Spinal fusion surgery blood loss: a narrative review abstract

Authors

DOI:

https://doi.org/10.33448/rsd-v11i16.37881

Keywords:

Arthrodesis; Surgical blood loss; Spine.

Abstract

Spinal fusion surgeries are commonly associated to great blood losses that, besides being able to directly harm the procedure, can be associated to a higher risk of serious complications due to the blood transfusion needed afterwards. Therefore, the present study aims to review the literature towards blood loss in different techniques of spinal fusion. For this, nine studies were selected, being two of them about cervical spine fusion, two of them about thoracic spine fusion and five of them about lumbar spine fusion, to compare and analyze twelve different techniques. The spinal fusion in thoracic and lumbar interbody arthrodesis were the ones that shown greatest blood loss.

References

Aoude, A. et al. (2016). Incidence, Predictors, and Postoperative Complications of Blood Transfusion in Thoracic and Lumbar Fusion Surgery: An Analysis of 13,695 Patients from the American College of Surgeons National Surgical Quality Improvement Program Database. Global Spine Journal, 6(8), 756–764. https://doi.org/10.1055/s-0036-1580736

Barros, A. J. S., & Lehfeld, N. A. S. (2000) Fundamentos de metodologia científica: um guia para a iniciação científica.Makron Editora.

Bydon, A. et al (2014). Adjacent segment disease after anterior cervical discectomy and fusion: Incidence and clinical outcomes of patients requiring anterior versus posterior repeat cervical fusion. Surgical Neurology International, 5(4), 74-81. https://doi.org/10.4103/2152-7806.130676

Campbell, P. G. et al. (2018). Short-term outcomes of lateral lumbar interbody fusion without decompression for the treatment of symptomatic degenerative spondylolisthesis at L4–5. Neurosurgical Focus, 44(1), E6. https://doi.org/10.3171/2017.10.focus17566

Cao, J. et al. (2020). Comparison between repeat anterior and posterior decompression and fusion in the treatment of two-level symptomatic adjacent segment disease after anterior cervical arthrodesis. Journal of Orthopaedic Surgery and Research, 15(1), 6-11. https://doi.org/10.1186/s13018-020-01834-z

Dunn, R. N., & Ben Husien, M. (2018). Spinal tuberculosis: review of current management. The Bone & Joint Journal, 100-B(4), 425–431. https://doi.org/10.1302/0301-620X.100B4.BJJ-2017-1040.R1

Fujimori, T. et al. (2014). Does Transforaminal Lumbar Interbody Fusion Have Advantages over Posterolateral Lumbar Fusion for Degenerative Spondylolisthesis? Global Spine Journal, 5(2), 102–109. https://doi.org/10.1055/s-0034-1396432

Gao, Y. et al. (2017). Comparison between titanium mesh and autogenous iliac bone graft to restore vertebral height through posterior approach for the treatment of thoracic and lumbar spinal tuberculosis. Plos One, 12(4), e0175567. https://doi.org/10.1371/journal.pone.0175567

Goldstein, C. L. et al. (2016). Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: meta-analysis and systematic review. Journal of Neurosurgery: Spine, 24(3), 416–427. https://doi.org/10.3171/2015.2.spine14973

Goodnough, L. H. et al. (2019). Decreased estimated blood loss in lateral trans-psoas versus anterior approach to lumbar interbody fusion for degenerative spondylolisthesis. Journal of Spine Surgery, 5(2), 185–193. https://doi.org/10.21037/jss.2019.05.08

Huang, Y.-H., & Ou, C.-Y. (2015). Significant Blood Loss in Lumbar Fusion Surgery for Degenerative Spine. World Neurosurgery, 84(3), 780–785. https://doi.org/10.1016/j.wneu.2015.05.007

Hui, S. et al. (2021). Tranexamic acid given into wound reduces postoperative drainage, blood loss, and hospital stay in spinal surgeries: a meta-analysis. Journal of Orthopaedic Surgery and Research, 16(1), 4-9. https://doi.org/10.1186/s13018-021-02548-6

Hung, S.-F. et al. (2021). Comparison of outcomes between indirect decompression of oblique lumbar interbody fusion and MIS-TLIF in one single-level lumbar spondylosis. Scientific Reports, 11(1), 19-26. https://doi.org/10.1038/s41598-021-92330-9

Kim, H. B. et al. (2021). Equal Ratio Ventilation Reduces Blood Loss During Posterior Lumbar Interbody Fusion Surgery. Spine, Publish Ahead of Print. 7, 14-18. https://doi.org/10.1097/brs.0000000000003957

Li, W. et al. (2019). Comparison of anterior transthoracic debridement and fusion with posterior transpedicular debridement and fusion in the treatment of mid-thoracic spinal tuberculosis in adults. BMC Musculoskeletal Disorders, 20(1),19-24. https://doi.org/10.1186/s12891-019-2945-x

Lu, D. et al. (2017). The efficacy and safety of using a bipolar sealer to prevent blood loss in spine surgery: A meta-analysis. International Journal of Surgery, 46, 37–46. https://doi.org/10.1016/j.ijsu.2017.08.007

Liu, P. et al (2015). A retrospective controlled study of three different operative approaches for the treatment of thoracic and lumbar spinal tuberculosis: Three years of follow-up. Clinical Neurology and Neurosurgery, 128, 25–34. https://doi.org/10.1016/j.clineuro.2014.10.019

Rahmani, R. et al (2021). Tranexamic acid dosing strategies and blood loss reduction in multilevel spine surgery: A systematic review and network meta-analysis. North American Spine Society Journal (NASSJ), 8, 100086-100092. https://doi.org/10.1016/j.xnsj.2021.100086

Ristagno, G. et al. (2018). Incidence and cost of perioperative red blood cell transfusion for elective spine fusion in a high-volume center for spine surgery. BMC Anesthesiology, 18(1), 17-21. https://doi.org/10.1186/s12871-018-0591-8

Ristagno, G. et al. (2018). Red Blood Cell Transfusion Need for Elective Primary Posterior Lumbar Fusion in A High-Volume Center for Spine Surgery. Journal of Clinical Medicine, 7(2), 19-25. https://doi.org/10.3390/jcm7020019

Wang, L., et al. (2017). Comparison of Three Surgical Approaches for Thoracic Spinal Tuberculosis in Adult. Spine, 42(11), 808–817. https://doi.org/10.1097/brs.0000000000001955

Zeng, Y. et al. (2019). Comparison of three surgical approaches for thoracolumbar junction (T12-L1) tuberculosis: a multicentre, retrospective study. BMC Musculoskeletal Disorders, 20(1), 10-16. https://doi.org/10.1186/s12891-019-2891-7

Downloads

Published

29/11/2022

How to Cite

ROCHA, F. A. .; SILVA, E. L. D. da .; SOUZA, F. M. de .; SILVEIRA JUNIOR, P. F. A. da .; VIEIRA JÚNIOR, R. F. .; GEHHLEN, S. H. J. .; STECCA, T. M. . Spinal fusion surgery blood loss: a narrative review abstract . Research, Society and Development, [S. l.], v. 11, n. 16, p. e44111637881, 2022. DOI: 10.33448/rsd-v11i16.37881. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/37881. Acesso em: 20 apr. 2024.

Issue

Section

Health Sciences