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Research ArticleArticle
Open Access

Preoperative embolization versus local hemostatic agents in surgery of hypervascular spinal tumors

Dmitry Ptashnikov, Nikita Zaborovskii, Dmitry Mikhaylov and Sergei Masevnin
International Journal of Spine Surgery January 2014, 8 33; DOI: https://doi.org/10.14444/1033
Dmitry Ptashnikov
Vreden Russian Research Institute of Traumatology and Orthopedics Spinal Surgery and Oncology
MD, PhD
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Nikita Zaborovskii
Vreden Russian Research Institute of Traumatology and Orthopedics Spinal Surgery and Oncology
MD
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Dmitry Mikhaylov
Vreden Russian Research Institute of Traumatology and Orthopedics Spinal Surgery and Oncology
MD
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Sergei Masevnin
Vreden Russian Research Institute of Traumatology and Orthopedics Spinal Surgery and Oncology
MD
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Article Figures & Data

Tables

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    Table 1

    Patients’ demographic data.

    Group 1Group 2
    Subgroup 1PDSubgroup 1TSSubgroup 2PDSubgroup 2TS
    Total30272825
    Age53.8±16.554.6±11.255.8±9.657.9±15.6
    SexMale, 24; Female, 6Male, 11; Female, 16Male, 20; Female, 8Male, 14; Female, 11
    Histology type
    Aggressive hemangioma04 (3.6%)03 (2.7%)
    Renal cell carcinoma22 (20%)13 (11.8%)16 (14.6%)5 (4.5%)
    Multiple mieloma8 (7.3%)4 (3.6%)12 (10,9%)8 (7.3%)
    Plasmacytoma06 (5.5%)09 (8.2%)
    Location
    Thoracic spine15221819
    Lumbar spine155106
    Procedure
    MethodAngiography + embolizationGelatin-thrombin matrix
    OperationLaminectomySpondylectomyLaminectomySpondylectomy
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    Table 2

    Results.

    Subgroup 1PDSubgroup 2PDp-valueSubgroup 1TSSubgroup 2TSp-value
    Blood loss (ml)1175±3301557±6720.1393012±7803262±8640.042*
    Drainage loss (ml)968±411464±1270.008*1223±511983±3310.045*
    Operative time (min)176±33184±260.203340±73334±460.205
    Hemoglobin level
    Preoperative (g/dL)13.65±0.8413.32±0.940.34213.6±1.4213.56±0.960.081
    1 day postoperative (g/dL)10.78±1.410.04±1.930.26510.83±1.7211.96±1.210.092
    1 week postoperative (g/dL)12.01±1.2112.04±1.040.93411.23±1.2912.1±0.540.07
    • ↵* Significant difference between groups

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    Table 3

    Complications and hospital stay.

    Subgroup 1PDSubgroup 2PDp-valueSubgroup 1TSSubgroup 2TSp-value
    Hematoma (reoperative cases)1231
    Infection (reoperative cases)1121
    Neurological deficit (cases)1010
    Hospital stay (days)32.6±1027.2±7.20.012*39.4±20.536.5±5.70.049*
    • ↵* Significant difference between groups

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International Journal of Spine Surgery
Vol. 8
1 Jan 2014
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Preoperative embolization versus local hemostatic agents in surgery of hypervascular spinal tumors
Dmitry Ptashnikov, Nikita Zaborovskii, Dmitry Mikhaylov, Sergei Masevnin
International Journal of Spine Surgery Jan 2014, 8 33; DOI: 10.14444/1033

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Preoperative embolization versus local hemostatic agents in surgery of hypervascular spinal tumors
Dmitry Ptashnikov, Nikita Zaborovskii, Dmitry Mikhaylov, Sergei Masevnin
International Journal of Spine Surgery Jan 2014, 8 33; DOI: 10.14444/1033
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Keywords

  • tumors
  • blood loss
  • embolization
  • local hemostatic agents
  • decompression

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