Diferencia en el consumo de opioides en el postoperatorio de cirugía mínimamente invasiva VS. abierta en TLIF

Abstract

Introduction: Opioid use is considered a public health problem. One of the pathologies that most often presents opioid use is lumbar pain, this, is associated with pathologies that lead to surgical procedures such as TLIF (MTLIF - ATLIF) so this has become the focus of study. Objective: To determine if there is a difference in opioid use in the postoperative period of TLIF in its open technique vs. Minimally invasive. Methods: This is a quantitative, observational, analytical, historical cohort study. A convenience sampling was performed, obtaining 45 patients, 34 ATLIF and 11 taken to minimally invasive technique. For this, an analysis of demographic, surgical, pain control, opioid type and dose variables was performed at different times. These differences between variables were determined by statistical methods according to the origin and behavior of this variable. Results: There is a difference between significant or non-significant pain among the groups with less consumption in the minimally invasive technique. This difference was seen in the frequency and dose of opioid administered during all periods of observation, although in the postoperative control the frequencies and doses were equal. Surgical technique, radiculopathy and radiculitis explain significant postoperative pain by up to 50%. Conclusion: There is a significant difference between opioid use and the different surgical techniques used. The results found are valid for the studied population, however, there is a limitation, that is the sample size that prevents generalizing. It is therefore considered that further research on the subject is required.