Document Detail


Erythrocyte sedimentation rate after lumbar spine surgery.
MedLine Citation:
PMID:  1948395     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The erythrocyte sedimentation rate and total white cell count were measured in 110 patients who underwent lumbar spine surgery. Measurements were made before surgery; at 2 and 4 days; and at 1, 2, 6, and 16 weeks after surgery. A rapid increase of erythrocyte sedimentation rate was seen with peak value on the fourth postoperative day. After 2 weeks, the values were normalized for the majority of patients. Maximum mean peak value was seen 4 days after surgery for fusion (ESR = 102), which was higher than after disc surgery (ESR = 75). There was no corresponding change in total white cell count. No deep infection was noted in the study group. The erythrocyte sedimentation rate values and total white blood cell count at the time of diagnosis for five patients with postoperative deep infection were used for comparison. At the time of diagnosis, all patients with deep infection had an erythrocyte sedimentation rate value exceeding the corresponding mean value (+ 2 SD). Total white cell count was slightly elevated in one of the five infected patients; the remaining four had a normal count. Erythrocyte sedimentation rate determination shows a homogenous pattern with rapid increase and decline after lumbar spinal surgery in patients without postoperative infection, and patients with postoperative deep infection at the time of diagnosis show erythrocyte sedimentation rate elevation to a degree that usually makes the result diagnostic.
Authors:
B Jönsson; R Söderholm; B Strömqvist
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Spine     Volume:  16     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-11-27     Completed Date:  1991-11-27     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1049-50     Citation Subset:  IM    
Affiliation:
Department of Orthopedics, Lund University Hospital, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Blood Sedimentation*
Discitis / blood*
Female
Humans
Intervertebral Disk Displacement / surgery
Laminectomy
Leukocyte Count
Lumbar Vertebrae / surgery*
Male
Middle Aged
Spinal Fusion
Spinal Stenosis / surgery
Surgical Wound Infection / blood*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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