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Background: Wound-related complications have become an inevitable problem for spinal surgeons. Negative pressure drainage is the main method to prevent postoperative hematoma and related complications, which is still controversial. This prospective, randomized, controlled study was designed to evaluate the efficacy of compression therapy in the treatment of complications after posterior decompression and internal fixation of the lumbar spine, with emphasis on pain, anemia and inflammation. Methods: Sixty consecutive patients with an average age of 59 years (43–78 years) who were selected for posterior lumbar decompression and internal fixation were randomly assigned into two groups with an equal number of patients. The groups comprised patients on closed suction drain with compression therapy after surgery or those with closed suction drain alone. The drainage volume, visual analogue scale pain score for back pain, white blood cell and red blood cell counts, hemoglobin levels, erythrocyte sedimentation rate, and C-reactive protein levels on the 1st, 3rd, and 10th days after the operation were compared between the two groups. Results: The average follow-up was 6 months and ranged from 3 to 11 months. Drainage volume, the visual analogue scale score, and C-reactive protein levels on the 10th day after the operation were significantly lower in the treatment group than in the control group. The red blood cell count and hemoglobin levels on the 3rd and 10th days after the operation were significantly higher in the treatment group than in the control group (all P<0.05). At the time of discharge, wounds in the two groups showed grade A healing, and there were no signs of late infection in the groups. Conclusions: For postoperative posterior lumbar decompression and internal fixation, compression therapy relieves pain, alleviates anemia and the inflammatory response.
Keywords
Lumbar spine surgery, Compression therapy, Pain, Anemia
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CURRENT STATUS: Published
View the published article at BMC Surgery.
No community comments so far
Submission checks complete
On 07 Nov, 2019
Editorial decision: Accept
On 19 Sep, 2019
No comments provided
Editorial decision: Minor revision
On 16 Sep, 2019
Editor assigned
On 09 Sep, 2019
Submission checks complete
On 08 Sep, 2019
Editor invited
On 08 Sep, 2019
Version 1
Posted 17 Jul, 2019
No comments provided
Editorial decision: Major revision
On 12 Aug, 2019
Review #2 received
Received 11 Aug, 2019
Reviewer #2 agreed
On 28 Jul, 2019
Review #1 received
Received 22 Jul, 2019
Reviewer #1 agreed
On 19 Jul, 2019
Reviewers invited
Invitations sent on 16 Jul, 2019
Editor assigned
On 15 Jul, 2019
Submission checks complete
On 10 Jul, 2019
Editor invited
On 10 Jul, 2019
First submitted
On 07 Jul, 2019
Metrics
Comments: 0
PDF Downloads: ...
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Surgery.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Surgery.
No community comments so far
Submission checks complete
On 07 Nov, 2019
Editorial decision: Accept
On 19 Sep, 2019
No comments provided
Editorial decision: Minor revision
On 16 Sep, 2019
Editor assigned
On 09 Sep, 2019
Submission checks complete
On 08 Sep, 2019
Editor invited
On 08 Sep, 2019
Version 1
Posted 17 Jul, 2019
No comments provided
Editorial decision: Major revision
On 12 Aug, 2019
Review #2 received
Received 11 Aug, 2019
Reviewer #2 agreed
On 28 Jul, 2019
Review #1 received
Received 22 Jul, 2019
Reviewer #1 agreed
On 19 Jul, 2019
Reviewers invited
Invitations sent on 16 Jul, 2019
Editor assigned
On 15 Jul, 2019
Submission checks complete
On 10 Jul, 2019
Editor invited
On 10 Jul, 2019
First submitted
On 07 Jul, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Surgery.
Background: Wound-related complications have become an inevitable problem for spinal surgeons. Negative pressure drainage is the main method to prevent postoperative hematoma and related complications, which is still controversial. This prospective, randomized, controlled study was designed to evaluate the efficacy of compression therapy in the treatment of complications after posterior decompression and internal fixation of the lumbar spine, with emphasis on pain, anemia and inflammation. Methods: Sixty consecutive patients with an average age of 59 years (43–78 years) who were selected for posterior lumbar decompression and internal fixation were randomly assigned into two groups with an equal number of patients. The groups comprised patients on closed suction drain with compression therapy after surgery or those with closed suction drain alone. The drainage volume, visual analogue scale pain score for back pain, white blood cell and red blood cell counts, hemoglobin levels, erythrocyte sedimentation rate, and C-reactive protein levels on the 1st, 3rd, and 10th days after the operation were compared between the two groups. Results: The average follow-up was 6 months and ranged from 3 to 11 months. Drainage volume, the visual analogue scale score, and C-reactive protein levels on the 10th day after the operation were significantly lower in the treatment group than in the control group. The red blood cell count and hemoglobin levels on the 3rd and 10th days after the operation were significantly higher in the treatment group than in the control group (all P<0.05). At the time of discharge, wounds in the two groups showed grade A healing, and there were no signs of late infection in the groups. Conclusions: For postoperative posterior lumbar decompression and internal fixation, compression therapy relieves pain, alleviates anemia and the inflammatory response.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8
This is a list of supplementary files associated with this preprint. Click to download.
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