Blood Conservation Techniques in Spinal Deformity Surgery

• DOI: 10.1097/brs.0b013e31818047f2
• Publication Date: 2010-01-27T06:01:24Z
• Authors: Samuel Abraham Jo...; Ketevan Berekashvili; Marjorie M. Mariller; Michael Rivlin; Krishn Sharma; Andrew Casden; Fabian Bitan; Paul Kuflik; Michael Neuwirth
• Keywords: Medical record

In Brief Study Design. A retrospective review. Objective. To review the effectiveness of blood conservation techniques in spinal fusion patients that refuse transfusion; specifically Jehovah's witnesses population. Summary Background. Spinal surgery can be challenging refusing transfusion. There is paucity literature examining surgery. Methods. The radiographic and medical records 19 who underwent deformity at a single institution between 2000 2003 were reviewed. Patients assessed for excessive loss (EBL), correction, operative time, perioperative complications, hospital stay. At latest follow-up (mean, 40 months; range, 8–76) examined fusion, progression complications. Results. was attempted patients, with mean age 17 years (range, 10–36 years). All identified through "Bloodless Surgery Program." Hypotensive anesthesia, hemodilution, cell saver employed all cases. Erythropoietin supplemental iron used 15 patients. Aprotinin 3 EBL returned by averaged 855 341 mL, respectively. Operative times average 315 minutes. drop hemoglobin from after 3.1 g/dL. 2 intraoperative complications: (i) transient somatosensory evoked potential/motor potential signals; (ii) one abandoned due to EBL. correction 58%. postoperative none related their refusal available clinic least 24 months. displayed without progression. Conclusion. These allow satisfactory completion onthose not willing transfused major anesthetic or population, retrospectively studied. With an 58%; these on those transfused.