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Research ArticleArticle
Open Access

Effectiveness of Postoperative Wound Drains in One- and Two-Level Cervical Spine Fusions

Caroline E. Poorman, Peter G. Passias, Kristina M. Bianco, Anthony Boniello, Sun Yang and Michael C. Gerling
International Journal of Spine Surgery January 2014, 8 34; DOI: https://doi.org/10.14444/1034
Caroline E. Poorman
Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Medical Center Hospital for Joint Diseases, NYU School of Medicine, New York, New York
BA
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Peter G. Passias
Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Medical Center Hospital for Joint Diseases, NYU School of Medicine, New York, New York
MD
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Kristina M. Bianco
Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Medical Center Hospital for Joint Diseases, NYU School of Medicine, New York, New York
BA
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Anthony Boniello
Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Medical Center Hospital for Joint Diseases, NYU School of Medicine, New York, New York
BS
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Sun Yang
Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Medical Center Hospital for Joint Diseases, NYU School of Medicine, New York, New York
BS
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Michael C. Gerling
Division of Spinal Surgery, Department of Orthopaedic Surgery, NYU Medical Center Hospital for Joint Diseases, NYU School of Medicine, New York, New York
MD
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    Fig. 1

    Intraoperative fluoroscopy performed after a C4-C5 anterior decompression and fusion on a 44 year old female presenting with herniated nucleus pulposus and radiculopathy. Patient received a postoperative JP drain. Minimal peri-incisional edema and sinus bradycardia noted on postoperative day 0 (POD0). On POD1 patient was noted to be complaining of chest pain, hoarseness and difficulty swallowing.

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    Table 1

    Demographic variables, ASA grade, and number of levels fused for each study group.

    DemographicsDrain (n = 39)No Drain (n = 42)p-value
    Age46.4± 9.545.1 ± 10.50.56
    Sex (% Female)53.8%42.8%0.32
    Height (cm)169.4 ± 10.8169.0± 10.60.89
    Weight (kg)79.4 ± 19.580.0 ± 17.20.90
    BMI27.5 ± 4.827.5 ± 4.40.95
    ASA grade0.36
    15.1%14.2%
    279.5%69.0%
    315.4%16.8%
    Number of Levels Fused:0.23
    One Level46.2%59.5%
    Two Levels53.8%40.5%
    • View popup
    Table 2

    OT, length of recovery in the PACU, LOS, and EBL for each study group.

    OutcomesDrain (n = 39)No Drain (n = 42)p-value
    Operative time (min)100.1± 36.469.3 ± 19.6<0.001
    Length of recovery (min)246.4± 129.1237.0 ± 98.40.72
    Length of stay (hrs)38.9 ± 16.431.7 ± 10.50.021
    Estimated Blood Loss (mL)62.7 ± 63.729.1 ± 15.8<0.001
    • View popup
    Table 3

    Overall complications were defined as having any wound complication, respiratory complication, dysphagia, or other complications.

    ComplicationsDrain (n = 39)No drain (n = 42)p-value
    Overall Complications41.0%45.2%0.70
    Wound Complications7.7%7.1%0.93
    Wound healing5.1%0.0%0.14
    Infection0.0%2.4%0.33
    Wound evacuation0.0%0.0%-
    Hematoma0.0%0.0%-
    Edema2.6%4.8%0.6
    Respiratory complications17.9%16.7%0.88
    Reintubation5.1%0.0%0.14
    Delayed extubation0.0%0.0%-
    Respiratory treatment17.9%16.7%0.88
    Dysphagia15.4%9.5%0.42
    Other complications30.8%26.2%0.65
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Effectiveness of Postoperative Wound Drains in One- and Two-Level Cervical Spine Fusions
Caroline E. Poorman, Peter G. Passias, Kristina M. Bianco, Anthony Boniello, Sun Yang, Michael C. Gerling
International Journal of Spine Surgery Jan 2014, 8 34; DOI: 10.14444/1034

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Effectiveness of Postoperative Wound Drains in One- and Two-Level Cervical Spine Fusions
Caroline E. Poorman, Peter G. Passias, Kristina M. Bianco, Anthony Boniello, Sun Yang, Michael C. Gerling
International Journal of Spine Surgery Jan 2014, 8 34; DOI: 10.14444/1034
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