Routine post-op labs don't often affect cervical discectomy care

Routine post-op labs don't often affect cervical discectomy care
In most cases, no action is taken on the basis of patient's routine postoperative laboratory data after anterior cervical discectomy and fusion, according to a study published in the Sept. 15 issue of Spine.
(HealthDay)—In most cases, no action is taken on the basis of patient's routine postoperative laboratory data after anterior cervical discectomy and fusion (ACDF), according to a study published in the Sept. 15 issue of Spine.

Blaine T. Manning, from Rush Medical College in Chicago, and colleagues characterized the utility of obtaining routine laboratory studies after ACDF. Data were collected for 332 patients (mean age, 51.1 ± 11.7 years) who underwent ACDF for degenerative cervical spine disease.

The researchers found that at one year, 98.1 percent of patients demonstrated radiographical arthrodesis. The postoperative hemoglobin, hematocrit, blood urea nitrogen, sodium, and calcium levels decreased significantly after a one- or two-level ACDF, while there were increases in glucose and chloride levels compared with preoperative levels (P < 0.05). Reduced postoperative potassium levels were seen in association with one-level ACDF (P < 0.05). No patients required intraoperative or postoperative blood product transfusion and there was no evidence of postoperative anemia. Based on laboratory values alone, without clinical symptomatology, two patients required postoperative potassium replacement. No complications were seen in association with patient's hemodynamic status or fluid and electrolyte balance.

"These findings suggest that routine postoperative complete blood counts do not change postoperative management after an ACDF unless intraoperative bleeding is noted or the patient carries risk factors for postoperative hemorrhagic anemia," the authors write.

Relevant financial activities outside the submitted work were disclosed: consultancy, board membership, travel expenses, royalties.


Explore further

Hypertension linked to post-cervical fusion readmission

More information: Full Text (subscription or payment may be required)
Journal information: Spine

Copyright © 2014 HealthDay. All rights reserved.

Citation: Routine post-op labs don't often affect cervical discectomy care (2014, September 26) retrieved 25 June 2019 from https://medicalxpress.com/news/2014-09-routine-post-op-labs-dont-affect.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more