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Hidden Blood Loss and Its Risk Factors for Oblique Lumbar Interbody Fusion – Lumbar Fusion

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The article evaluates hidden blood loss (HBL) in patients who underwent oblique lumbar interbody fusion (OLIF) surgery for degenerative lumbar spine disease and analyzes its risk factors. The study reviewed the medical records of 179 patients who underwent OLIF surgery and estimated the HBL using the Gross formula. The results showed that TBL, estimated blood loss, and pedicle screw fixation type were identified as independent risk factors for HBL. The study concluded that OLIF is associated with substantial perioperative HBL, with percutaneous pedicle screw fixation resulting in greater HBL compared to stand-alone OLIF or OLIF with open pedicle screw fixation

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

(1) Background: The amount of blood loss during oblique lumber interbody fusion (OLIF) surgery is often underestimated and may contribute to adverse postoperative outcomes. This study aims to evaluate hidden blood loss (HBL) in patients who underwent OLIF for degenerative lumbar spine disease and to analyze its risk factors. (2) Methods: The medical records of 179 patients who underwent OLIF surgery from 2015 to 2022 were reviewed. The HBL and total blood loss (TBL) were estimated using the…

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J Clin Med. 2024 Mar 2;13(5):1454. doi: 10.3390/jcm13051454. ABSTRACT (1) Background: The amount of blood loss during oblique lumber interbody fusion (OLIF) surgery is often underestimated and may contribute to adverse postoperative outcomes. This study aims to evaluate hidden blood loss (HBL) in patients who underwent OLIF for degenerative lumbar spine disease and to analyze,

J Clin Med. 2024 Mar 2;13(5):1454. doi: 10.3390/jcm13051454.

ABSTRACT

(1) Background: The amount of blood loss during oblique lumber interbody fusion (OLIF) surgery is often underestimated and may contribute to adverse postoperative outcomes. This study aims to evaluate hidden blood loss (HBL) in patients who underwent OLIF for degenerative lumbar spine disease and to analyze its risk factors. (2) Methods: The medical records of 179 patients who underwent OLIF surgery from 2015 to 2022 were reviewed. The HBL and total blood loss (TBL) were estimated using the Gross formula. Pearson correlation, Spearman correlation, and multivariate linear regression analyses were used to investigate risk factors for HBL. (3) Results: The mean HBL was 675.2 mL, and the mean hemoglobin loss was 1.7 g/dL during OLIF surgery. In the multivariate linear regression analysis, TBL (p < 0.001), estimated blood loss (p < 0.001), and pedicle screw fixation type (p = 0.039) were identified as independent risk factors of HBL. (4) s: The OLIF is associated with substantial perioperative HBL, for which we identified risk factors of TBL, EBL, and pedicle screw fixation type. Notably, OLIF with percutaneous pedicle screw fixation resulted in greater HBL than stand-alone OLIF or OLIF with open pedicle screw fixation.

PMID:38592273 | DOI:10.3390/jcm13051454

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Hidden Blood Loss and Its Risk Factors for Oblique Lumbar Interbody Fusion

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J Clin Med. 2024 Mar 2;13(5):1454. doi: 10.3390/jcm13051454. ABSTRACT (1) Background: The amount of blood loss during oblique lumber interbody fusion (OLIF) surgery is often underestimated and may contribute to adverse postoperative outcomes. This study aims to evaluate hidden blood loss (HBL) in patients who underwent OLIF for degenerative lumbar spine disease and to analyze

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