Comparison of Hidden Blood Loss Between Three Different Surgical Approaches for Treatment of Thoracolumbar Fracture

Chen, Zexin; Sun, Ze Ming; Jiang, Chao; Zhang, Hui; Tong, Min Ji; Wu, Yao

doi:10.1080/08941939.2018.1458925

Cited by 17 publications

(30 citation statements)

References 17 publications

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“…EBL in surgery for traumatic thoracolumbar fracture using a conventional open method was over 1000 mL 11 , when calculating EBL using the same formula as used in this study. In the present study, EBL in surgery using PPS was 590 mL in group E and 441 mL in group L. These results indicated that EBL in surgery using PPS was less than that using a conventional open method, which is consistent with a previous report 12 .…”

Section: Discussionsupporting

confidence: 92%

“…Therefore, considering not only IBL but also EBL including HBL in surgery for traumatic thoracolumbar fracture is necessary, especially in surgery using PPS. EBL, IBL, and HBL in surgery using PPS are lower than those using a paraspinal or conventional open approach 12 . EBL in surgery for traumatic thoracolumbar fracture using a conventional open method was over 1000 mL 11 , when calculating EBL using the same formula as used in this study.…”

Section: Discussionmentioning

confidence: 81%

“…In traumatic thoracolumbar fracture, the clinical importance of HBL has been reported [11][12][13] . The rate of HBL in surgery for traumatic thoracolumbar fracture has been reported as 65%-74% and is especially high in surgery using PPS compared with that using a paraspinal or conventional open approach 12 . Therefore, considering not only IBL but also EBL including HBL in surgery for traumatic thoracolumbar fracture is necessary, especially in surgery using PPS.…”

Section: Discussionmentioning

confidence: 99%

“…However, some reports revealed that hidden blood loss (HBL) during surgery for traumatic thoracolumbar fracture cannot be ignored, even when using a percutaneous approach [11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

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Postoperative Blood Loss Including Hidden Blood Loss in Early and Late Surgery Using Percutaneous Pedicle Screws for Traumatic Thoracolumbar Fracture

Sasagawa

Takeuchi

Aita

2021

Spine Surg Relat Res

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Introduction Some reports revealed that hidden blood loss (HBL) during surgery for traumatic thoracolumbar fracture cannot be ignored, even when using a percutaneous approach. Using percutaneous pedicle screws (PPS) for traumatic thoracolumbar fracture, this study aimed to compare estimate blood loss (EBL), including HBL, between early and late fixation. Methods This investigation was a retrospective study. In the present study, data from 39 patients who underwent posterior spinal stabilization using PPS for single-level thoracolumbar fracture have been included. We divided the patients into an early group (group E) (n = 20) in whom surgery was conducted within 3 days of fracture and a late group (group L) (n = 19) in whom surgery was conducted more than 3 days after fracture. We evaluated hemoglobin (Hb) 2 on the day of injury, and 1, 3 or 4, and 7 days after surgery, EBL, HBL, and transfusion requirement. Results Hb on day 1 (group E: 12.2 ± 1.7 g/dL, group L: 12.3 ± 1.6 g/dL) was significantly less than that on the injured day (group E: 14.2 ± 1.7 g/dL, group L: 13.9 ± 1.7 g/dL) in both groups. The values of Hb and EBL were not significantly different at any time between the two groups. HBL (group E: 487 ± 266 mL, group L: 386 ± 305 mL) was not significantly different between the two groups. No patients required transfusion in either group. Conclusions EBL in early fixation using PPS for traumatic thoracolumbar fracture is not significantly different compared with that in late surgery from days 1 to 7 postoperatively. Early fixation using PPS for traumatic thoracolumbar fracture does not result in negative outcomes any more than those in late surgery in terms of blood loss.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

“…However, some reports revealed that hidden blood loss (HBL) during surgery for traumatic thoracolumbar fracture cannot be ignored, even when using a percutaneous approach [11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Postoperative Blood Loss Including Hidden Blood Loss in Early and Late Surgery Using Percutaneous Pedicle Screws for Traumatic Thoracolumbar Fracture

Sasagawa

Takeuchi

Aita

2021

Spine Surg Relat Res

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“…Previous studies have explored the influence of age, gender, body mass index (BMI), and fracture type on HBL. [10,11] Until now, no study explored the effect of matching degree of intramedullary nail to marrow cavity on HBL. The present aimed to explore the effect of the ratios of marrow cavity diameter to intramedullary nail diameter from different layers on HBL, OBL, and total blood loss (TBL) in the perioperative period during using PFNA-II for femoral intertrochanteric fracture.…”

Section: Introductionmentioning

confidence: 99%

Effects of the ratios of marrow cavity diameter to intramedullary nail diameter from different layers on blood loss during perioperative period for femoral intertrochanteric fractures

Zhao²,

Zhang³

et al. 2019

Medicine

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The study aimed to investigate the effect of ratios of marrow cavity diameter to intramedullary nail diameter from different layers on hidden blood loss (HBL), overt blood loss (OBL) and total blood loss (TBL) during using proximal femoral nail antirotation-Asian version (PFNA)-II for femoral intertrochanteric fractures.We retrospectively studied 70 patients treated in our hospital recently. We recorded postoperative hematocrit (Hct) and OBL during operation. TBL and HBL were calculated using CROSS equation. The ratios of marrow cavity diameter to intramedullary nail diameter from different layers, including start of funnel, end of funnel and femoral isthmus, were measured. The mean of the ratio from frontal and lateral X-ray were designated as R. We classified all included participants into a high and a low matching group according to z-score of R within each layer. TBL, HBL, and OBL were compared between the 2 groups. We applied multiple linear regression analysis between the HBL as a dependent variable and gender, age, body mass index, fracture type, and R as independent variables.The present study indicated a significant reduction in the HBL and TBL in the high matching group compared to low matching group on three layers, whereas it showed no significant difference in OBL between the 2 groups on three layers. It showed that R values from start of funnel and end of funnel were significantly associated with HBL.Matching rate of PFNA II at the funnel might be an important factor for HBL and TBL postoperatively.

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Comparison of true blood loss between short and long cephalomedullary nail fixation of geriatric hip fractures, a retrospective cohort study

Schaffer

Singh²,

McHugh³

et al. 2023

Eur J Orthop Surg Traumatol

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Comparison of Hidden Blood Loss Between Three Different Surgical Approaches for Treatment of Thoracolumbar Fracture

Abstract: There was a substantial HBL in the treatment of thoracolumbar fractures, which was neglected by surgeons. Further investigation is necessary to study the risk factors for surgery on HBL in treatment of thoracolumbar fractures.

Cited by 17 publications

References 17 publications

Postoperative Blood Loss Including Hidden Blood Loss in Early and Late Surgery Using Percutaneous Pedicle Screws for Traumatic Thoracolumbar Fracture

Postoperative Blood Loss Including Hidden Blood Loss in Early and Late Surgery Using Percutaneous Pedicle Screws for Traumatic Thoracolumbar Fracture

Effects of the ratios of marrow cavity diameter to intramedullary nail diameter from different layers on blood loss during perioperative period for femoral intertrochanteric fractures

Comparison of true blood loss between short and long cephalomedullary nail fixation of geriatric hip fractures, a retrospective cohort study

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