Stabilization with Pedicle Screw and Posterior Lumbar Interbody Fusion for Lumbar Spondylolisthesis

Shoda, Motoi; Yoshida, Koichiro; Yamamoto, Yasuhiro

doi:10.2531/spinalsurg.29.5

Cited by 2 publications

(1 citation statement)

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“…Hara et al [214] performed fixation in the event of posterior opening more than 5 degrees on flexion, and antero-posterior slipping more than 10% on dynamic radiography, or in the event of lateral slipping of more than 10%. Complications that can occur in the event of such fixation include bone fracture affecting the pedicle or bony end plate during instrument placement, dural injury, nerve injury, blood vessel damage, infection, and the adjacent level disorder [213,215].…”

Section: Major Points In the History Of Spinal Surgery For Spinal Cormentioning

confidence: 99%

History of Spinal Surgery in Japan – From the Pioneering Period to the Progressive Era (1911–2017) –

Abe

2019

Neurospine

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Section: Major Points In the History Of Spinal Surgery For Spinal Cormentioning

confidence: 99%

History of Spinal Surgery in Japan – From the Pioneering Period to the Progressive Era (1911–2017) –

Abe

2019

Neurospine

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Continuous Epidural Fluid Drainage Following Posterior Lumbar Interbody Fusion

Yoshida

Yamamoto²,

Kuwahara

et al. 2021

Spinal Surgery

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Objective：Postoperative epidural drainage is commonly encountered during spinal instrumentation surgery. However, the significance of postoperative drainage remains unclear. Herein, we attempted to clarify the significance of postoperative drainage based on drainage fluid content and volume.Materials and Methods：We study including 107 posterior lumbar interbody fusion cases which was conducted from March 2014 to December 2018. Postoperative drainage volumes were measured every 6 h for each patient. Blood analysis of the drainage fluid was performed for 67 patients. Blood cell counts(red blood cells, white blood cells, platelets, and segments of white blood cells) , total protein, albumin levels, and albumin-to-globulin ratios were determined in each drainage bag. Bags 1, 2, and 3 represent drainage volumes collected＜12, 12-36, and＞36 h, respectively. One patient had a subcutaneous effusion, and the aspirate was analyzed like the drainage fluid.Results：The drainage volume increased rapidly(40 ml/h)within the first 12 h after surgery, gradually decreased by 15 ml/h between 12 and 36 h, and further decreased by 8 ml/h after 36 h. Blood analysis revealed a significant decrease in all blood cell lineages. Total protein and albumin levels decreased after Bag 3 collection. In the patient with a subcutaneous effusion, the aspirate showed a higher white blood cell count, platelet count, total protein level, and albumin level than the postoperative drainage. Conclusion：Based on drainage fluid and volume analyses, the drainage volume gradually decreased with time and the drainage fluid contents converted blood cells into interstitial fluid after 12 h.

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Stabilization with Pedicle Screw and Posterior Lumbar Interbody Fusion for Lumbar Spondylolisthesis

Abstract: Key words posterior lumbar interbody fusion, pedicle screw, lumbar spondylolisthesis, hybrid cage 446 8510 2 2 7 Address reprint requests to Motoi Shoda, M.D.,

Cited by 2 publications

References 1 publication

History of Spinal Surgery in Japan – From the Pioneering Period to the Progressive Era (1911–2017) –

History of Spinal Surgery in Japan – From the Pioneering Period to the Progressive Era (1911–2017) –

Continuous Epidural Fluid Drainage Following Posterior Lumbar Interbody Fusion

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