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RISS 인기검색어
- 검색키워드
- 저자 : Eslamian Mohammad (검색결과 2 건)
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Khadivi Masoud,Moghadam Navid,Saghebdoust Sajjad,Khan Furqan Mohammed Yaseen,Eslamian Mohammad,Jouibari Morteza Faghih,Shafizadeh Milad,Moosavi Mersad,Zarei Mohammad,Kordi Ramin,Rostami Mohsen 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.2
Study Design: Retrospective cohort study.Purpose: This study aimed to investigate the cervical collar impact on the functional outcomes of patients after posterior cervical laminectomy and lateral mass screw fixation (PCLF) surgery.Overview of Literature: The safety and possible benefits of implementing rigid cervical collars subsequent to PCLF are insufficiently investigated.Methods: Patients who underwent PCLF and received postoperative cervical collars from 2018 to 2020 were included in this retrospective cohort study. Their data were compared with an age- and sex-matched group of subjects who did not receive collars after PCLF during the same period. Pain intensity (using the Visual Analog Scale), Neck Disability Index, and quality of life (using 36-item Short Form Health Survey) of the patients were compared at baseline, 1, 3, 6, and 12 months postoperatively.Results: A total of 36 patients who received cervical collars after surgery and 40 controls were included. At baseline and 1-month follow-up, there were no differences in pain intensity, functional status, and quality of life between the groups. However, at 3 months postoperatively, the quality of life of the subjects with no orthosis was higher than those who received cervical collars (p =0.01). At 6- and 12-month follow-up, there were no differences between the groups in pain intensity, functional status, and quality of life.Conclusions: No difference in the pain intensity and functional status of patients who used cervical collars and controls was shown in our study. Patients who did not wear cervical collars had a higher quality of life during the 3-month postoperative evaluation. Future prospective, well-controlled studies with longer follow-ups are needed to further investigate the effects of cervical orthosis on the clinical outcome of patients after PCLF.
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Baqiyatallah University of Medical Sciences, Tehran, Iran,Ahmadpour Fathollah,Khoshmohabbat Hadi,Khadivi Masoud,Rasouli Hamid Reza,Eslamian Mohammad 대한척추외과학회 2022 Asian Spine Journal Vol.16 No.6
Study Design: Randomized, double-blind, controlled trial study.Purpose: This study aimed to evaluate the safety and efficacy of topical tranexamic acid (TXA) on intraoperative blood loss (IBL) in patients that have degenerative lumbar canal stenosis and undergo posterior lumbar laminectomy and discectomy.Overview of Literature: The volume of IBL is directly proportional to potential surgical complications. Recent reports have shown that the topical use of antifibrinolytic drugs, such as TXA, during surgery might decrease IBL and improve patient outcomes.Methods: A total of 104 patients with lumbar canal stenosis were enrolled in this randomized, double blinded clinical trial. Participants were randomized and divided into two groups: TXA (54 cases) and control (50 cases). In the TXA group, a TXA solution was used for washing and soaking, whereas, in the control group, irrigation of wound was with normal saline. IBL, pre- and postoperative coagulative studies, operation time, conventional hemostatic agent usage, systemic complications, and length of hospitalization were consecutively recorded. All participants were followed for an additional two months to gather data on their recovery status and time to return to work (RTW).Results: At baseline, there was no difference in clinical or lab findings, between the groups. IBL and use of hemostatic agents were significantly decreased in TXA group, as compared to the control group (<i>p</i>=0.001 and <i>p</i>=0.011, respectively). Systemic complications, length of hospitalization, and RTW were not significantly different between groups (<i>p</i>=0.47, <i>p</i>=0.38, and <i>p</i>=0.08, respectively).Conclusions: This study showed that topical use of TXA during surgery may decrease IBL and minimize the use of hemostatic materials during posterior midline-approach laminectomy and discectomy, without increasing the potential for complications seen with intravenous TXA usage.
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