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  4. Is Intraoperative Blood Loss Volume in Elderly Cervical Spine Injury Surgery Greater in Patients with Ankylosis? A Multicenter Survey

Is Intraoperative Blood Loss Volume in Elderly Cervical Spine Injury Surgery Greater in Patients with Ankylosis? A Multicenter Survey

Spine Surg Relat Res, 2024 · DOI: 10.22603/ssrr.2023-0118 · Published: May 10, 2024

Spinal Cord InjurySurgeryOrthopedics

Simple Explanation

This study investigates whether elderly patients with cervical spine injuries and ankylosis (stiffening of the spine) experience more blood loss during surgery compared to those without ankylosis. The researchers analyzed data from multiple hospitals in Japan, looking at the amount of blood lost during surgery in patients with and without ankylosis. The findings suggest that ankylosis may contribute to increased blood loss during these surgeries, particularly when surgical time is not taken into account as a factor.

Study Duration
2010-2020
Participants
779 elderly patients with cervical spine injury
Evidence Level
Not specified

Key Findings

  • 1
    Ankylosis was significantly associated with increased blood loss volume when unadjusted for surgical time.
  • 2
    The rate of severe bleeding was higher in patients with ankylosis.
  • 3
    Operative time was longer in patients with ankylosis.

Research Summary

This multicenter study evaluated the impact of ankylosis on intraoperative blood loss volume in elderly patients with cervical spine injury. The study revealed that the presence of ankylosis was significantly associated with increased blood loss volume when surgical time was excluded from the analysis. The authors conclude that better blood loss management strategies are needed for patients with ankylosis undergoing cervical spine surgery.

Practical Implications

Preoperative Risk Assessment

Surgeons should assess the risk of increased blood loss in elderly patients with cervical spine injury and ankylosis before surgery.

Surgical Planning

Surgical techniques and hemostatic measures should be carefully planned to minimize blood loss in patients with ankylosis.

Transfusion Preparation

Adequate transfusion preparation is necessary to manage potential massive bleeding during surgery in ankylosing cases.

Study Limitations

  • 1
    Retrospective case series design
  • 2
    Potential treatment biases due to tertiary care center setting
  • 3
    Lack of intraoperative blood pressure data

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