Masanari Takami, Munehito Yoshida, Akihito Minamide, Hiroshi Hashizume, Yasutsugu Yukawa, Yukihiro Nakagawa, Hiroshi Iwasaki, Shunji Tsutsui, Keiji Nagata, Ryo Taiji, Hideto Nishi, Andrew J Schoenfeld, Andrew K Simpson, Hiroshi Yamada
BACKGROUND CONTEXT: Microendoscopic spinal surgery has demonstrated efficacy and is increasingly utilized as a minimally invasive approach to neural decompression, but there is a theoretical concern that bleeding and postoperative epidural hematoma (PEH) may occur with increased frequency in a contained small surgical field. Hemostatic agents, such as topical gelatin-thrombin matrix sealant (TGTMS), are routinely used in spine surgery procedures, yet there has been no data on whether PEH is suppressed by these agents when administered in microendoscopic spine surgery...
March 2021: Spine Journal: Official Journal of the North American Spine Society