Document Detail


Hemostatic Techniques Following Multilevel PosteriorLumbar Spine Surgery: A Randomized Control Trial.
MedLine Citation:
PMID:  24335723     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
STUDY DESIGN:: Prospective, Randomized Controlled Clinical Study.
OBJECTIVE:: To determine the efficacy of absorbable gelatin sponge in reducing blood loss as well as shortening the length of hospital stay in patients undergoing multilevel posterior lumbar spinal surgery.
BACKGROUND:: Absorbable gelatin sponge is reported to decrease postoperative drain output and the length of hospital stay after multilevel posterior cervical spine surgery. However, there is a dearth of literature on prospective study of the efficacy of absorbable gelatin sponge in reducing postoperative blood loss as well as shortening the length of hospital stay in patients undergoing multilevel posterior lumbar spinal surgery.
METHODS:: A total of 82 consecutive patients undergone multilevel PLF or PLIFbetween June 2011 and June 2012 were prospectively randomized into one of two groups according to whether absorbable gelatin sponge for postoperative blood management was used or not. Demographic distribution, total drain output, blood transfusion rate, the length of stay, the number of readmissions, and postoperative complications were analyzed.
RESULTS:: Total drain output averaged 173 mL in the study group and 392 mL in the control group (P=0.000). Perioperative allogenic blood transfusion rate were lower in the Gelfoam group (34.1% vs. 58.5%, P=0.046); Also length of stay in the patients with the use of absorbable gelatin sponge (12.58 d) was significantly shorter (P=0.009) than the patients in the control group (14.46 d). No patient developed adverse reactions attributable to the absorbable gelatin sponge.
CONCLUSIONS:: Application of absorbable gelatin sponge at the end of multilevel posterior lumbar fusion can significantly decrease postoperative drain output and length of hospital stay.
Authors:
Jian Wu; Yongming Jin; Jun Zhang; Haiyu Shao; Di Yang; Jinping Chen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-12-11
Journal Detail:
Title:  Journal of spinal disorders & techniques     Volume:  -     ISSN:  1539-2465     ISO Abbreviation:  J Spinal Disord Tech     Publication Date:  2013 Dec 
Date Detail:
Created Date:  2013-12-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140323     Medline TA:  J Spinal Disord Tech     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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