Evidence map›Paper›PMID 39659377›Full record

ArticleSpine surgery and related research2024

Is Intraoperative Blood Loss Volume in Elderly Cervical Spine Injury Surgery Greater in Patients with Ankylosis? A Multicenter Survey.

Masashi Uehara, Shota Ikegami, Takashi Takizawa, Hiroki Oba, Noriaki Yokogawa, Takeshi Sasagawa, Hiroaki Nakashima, Naoki Segi, Sadayuki Ito, Toru Funayama and 52 more

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62 authors.

Masashi UeharaDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Shota IkegamiDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Takashi TakizawaDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Hiroki ObaDepartment of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Noriaki YokogawaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Takeshi SasagawaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Hiroaki NakashimaDepartment of Orthopedic Surgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
Naoki SegiDepartment of Orthopedic Surgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
Sadayuki ItoDepartment of Orthopedic Surgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
Toru FunayamaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Fumihiko EtoDepartment of Orthopaedic Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.
Akihiro YamajiDepartment of Orthopaedic Surgery, Ibaraki Seinan Medical Center Hospital, Ibaraki, Japan.
Kota WatanabeDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Satoshi NoriDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Kazuki TakedaDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Takeo FuruyaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Atsushi YundeDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hideaki NakajimaDepartment of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences University of Fukui, Fukui, Japan.
Tomohiro YamadaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Tomohiko HasegawaDepartment of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Yoshinori TerashimaDepartment of Orthopaedic Surgery, Sapporo Medical University, Sapporo, Japan.
Ryosuke HirotaDepartment of Orthopaedic Surgery, Sapporo Medical University, Sapporo, Japan.
Hidenori SuzukiDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Yasuaki ImajoDepartment of Orthopaedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Hitoshi TonomuraDepartment of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Munehiro SakataDepartment of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ko HashimotoDepartment of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Yoshito OnodaDepartment of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Kenichi KawaguchiDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Yohei HarutaDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Nobuyuki SuzukiDepartment of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan.
Kenji KatoDepartment of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan.
Hiroshi UeiDepartment of Orthopaedic Surgery, Nihon University Hospital, Tokyo, Japan.
Hirokatsu SawadaDepartment of Orthopaedic Surgery, Nihon University School of Medicine, Tokyo, Japan.
Kazuo NakanishiDepartment of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical School, Kurashiki, Japan.
Kosuke MisakiDepartment of Orthopedics, Traumatology and Spine Surgery, Kawasaki Medical School, Kurashiki, Japan.
Hidetomi TeraiDepartment of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Koji TamaiDepartment of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Akiyoshi KurodaDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
Gen InoueDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
Kenichiro KakutaniDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Yuji KakiuchiDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Katsuhito KiyasuDepartment of Orthopaedic Surgery, Kochi Medical School, Kochi University, Nankoku, Japan.
Hiroyuki TominagaDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Hiroto TokumotoDepartment of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Yoichi IizukaDepartment of Orthopaedic Surgery, Gunma University, Graduate School of Medicine, Maebashi, Japan.
Eiji TakasawaDepartment of Orthopaedic Surgery, Gunma University, Graduate School of Medicine, Maebashi, Japan.
Koji AkedaDepartment of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Norihiko TakegamiDepartment of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Haruki FunaoDepartment of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Chiba, Japan.
Yasushi OshimaDepartment of Orthopaedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Takashi KaitoDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Daisuke SakaiDepartment of Orthopedics Surgery, Surgical Science, Tokai University School of Medicine, Kanagawa, Japan.
Toshitaka YoshiiDepartment of Orthopaedic Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Tetsuro OhbaDepartment of Orthopaedic Surgery, University of Yamanashi, Yamanashi, Japan.
Bungo OtsukiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Shoji SekiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan.
Masashi MiyazakiDepartment of Orthopaedic Surgery, Faculty of Medicine, Oita University, Oita, Japan.
Masayuki IshiharaDepartment of Orthopaedic Surgery, Kansai Medical University Hospital, Osaka, Japan.
Seiji OkadaDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Shiro ImagamaDepartment of Orthopedic Surgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan.
Satoshi KatoDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Preoperative estimations of blood loss are important when planning surgery for cervical spine injuries in older adults. The association between ankylosis and blood loss in perioperative management is of particular interest. This multicenter database review aimed to evaluate the impact of ankylosis on surgical blood loss volume in elderly patients with cervical spine injury. Methods: The case histories of 1512 patients with cervical spine injury at among 33 institutions were reviewed. After the exclusion of patients without surgery or whose blood loss or ankylosis status was unclear, 793 participants were available for analysis. Differences in blood loss volume were compared between the Ankylosis (+) group with ankylosis at the cervical level and the Ankylosis (-) group without by the inverse probability of treatment weighting (IPTW) method using a propensity score. Results: Of the 779 patients (mean age: 75.0±6.3 years) eligible for IPTW calculation, 257 (32.4%) had ankylosis at the cervical level. The mean blood loss volume was higher in Ankylosis (+) patients than in Ankylosis (-) patients (P<0.001). This difference did not reach statistical significance when weighted by background factors, with mean blood loss of 244 mL and 188 mL, respectively, after adjustment. Conclusions: This study revealed that ankylosis was significantly associated with increased blood loss volume when unadjusted by surgical time. Elderly patients with cervical spine injury accompanied by ankylosis appear predisposed to higher bleeding and severe hemorrhage, both as a result of the condition and their particular demographic characteristics.

Indexed as

blood loss volumecervical spine injurydiffuse idiopathic skeletal hyperostosiselderly patientsossification of the ligamentum flavumossification of the posterior longitudinal ligament

Identifiers

PMID39659377
PMCPMC11625719

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