Hidden blood loss of minimally invasive hybrid lumbar interbody fusion: an analysis of influencing factors

• Published in: BMC musculoskeletal disorders 2022-12, Vol.23 (1), p.1099-1099, Article 1099
• Main Authors: Dai, Zhong, Feng, Da Peng, Wu, Kang Long, Zhu, Jie Yang, Li, Zheng Wei
• Format: Article
• Language: English
• Subjects: Age; Aged; Back surgery; Blood; Blood transfusions; Body mass index; Care and treatment; Cartilage; Complications and side effects; Degenerative diseases; Diabetes; Diabetes mellitus; Diagnosis; Female; Hernia; Hidden blood loss; Hospitals; Humans; Hypertension; Intervertebral disk; Intervertebral disk displacement; Laboratories; Lumbar interbody fusion; Lumbar Vertebrae - diagnostic imaging; Lumbar Vertebrae - surgery; Lumbosacral Region - surgery; Male; Middle Aged; Minimally invasive surgery; Minimally Invasive Surgical Procedures - adverse effects; Patient outcomes; Patients; Physical therapy; Postoperative Hemorrhage - etiology; Regression analysis; Retrospective Studies; Risk factors; Spinal fusion; Spinal Fusion - adverse effects; Therapeutics, Physiological; Transplants & implants; Treatment Outcome; Variables; Vertebrae; X-rays
• ISSN: 1471-2474; 1471-2474
• DOI: 10.1186/s12891-022-06079-x

Lumbar interbody fusion(LIF) is the leading way to treat Lumbar Degenerative Diseases(LDD). At present, there is a lack of research on the influencing factors of hidden blood loss in minimally invasive hybrid lumbar interbody fusion. This study comprehensively explores the definite factors affecting the hidden blood loss in minimally invasive hybrid lumbar interbody fusion. One hundred patients with Lumbar degenerative diseases who underwent minimally invasive hybrid lumbar interbody fusion in our center were included. Demographics, laboratory data, surgical data, and radiographic data were collected. The Gross equation and Sehat equation were used to calculate the estimated value of hidden blood loss. Multi-factor linear regression analysis was used to determine the influencing factors of hidden blood loss. We reviewed and collected 100 patients who underwent minimally invasive hybrid approach, mean age 65 ± 10 years, male: female 37:63; 17 patients of diabetes and 83 patients of non-diabetes; Total blood loss was 645.59 ± 376.37 ml, hidden blood loss was 421.39 ± 337.45 ml, the hidden blood loss percentage was 57 ± 26%. Results from the multi-factorial linear regression model: Diabetes (p