Similar Short-Term Outcomes of Adolescent Idiopathic Scoliosis Surgery with or without Drainage: A Systematic Review of the Literature and Meta-Analysis

被引：0

作者：

Ruffilli, Alberto ^{[1
,2
]}

Traversari, Matteo ^{[1
]}

Viroli, Giovanni ^{[1
,2
]}

Manzetti, Marco ^{[1
,2
]}

Ialuna, Marco ^{[1
]}

Morandi Guaitoli, Manuele ^{[1
]}

Mazzotti, Antonio ^{[1
,2
]}

Artioli, Elena ^{[1
,2
]}

Zielli, Simone Ottavio ^{[1
]}

Arceri, Alberto ^{[1
]}

Faldini, Cesare ^{[1
,2
]}

机构：

[1] Univ Bologna, IRCCS Ist Ortoped Rizzoli, Orthopaed & Traumatol Clin 1, I-40136 Bologna, Italy

[2] Univ Bologna, Dept Biomed & Neuromotor Sci, I-40123 Bologna, Italy

来源：

JOURNAL OF PERSONALIZED MEDICINE | 2024年 / 14卷 / 04期

关键词：

adolescent idiopathic scoliosis; scoliosis surgery; drainage; drain; transfusion; CLOSED-SUCTION DRAINAGE; TOTAL HIP-ARTHROPLASTY; SPINAL-FUSION; WOUND DRAIN;

D O I：

10.3390/jpm14040339

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The use of closed suction drains post posterior spinal fusion for adolescent idiopathic scoliosis (AIS) is common practice, although evidence on its impact is limited compared to that for knee and hip arthroplasty. This study aimed to assess the effect of closed suction drainage on short-term post-operative outcomes in AIS surgery. A systematic review following PRISMA guidelines was conducted, including studies comparing outcomes with and without drainage. Data on blood loss, transfusions, hospital stay, and complications were collected and subjected to meta-analysis. Five studies involving 772 patients were analyzed. The meta-analysis found no significant difference in blood transfusion rates (p = 0.107) or hospital stay (p = 0.457) between groups. Complications, including surgical site infections, were more common without drainage, though not statistically significant (p = 0.356). Reintervention rates were higher in the no-drainage group, but not significantly (p = 0.260). Overall, this review found no significant short-term outcome differences, suggesting clinical judgment should guide drainage decisions. Further research, particularly with enhanced recovery protocols, is warranted to clarify drainage's role in AIS surgery.

引用

页数：18

共 23 条

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