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- Title
Avoiding Transfusion in 700 consecutive Outpatient Spine Surgery Patients Using Less Exposure Surgery Techniques.
- Authors
Pencle, F. J. R.; Britton, N. T.; Packer, C. F.; Seale, J. A.; Chin, K. R.
- Abstract
Objective: Spine surgery is transitioning using minimally invasive and less exposure surgery (LES) techniques. Blood loss requiring transfusions remains a distinct complication. The authors aim to demonstrate the use of tips and techniques in decreasing the risk of transfusion in the outpatient setting. Methods: The databases of 1512 outpatient spine cases in a single surgeon study were reviewed between 2011 and 2015. We excluded from our analysis, all cervical and lumbar epidural steroid injections as well as, discograms, rhizotomies and non-spine orthopaedic procedures (total 812). Results: Of a total, of 700 total spine surgery cases, 300 (43%) of all spine surgeries were performed in Group 1 (cervical spine) and 400 (57%) in Group 2 (lumbar spine). Females represented 49% of the overall patient population (Group 1: 146, Group 2: 197). The mean overall age was 49.2 ± 0.8, mean age Group 1 was 50.6 ± 0.9 and Group 2 was 47.1 ± 1.2. Mean overall body mass index (BMI) was 24 ± 0.4, Group 1 mean BMI was 21.0 ± 0.7 and Group 2 BMI was 26.1 ± 0.3. The overall length of surgery was 77.4, Group 1: 65.8 ± 2.1 and Group 2: 89.0 ± 1.5. The mean overall estimated blood loss was 52.4 ± 1.7, Group 1: 43.3 ± 2.4 and Group 2: 55.4 ± 2.1. Blood loss demonstrated significant dependence on length of surgery, p < 0.0001 with dependence R = 0.451. Conclusion: This study has demonstrated using several tips and techniques, reduction of blood loss requiring the need for transfusions. Other factors to consider include patient selection and preoperative preparation for elective spine surgery.
- Subjects
BLOOD loss estimation; PAIN management; PSEUDOADDICTION; PEDICLE flaps (Surgery); ORTHOPEDIC surgery
- Publication
West Indian Medical Journal, 2017, Vol 66, Issue 3, p424
- ISSN
0043-3144
- Publication type
Article
- DOI
10.7727/wimj.2017.030