Comparison of the total and hidden blood loss in patients undergoing single-level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion: a retrospective case control study
Abstract Purpose This study aimed to compare total blood loss (TBL) and hidden blood loss (HBL) in patients undergoing single-level open transforaminal lumbar interbody fusion (O-TLIF) and unilateral biportal endoscopic transforaminal lumbar interbody fusion (ULIF). Methods A total of 53 patients wh...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-023-06393-y |
| _version_ | 1797846189572358144 |
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| author | Yu-Jian Peng Zhi-Ying Fan Qian-Liang Wang Jun Dai Qian-Zhong-Yi Zhang Jun-Yin Cao Xiao-Feng Liu Jun Yan |
| author_facet | Yu-Jian Peng Zhi-Ying Fan Qian-Liang Wang Jun Dai Qian-Zhong-Yi Zhang Jun-Yin Cao Xiao-Feng Liu Jun Yan |
| author_sort | Yu-Jian Peng |
| collection | DOAJ |
| description | Abstract Purpose This study aimed to compare total blood loss (TBL) and hidden blood loss (HBL) in patients undergoing single-level open transforaminal lumbar interbody fusion (O-TLIF) and unilateral biportal endoscopic transforaminal lumbar interbody fusion (ULIF). Methods A total of 53 patients who underwent ULIF and 53 patients who underwent O-TLIF from March 2020 to July 2022 were retrospectively reviewed. The Nadler’s formula was employed to estimate the patient’s blood volume (PBV), Gross’s formula to estimate TBL, and Sehat’s formula to estimate HBL. The obtained data were then analyzed with independent t test, chi-squared test, and analysis of covariance. Results TBL and measured blood loss (MBL) in ULIF group (326.86 ± 223.45 ml, 99.00 ± 72.81 ml) was significantly lower than O-TLIF group (427.97 ± 280.52 ml, 270.66 ± 102.34 ml). Nevertheless, the HBL in ULIF group was higher than that in O-TLIF group (227.86 ± 221.75 ml vs 157.31 ± 268.08 ml), however this was not statistically significant (p = 0.143). The HBL was 69.71 ± 23.72% of TBL in ULIF group and 36.76 ± 18.79% of TBL in O-TLIF group. Patients in ULIF group had lower TBL and MBL, shorter duration of drainage, lower postoperative anemia, and shorter postoperative hospital stay compared to those in O-TLIF group. Conclusions Perioperative HBL should not be neglected in patients undergoing ULIF or O-TILF, as it accounts for a large percentage of TBL in both groups. ULIF is associated with lower TBL and MBL, postoperative anemia, shorter postoperative hospital stays compared with O-TLIF. |
| first_indexed | 2024-04-09T17:50:55Z |
| format | Article |
| id | doaj.art-e7808f97036f4961bd8e76d43c82e3d8 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-09T17:50:55Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-e7808f97036f4961bd8e76d43c82e3d82023-04-16T11:04:41ZengBMCBMC Musculoskeletal Disorders1471-24742023-04-012411910.1186/s12891-023-06393-yComparison of the total and hidden blood loss in patients undergoing single-level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion: a retrospective case control studyYu-Jian Peng0Zhi-Ying Fan1Qian-Liang Wang2Jun Dai3Qian-Zhong-Yi Zhang4Jun-Yin Cao5Xiao-Feng Liu6Jun Yan7Department of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityAbstract Purpose This study aimed to compare total blood loss (TBL) and hidden blood loss (HBL) in patients undergoing single-level open transforaminal lumbar interbody fusion (O-TLIF) and unilateral biportal endoscopic transforaminal lumbar interbody fusion (ULIF). Methods A total of 53 patients who underwent ULIF and 53 patients who underwent O-TLIF from March 2020 to July 2022 were retrospectively reviewed. The Nadler’s formula was employed to estimate the patient’s blood volume (PBV), Gross’s formula to estimate TBL, and Sehat’s formula to estimate HBL. The obtained data were then analyzed with independent t test, chi-squared test, and analysis of covariance. Results TBL and measured blood loss (MBL) in ULIF group (326.86 ± 223.45 ml, 99.00 ± 72.81 ml) was significantly lower than O-TLIF group (427.97 ± 280.52 ml, 270.66 ± 102.34 ml). Nevertheless, the HBL in ULIF group was higher than that in O-TLIF group (227.86 ± 221.75 ml vs 157.31 ± 268.08 ml), however this was not statistically significant (p = 0.143). The HBL was 69.71 ± 23.72% of TBL in ULIF group and 36.76 ± 18.79% of TBL in O-TLIF group. Patients in ULIF group had lower TBL and MBL, shorter duration of drainage, lower postoperative anemia, and shorter postoperative hospital stay compared to those in O-TLIF group. Conclusions Perioperative HBL should not be neglected in patients undergoing ULIF or O-TILF, as it accounts for a large percentage of TBL in both groups. ULIF is associated with lower TBL and MBL, postoperative anemia, shorter postoperative hospital stays compared with O-TLIF.https://doi.org/10.1186/s12891-023-06393-yHidden blood lossTotal blood lossUnilateral biportal endoscopyTransforaminal lumbar interbody fusionDegenerative lumbar disease |
| spellingShingle | Yu-Jian Peng Zhi-Ying Fan Qian-Liang Wang Jun Dai Qian-Zhong-Yi Zhang Jun-Yin Cao Xiao-Feng Liu Jun Yan Comparison of the total and hidden blood loss in patients undergoing single-level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion: a retrospective case control study BMC Musculoskeletal Disorders Hidden blood loss Total blood loss Unilateral biportal endoscopy Transforaminal lumbar interbody fusion Degenerative lumbar disease |
| title | Comparison of the total and hidden blood loss in patients undergoing single-level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion: a retrospective case control study |
| title_full | Comparison of the total and hidden blood loss in patients undergoing single-level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion: a retrospective case control study |
| title_fullStr | Comparison of the total and hidden blood loss in patients undergoing single-level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion: a retrospective case control study |
| title_full_unstemmed | Comparison of the total and hidden blood loss in patients undergoing single-level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion: a retrospective case control study |
| title_short | Comparison of the total and hidden blood loss in patients undergoing single-level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion: a retrospective case control study |
| title_sort | comparison of the total and hidden blood loss in patients undergoing single level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion a retrospective case control study |
| topic | Hidden blood loss Total blood loss Unilateral biportal endoscopy Transforaminal lumbar interbody fusion Degenerative lumbar disease |
| url | https://doi.org/10.1186/s12891-023-06393-y |
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