Spine Surg Relat Res, 2024 · DOI: 10.22603/ssrr.2023-0118 · Published: May 10, 2024
This study investigates whether elderly patients with cervical spine injuries and ankylosis (stiffening of the spine) experience more blood loss during surgery compared to those without ankylosis. The researchers analyzed data from multiple hospitals in Japan, looking at the amount of blood lost during surgery in patients with and without ankylosis. The findings suggest that ankylosis may contribute to increased blood loss during these surgeries, particularly when surgical time is not taken into account as a factor.
Surgeons should assess the risk of increased blood loss in elderly patients with cervical spine injury and ankylosis before surgery.
Surgical techniques and hemostatic measures should be carefully planned to minimize blood loss in patients with ankylosis.
Adequate transfusion preparation is necessary to manage potential massive bleeding during surgery in ankylosing cases.