Revisiting hemostasis strategy: the impact of excessive monopolar electrocautery on periosteal-driven spinal fusion

Monopolar electrocautery can destroy key regenerative contributions of the periosteum in PSF, cautioning the excessive use of monopolar electrocautery in surgical practices. More research is needed to determine the impact of alternate means of achieving hemostasis such as bipolar on bone formation, as these may better preserve periosteal tissue.

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Publication Details

Journal
The Spine Journal
Published
2026-02-01
DOI
https://doi.org/10.1016/j.spinee.2026.01.019
Primary Topic
Thyroid and Parathyroid Surgery
Type
article
Field-Weighted Citation Impact
0.00
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article

Revisiting hemostasis strategy: the impact of excessive monopolar electrocautery on periosteal-driven spinal fusion

Jonathan G. Schoenecker, Craig R. Louer, Rachel M. McKee, Duby Okonkwo et al.
The Spine Journal
Thyroid and Parathyroid Surgery
article

Revisiting hemostasis strategy: the impact of excessive monopolar electrocautery on periosteal-driven spinal fusion

Jonathan G. Schoenecker, Craig R. Louer, Rachel M. McKee, Duby Okonkwo, Kurando Utagawa, J. Court Reese, Taku Oyaizu, Atsuyuki Kawabata, Stephanie N. Moore-Lotridge, Toshitaka Yoshii, Byron F Stephens
article en

Abstract

Monopolar electrocautery can destroy key regenerative contributions of the periosteum in PSF, cautioning the excessive use of monopolar electrocautery in surgical practices. More research is needed to determine the impact of alternate means of achieving hemostasis such as bipolar on bone formation, as these may better preserve periosteal tissue.

The Spine Journal
Vanderbilt University (US), The University of Tokyo (JP), Vanderbilt University Medical Center (US)
Openalex Percentile: Top 67%
Thyroid and Parathyroid Surgery
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