Serum magnesium, copper, and zinc alterations following spinal fusion |
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Authors: | H Tatari H ??lekel E Altekin S Göçen C Özcan A Ergör |
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Institution: | Department of Orthopaedics and Traumatology, Medical Faculty of Dokuz Eylil University, Inciralti, Izmir, Turkey. |
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Abstract: | Changes in serum magnesium, copper and zinc values were evaluated in spinal fusion patients at four monitorings. For magnesium
and copper individually, a significant difference was found between the mean values at each monitoring (p<0.05), whereas the changes of zinc values between four monitorings were insignificant. There was no statistical difference
between the changes of each trace element values and gender, age, operative time, intraoperative blood loss, blood replacement,
number of the vertebral levels fused, and antibiotic type used.
As a result, magnesium can be suggested to be more important than the other two elements in the postoperative period. Alterations
of serum magnesium, copper, and zinc values do not have any correlation with the fusion of the spinal column, either with
the width of the fused area or operative time and blood loss. This study cannot confirm the exact reason for this entity and
the etiology remains speculative. There is no need for magnesium, copper, or zinc supplementation during the surgical period
for the patients. It will be worthy to evaluate the patients who were sent to the intensive care unit after spinal surgery
and compare their results with the other intensive care patients. |
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Keywords: | Spinal fusion trace elements magnesium copper zinc |
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