Evaluating the Efficacy of Water-Soluble Bone Wax (Tableau Wax) in Reducing Blood Loss in Spinal Fusion Surgery: A Randomized, Controlled, Pilot Studyopen access
- Authors
- Kim, Jung Guel; Ham, Dae-Woong; Zheng, Haolin; Kwon, Ohsang; Kim, Ho-Joong
- Issue Date
- Sep-2023
- Publisher
- Multidisciplinary Digital Publishing Institute (MDPI)
- Keywords
- hemostasis; lumbar interbody fusion; spine surgery; water-soluble bone wax
- Citation
- Medicina (Lithuania), v.59, no.9
- Journal Title
- Medicina (Lithuania)
- Volume
- 59
- Number
- 9
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70892
- DOI
- 10.3390/medicina59091545
- ISSN
- 1010-660X
1648-9144
- Abstract
- Background and Objectives: Lumbar decompression with fusion surgery is an effective treatment for spinal stenosis, but critical postoperative hematoma is a concern. Bone wax has been widely used to control bone bleeding but it has some drawbacks. This study aimed to evaluate the efficacy of Tableau wax, a bioabsorbable hemostatic material, in patients undergoing spinal fusion surgery through a pilot study design. Materials and Methods: A total of 31 patients were enrolled in this single-surgeon, single-institution study. The participants underwent transforaminal lumbar interbody fusion surgery and were randomly assigned to the control group (Bone wax) or test group (Tableau wax). Demographic data, pre- and post-operative hemoglobin levels, blood loss volume, surgical time, Oswestry Disability Index, and EQ-5D scores were recorded. Results: The study showed no significant difference in preoperative and postoperative hemoglobin levels, Oswestry Disability Index, and EQ-5D scores between the groups. However, the Tableau wax group had a significantly lower reduction in hemoglobin levels (1.3 ± 1.0 g/dL) and blood loss (438.2 mL) compared to the Bone wax group (2.2 ± 0.9 g/dL and 663.1 mL, respectively; p = 0.018 and p = 0.022). © 2023 by the authors.
- Files in This Item
-
- Appears in
Collections - ETC > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70892)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.