Spine
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Randomized Controlled Trial Comparative Study
The Effect of Thrombin-gelatin Matrix Compared With Absorbable Gelatin Sponge on Intraoperative Hemostasis in Unilateral Open-door Laminoplasty: A Randomized Controlled Trial.
Prospective, randomized, parallel-controlled trial. ⋯ The hemostatic efficacy of TGM-AGS is better than that of an AGS alone in IBL. TGM-AGS is also superior to an AGS alone in the evaluation of hemostatic efficiency and postoperative bleeding.
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Comparative Study
L5-S1 Transforaminal Lumbar Interbody Fusion (TLIF) Is Associated with Increased Revisions Compared to L4-L5 TLIF at Two Years.
Retrospective cohort study. ⋯ Level IV.
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Systematic review. ⋯ "DH," especially as measured by DHC, may be an important intraoperative consideration when selecting implant size during CDR. Maintaining DHC <2 mm may optimize PROMs and ROM. Improving technique and implant sizing may aid in translating ex vivo advantages in implant mobility to in vivo improvements in ROM and PROMs.
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Retrospective cohort study. ⋯ Level IV.
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Single-center retrospective cohort study. ⋯ IV fluid administration is an independent predictor for blood transfusion after long-segment fusion surgery. Limiting IV fluid administration may prevent iatrogenic hemodilution and decrease transfusion rates. These data can be used to create perioperative protocols with the goal of decreasing transfusion rates when not indicated and allowing earlier administration when indicated.