Hemostatic Techniques Following Multilevel Posterior Lumbar Spine Surgery

• DOI: 10.1097/bsd.0000000000000063
• Publication Date: 2013-12-12T09:27:04Z
• Authors: Jian Wu; Yongming Jin; Jun Zhang; Haiyu Shao; Di Yang; Jinping Chen
• Keywords: Aged, 80 and over; Male; Hemostatic Techniques; Blood Loss, Surgical; Lumbosacral Region; Length of Stay; Middle Aged; Patient Readmission; Spine; 3. Good health; Hemoglobins; 03 medical and health sciences; Postoperative Complications; Spinal Fusion; 0302 clinical medicine; Hematocrit; Drainage; Gelatin; Humans; Blood Transfusion; Female; Prospective Studies; Aged

This was a prospective, randomized controlled clinical study.To determine the efficacy of absorbable gelatin sponge in reducing blood loss, as well shortening length hospital stay patients undergoing multilevel posterior lumbar spinal surgery.Absorbable is reported to decrease postoperative drain output and after cervical spine surgery. However, there dearth literature on prospective study surgery.A total 82 consecutive who underwent fusion or interbody between June 2011 2012 were prospectively into one 2 groups according whether for management used not. Demographic distribution, output, transfusion rate, stay, number readmissions, complications analyzed.Total averaged 173 mL group 392 control (P=0.000). Perioperative allogeneic rate lower Gelfoam (34.1% vs. 58.5%, P=0.046); moreover, with use (12.58 d) significantly shorter (P=0.009) than (14.46 d). No patient developed adverse reactions attributable sponge.Application at end can stay.