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Vitamin B12 Screening in Cervical Spine Surgery Patients

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Author(s): Abdullah Tolaymat | Moataz Abbara | M. Sami Walid | Mohammed Ajjan | Joe Sam Robinson Jr

Journal: Neuroscience & Medicine
ISSN 2158-2912

Volume: 02;
Issue: 02;
Start page: 149;
Date: 2011;
Original page

Keywords: Vitamin B12; cobalamin | Cervical Spine Surgery

ABSTRACT
Introduction Vitamin B12 is very vital for the nervous system. Its deficiency can manifest with neurological symptoms like pain and paresthesias and in severe cases may cause not completely restorable neurological damage, especially in elderly patients. Methods The charts of 702 patients who underwent cervical spine surgery retrospectively reviewed and data collected . All patients were preoperatively seen by an internist who ordered Vit B12 levels for some of them. We used two thresholds for the diagnosis of vitamin B12 deficiency, 200 and 300 pg/mL as recommended by Yao et al. 1992. Data were also collected on gender, payor status, myelopathy, hemoglobin level, corpuscular parameters and glycosylated hemoglobin level (HbA1c). Vitamin B12 levels were compared between patients with HbA1c levels ≥ 6.1% and

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