In spinal fusion surgery, total blood loss (TBL) is composed of visible blood loss from the surgical field and wound drainage, and hidden blood loss (HBL). Until now, no published studies exist reporting the effect of topical use of tranexamic acid (tTXA) on HBL in patients undergoing posterior lumbar spinal fusion surgery. This study aimed to explore the effect of tTXA on HBL during primary po...

in this study to determine whether spine stiffness is predictive of clinical results after lumbar spinal fusion for spinal stenosis, a total of 78 patients were measured intraoperatively with kocher clamp manual distraction technique to determine motion segment stiffness then spinal fusion was performed for any loose segment. ‎statistical analysis revealed that stiffness measurement correlate w...

Three cases of postoperative lumbar spinal canal stenosis due to anterior spinal fusion were reported. In these cases stenosis occurred at the adjacent intervertebral disc level of the fused segment a considerable time after anterior spinal fusion performed for spondvlolisthesis. At the stenotic level of the lumbar spinal canal, hypertrophy of the lamina, body spur formation in the articular pr...

conclusions as an oral premedication, clonidine can reduce surgical blood loss in lumbar spine posterior fusion surgery, even at the same levels of mean arterial pressure (map) with the control group. its use can be studied in more complicated spine surgeries, such as scoliosis and spinal deformity surgeries. results there was no statistically significant difference between groups in age (p = 0...

Spinal fusion surgery techniques develop together with technologic advancements. New complications are seen as the result of new techniques and these may be very severe due to spinal cord and vascular structures in the lumbar region. The posterior lumbar interbody fusion cage (PLIFC) was shown to enhance spinal fusion and to prevent pseudoarthrosis due to its basic dynamic characteristics. PLIF...

STUDY DESIGN A retrospective study. OBJECTIVE The purpose of this study was to identify the rates and reasons, and the risk factors for unplanned reoperation of lumbar spinal surgery during the primary admission in terms of a multicenter and a large patient population study. SUMMARY OF BACKGROUND DATA Unplanned reoperation is suggested to be a useful quality indicator for spinal surgery. Ho...

Paraspinal muscles are commonly affected during spine surgery. The purpose of this study was to assess the potential factors that contribute to paraspinal muscle atrophy (PMA) after lumbar spine surgery. A comprehensive review of the available English literature, including relevant abstracts and references of articles selected for review, was conducted to identify studies that reported PMA afte...

As the population ages, more elderly patients suffer from spinal stenosis requiring lumbar fusion. However, there are few and conflicting results regarding the clinical outcome of lumbar fusion. The purpose of this study is to evaluate the safety and efficiency of posterior lumbar interbody fusion (PLIF) in over 75-year-old patients and analyze the relative effectiveness of lumbar spinal fusion...

BACKGROUND Lumbar spine fusion rates can vary according to the surgical technique. Although many studies on spinal fusion have been conducted and reported, the heterogeneity of the study designs and data handling make it difficult to identify which approach yields the highest fusion rate. This paper reviews studies that compared the lumbosacral fusion rates achieved with different surgical tech...