Revisiting Hemostasis Strategy: The Impact of Excessive Monopolar Electrocautery on Periosteal-Driven Spinal Fusion.

Key Points

• To assess the negative effects of monopolar electrocautery on the regenerative capacity of periosteum in spinal fusion.
• Examination of the effects of monopolar electrocautery on periosteal tissue during spinal fusion surgeries.
• Comparison with alternative hemostasis methods like bipolar electrocautery.
• Review of existing literature on surgical hemostasis and bone healing.
• Excessive monopolar electrocautery potentially damages periosteal contributions to bone regeneration.
• Need for additional studies to evaluate the use of bipolar electrocautery on preserving periosteal tissue.