Is Routine Use of Drain Really Necessary for Posterior Lumbar Interbody Fusion Surgery? A Retrospective Case Series with a Historical Control Group
DC Field | Value | Language |
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dc.contributor.author | Jang, Hae-Dong | - |
dc.contributor.author | San Park, Seong | - |
dc.contributor.author | Kim, Kyungbum | - |
dc.contributor.author | Kim, Eung-Ha | - |
dc.contributor.author | Lee, Jae Chul | - |
dc.contributor.author | Choi, Sung-Woo | - |
dc.contributor.author | Shin, Byung-Joon | - |
dc.date.accessioned | 2022-11-28T08:41:26Z | - |
dc.date.available | 2022-11-28T08:41:26Z | - |
dc.date.issued | 2022-03 | - |
dc.identifier.issn | 2192-5682 | - |
dc.identifier.issn | 2192-5690 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/21615 | - |
dc.description.abstract | Study Design: A retrospective case-control study. Objectives: The usefulness of a drain in spinal surgery has always been controversial. The purposes of this study were to determine the incidence of hematoma-related complications after posterior lumbar interbody fusion (PLIF) without a drain and to evaluate its usefulness. Methods: We included 347 consecutive patients with degenerative lumbar disease who underwent single- or double-level PLIF. The participants were divided into 2 groups by the use of a drain or not; drain group and no-drain group. Results: In 165 cases of PLIF without drain, there was neither a newly developed neurological deficit due to hematoma nor reoperation for hematoma evacuation. In the no-drain group, there were 5 (3.0%) patients who suffered from surgical site infection (SSI), all superficial, and 17 (10.3%) patients who complained of postoperative transient recurred leg pain, all treated conservatively. Days from surgery to ambulation and length of hospital stay (LOS) of the no-drain group were faster than those of the drain group (P < 0.001). In a multiple regression analysis, a drain insertion was found to have a significant effect on the delayed ambulation and increased LOS. No significant differences existed between the 2 groups in additional surgery for hematoma evacuation, or SSI. Conclusions: No hematoma-related neurological deficits or reoperations caused by epidural hematoma and SSI were observed in the no-drain group. The no-drain group did not show significantly more frequent postoperative complications than the drain use group, hence the routine insertion of a drain following PLIF should be reconsidered carefully. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Thieme Medical Publishers | - |
dc.title | Is Routine Use of Drain Really Necessary for Posterior Lumbar Interbody Fusion Surgery? A Retrospective Case Series with a Historical Control Group | - |
dc.type | Article | - |
dc.publisher.location | 영국 | - |
dc.identifier.doi | 10.1177/21925682211001801 | - |
dc.identifier.scopusid | 2-s2.0-85102742472 | - |
dc.identifier.wosid | 000680973300001 | - |
dc.identifier.bibliographicCitation | Global Spine Journal, v.-, no.-, pp - - - | - |
dc.citation.title | Global Spine Journal | - |
dc.citation.volume | - | - |
dc.citation.number | - | - |
dc.citation.startPage | - | - |
dc.citation.endPage | - | - |
dc.type.docType | Article; Early Access | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.subject.keywordPlus | SYMPTOMATIC EPIDURAL HEMATOMA | - |
dc.subject.keywordPlus | CLOSED-SUCTION DRAINAGE | - |
dc.subject.keywordPlus | SPINE SURGERY | - |
dc.subject.keywordPlus | DISC SURGERY | - |
dc.subject.keywordPlus | WOUND DRAINAGE | - |
dc.subject.keywordPlus | BLOOD-LOSS | - |
dc.subject.keywordPlus | TOTAL HIP | - |
dc.subject.keywordPlus | AMBULATION | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordPlus | STAY | - |
dc.subject.keywordAuthor | drain | - |
dc.subject.keywordAuthor | epidural hematoma | - |
dc.subject.keywordAuthor | surgical site infection | - |
dc.subject.keywordAuthor | reoperation | - |
dc.subject.keywordAuthor | complication | - |
dc.subject.keywordAuthor | posterior lumbar interbody fusion | - |
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