatient surgery center between August 2020 and February 2021 were included in the study. Results: Twenty-three patients met inclusion criteria. Ninety-six RA pedicle screws and 25 interbody cages were placed. 96/96 (100%) pedicle screws and 25/25 (100%) interbodies were found to be in satisfactory position using intraoperative x-ray. None of the instrumentation required re-placement or revision intraoperatively. 20/23 (87%) patients were able to discharge within 24 hours of the procedure. 2/23 (8.7%) patients discharged on the day of surgery. One patient of 23 (4.3%) required discharge to an inpatient rehabilitation facility post operatively. 0/23 (0%) patients required readmission for pain control. Conclusions: Our study demonstrates the safety and feasibility of outpatient RA MIS TLIF for select patients. Future directions include a larger study to elucidate characteristics of the best candidates for outpatient RA MIS TLIF.http://www.sciencedirect.com/science/article/pii/S2666548422000956SpineLumbarFusionInterbodyMinimally invasiveRobot assisted |
| spellingShingle | Andrew Guillotte Gabriel LeBeau Anthony Alvarado Justin Davis Feasibility of outpatient robot assisted minimally invasive transforaminal lumbar interbody fusion North American Spine Society Journal Spine Lumbar Fusion Interbody Minimally invasive Robot assisted |
| title | Feasibility of outpatient robot assisted minimally invasive transforaminal lumbar interbody fusion |
| title_full | Feasibility of outpatient robot assisted minimally invasive transforaminal lumbar interbody fusion |
| title_fullStr | Feasibility of outpatient robot assisted minimally invasive transforaminal lumbar interbody fusion |
| title_full_unstemmed | Feasibility of outpatient robot assisted minimally invasive transforaminal lumbar interbody fusion |
| title_short | Feasibility of outpatient robot assisted minimally invasive transforaminal lumbar interbody fusion |
| title_sort | feasibility of outpatient robot assisted minimally invasive transforaminal lumbar interbody fusion |
| topic | Spine Lumbar Fusion Interbody Minimally invasive Robot assisted |
| url | http://www.sciencedirect.com/science/article/pii/S2666548422000956 |
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