Risk factors of hidden blood loss in percutaneous vertebral augmentation.
10.12200/j.issn.1003-0034.2022.08.006
- Author:
Zhi-Hua WU
1
;
Ling MO
1
;
Huan-Tong CHENG
1
;
De LIANG
1
;
Jian-Chao CUI
1
;
Jing-Jing TANG
1
;
Hui REN
1
;
Zhen-Song YAO
1
;
Xiao-Bing JIANG
1
Author Information
1. Department of Spinal Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China.
- Publication Type:Journal Article
- Keywords:
Hidden blood loss;
Osteoporosis;
Percutaneous vertebral augmentation;
Relative factors analysis;
Spinal fractures
- MeSH:
Bone Cements/adverse effects*;
Fractures, Compression/etiology*;
Humans;
Kyphoplasty/methods*;
Osteoporosis/complications*;
Osteoporotic Fractures/surgery*;
Retrospective Studies;
Risk Factors;
Spinal Fractures/etiology*;
Treatment Outcome;
Vertebroplasty/adverse effects*
- From:
China Journal of Orthopaedics and Traumatology
2022;35(8):732-735
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the risk factors of hidden blood loss in osteoporosis vertebral compression fractures during percutaneous vertebral augmentation.
METHODS:From October 2018 to December 2019, 360 patients with osteoporosis vertebral compression fractures who received percutaneous vertebral augmentation were enrolled in this study. The factors analyzed included gender, age, surgical methods, disease course, height, weight, the operative segment, bone mineral density, amount of bone cement, operative time, percentage of height loss, percentage of vertebral height restoration, cement leakage, blood clotting function, preoperative and postoperative hemoglobin and hematocrit and other internal diseases. Total blood loss was calculated by Gross's formula, influential factors of the hidden blood loss were further analyzed by t-test, multivariate linear regression and one-way ANOVA analysis.
RESULTS:Surgical methods, the operative segment, disease course, cement leakage, preoperative hemoglobin, cement leakage via the basivertebral and segmental vein were significantly correlated with hidden blood loss(P<0.05).
CONCLUSION:Patients with percutaneous kyphoplasty, two-level and multi-level surgery, the course of the disease beyond 6 weeks, cement leakage via the basivertebral and segmental vein, and lower preoperative hemoglobin had more perioperative hidden blood loss.
