Minimal Access Surgery Reduces Blood Loss vs Open Surgery for Metastatic Spinal Cord Compression
Minimal Access vs. Open Spine Surgery in Patients With Metastatic Spinal Cord Compression - A One-Center Randomized Controlled Trial
Anticancer Res. 2020 Oct;40(10):5673-5678.Fifty patients with metastatic spinal cord compression were randomized to receive a minimal access decompression surgery or an open decompression surgery. The primary outcome of interest was blood loss. Additional outcomes of interest included operative time, incidence of complications, hemoglobin levels, and survival in days. Whilst peri-operative blood loss was statistically significantly lower in the minimal access group (p=0.002), operative time was statistically significantly longer in the minimal access group compared to the open surgery group (p=0.001). No statistically significant differences were observed between the two groups in the remaining outcomes (p>0.1 for all).
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