Risk Factors for Increased Surgical Drain Output After Transforaminal Lumbar Interbody Fusion

Shi, Hang; Zhou, Zifei; Xu, Zheng-Yuan; Zhu, Lei; Jiang, Zan‐Li; Chen, Lu; Wu, Xiao‐Tao

doi:10.1016/j.wneu.2021.05.059

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…ASA (American Society of Anesthesiologists) classification, severity of comorbidities, time to surgery (TTS), and duration of symptoms (DOS) had no significant impact on patient clinical outcomes ( 22 , 23 , 24 ). Notably, contrary to previous research that considered advanced age as an independent risk factor for TLIF, Kern Singh et al suggested that age may not be a significant risk factor affecting the success of MIS-TLIF, as long as appropriate surgical inclusion criteria were followed ( 25 , 26 ). In addition, Kern Singh and his team compared the clinical outcomes of patients undergoing MIS-TLIF or ALIF for isthmic spondylolisthesis and revision, and found that ALIF only significantly increased operative time and intraoperative blood loss, whereas there was no significant difference in long-term clinical outcomes between the two procedures ( 27 , 28 ).…”

Section: Discussionmentioning

confidence: 76%

Bibliometric analysis of transforaminal lumbar interbody fusion: research status, trends, and future directions

Wang,

Zhang,

Yao

et al. 2023

EFORT Open Reviews

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Purpose Transforaminal lumbar interbody fusion (TLIF) is a classic surgical procedure for posterior lumbar fusion. This study aims to analyze the TLIF field by bibliometric method and comprehensively summarize the research status and trends. Methods All TLIF-related articles were retrieved from the Web of Science. The data were analyzed using R software and SPSS to calculate corresponding indicators. Visualizations were drawn using VOSviewer and Scimago Graphica, including country, institution, journal, author, and keywords. Results A total of 919 articles were included. The annual publication volume of TLIF-related articles presented an exponential growth. North America, Europe, and Asia were the main sources of articles, with the USA and China being the main contributors and the USA being the global research center for TLIF. The level of the national economy was an important factor affecting TLIF-related research. The highest number of contributions in this field was made by Kern Singh among authors and by Rush University among institutions. The European Spine Journal was the most influential journal. The research focus has gradually shifted from perfecting the TLIF technique toward emphasizing the patient level. The improvement of minimally invasive techniques and how to improve clinical outcomes as well as accelerate postoperative rehabilitation of patients may be the hot spot of future research. Conclusions With the advancement of medical technology and the popularization of minimally invasive concepts in recent years, TLIF and its derivative technologies have attracted increasing attention. Patient-centered minimally invasive surgery is a hot research topic in the field of TLIF currently and will continue to be so into the future

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Section: Discussionmentioning

confidence: 76%

Bibliometric analysis of transforaminal lumbar interbody fusion: research status, trends, and future directions

Wang,

Zhang,

Yao

et al. 2023

EFORT Open Reviews

View full text Add to dashboard Cite

show abstract

“…The full text of 13 articles were read and 8 articles were eliminated. These included one meeting ( 15 ), two registered studies without results ( 16 , 17 ), one study performed on posterior lumbar interbody fusion ( 18 ), two studies that were unable to extract data from patients with TLIF ( 19 , 20 ), one study that did not use tranexamic acid ( 21 ), and one study that compared oral tranexamic acid with intravenous use ( 22 ). Finally, five trials with three RCT studies and two retrospective studies, totaling 984 patients, were included in our study ( 10 , 11 , 12 , 23 , 24 ).…”

Section: Resultsmentioning

confidence: 99%

The efficacy and safety of tranexamic acid in transforaminal lumbar interbody fusion: a systematic review and meta-analysis

Luo,

Yan,

Ren

et al. 2023

EFORT Open Reviews

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Purpose This meta-analysis aimed to assess the efficacy and safety of tranexamic acid (TXA) in transforaminal lumbar interbody fusion (TLIF), focusing on its impact on intraoperative blood loss and related outcomes. Methods The review process was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched the PubMed, EMBASE, Medline, and Cochrane Library databases to identify all literature related with TXA and TLIF. Finally, five trials ultimately meeting the inclusion criteria. Continuous variables were analyzed using mean difference and categorical variables were analyzed using Peto odds ratio, via random effects models. Results The meta-analysis revealed a significant reduction in intraoperative blood loss associated with TXA use during TLIF, as confirmed by the RCTs. However, the impact of TXA on other outcomes, such as postoperative drainage volume, total blood loss, and length of hospital stay, remains inconclusive due to limited data. No severe complications related to TXA use were reported, providing preliminary evidence of its safety in TLIF. Conclusion TXA appears to effectively reduce intraoperative blood loss in TLIF, based on the available RCT evidence. However, further research is needed to provide a comprehensive assessment of TXA’s overall impact on various outcomes in this context. This meta-analysis underscores the importance of ongoing investigation to establish the full potential and safety profile of TXA in TLIF procedures.

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The Effect of Tranexamic Acid on Operative and Postoperative Blood Loss in Transforaminal Lumbar Interbody Fusions

et al. 2022

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Risk Factors for Increased Surgical Drain Output After Transforaminal Lumbar Interbody Fusion

Cited by 4 publications

References 27 publications

Bibliometric analysis of transforaminal lumbar interbody fusion: research status, trends, and future directions

Bibliometric analysis of transforaminal lumbar interbody fusion: research status, trends, and future directions

The efficacy and safety of tranexamic acid in transforaminal lumbar interbody fusion: a systematic review and meta-analysis

The Effect of Tranexamic Acid on Operative and Postoperative Blood Loss in Transforaminal Lumbar Interbody Fusions

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