Comparative Study of the Usage of Closed Suction and Nonsuction Drains in Cervical Laminoplasty

Autor: Bungo Otsuki, Shunsuke Fujibayashi, Takayoshi Shimizu, Koichi Murata, Shuichi Matsuda
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Spine Surgery and Related Research, Vol 6, Iss 6, Pp 617-624 (2022)
Druh dokumentu: article
ISSN: 2432-261X
DOI: 10.22603/ssrr.2022-0052
Popis: Introduction: Although previous studies reported the clinical significance of drains in lumbar surgery, their role in and effects on the clinical outcomes of cervical spine surgery remain unclear. The present study compared the clinical outcomes of cervical laminoplasty (CLP) using a closed suction drain (CSD) and closed nonsuction drain (CNSD). Methods: Prospectively recorded surgical data on consecutive patients who underwent CLP at a single institution between 2014 and 2020 and were followed up for at least 1 year were examined. CSD was used prior to January 2018, and CNSD has since been employed. One hundred patients who underwent surgery before and after the change in drain type (the CSD and CNSD groups, respectively) were selected for analysis. Primary outcome measures were the drainage amount, blood count, and fluid collection at the surgical site defined by magnetic resonance images. The Japanese Orthopaedic Association (JOA) score for the cervical spine was also evaluated as a functional outcome. Results: No significant differences were observed in demographic, baseline clinical, or surgical data between the CSD and CNSD groups. The drainage amount was significantly greater in the CSD group than in the CNSD group (224 vs. 143 mL, P
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