Smaller body size increases the percentage of blood volume lost during posterior spinal arthrodesis

The Journal of Bone and Joint Surgery. American Volume
Amit JainHarms Study Group

Abstract

Our goal was to analyze the relationship between patient size and the proportion of blood volume lost during spinal arthrodesis in patients with a diagnosis of adolescent idiopathic scoliosis, Scheuermann kyphosis, or cerebral palsy. We hypothesized that smaller patients (those with less blood volume) lose a greater proportion of circulating total blood volume during surgery. We reviewed a large, multicenter database, identifying patients with adolescent idiopathic scoliosis (1832), Scheuermann kyphosis (106), or cerebral palsy (196) who had undergone posterior spinal arthrodesis for spinal deformity. Blood volume (estimated from body weight) was used as a measure of patient size. Our primary outcome was the proportion of total circulating blood volume lost (intraoperative blood loss/blood volume, expressed as a percentage). On multivariate analysis, there was a negative relationship between intraoperative blood loss/blood volume and blood volume in patients with adolescent idiopathic scoliosis (coefficient, -5.8; p < 0.001), Scheuermann kyphosis (coefficient, -2.5; p < 0.001), or cerebral palsy (coefficient, -20.3; p < 0.001), indicating that, despite adjustment for all other factors, smaller patients lost a greater proportion...Continue Reading

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Citations

May 15, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Norman RamirezIvan Iriarte
Nov 22, 2016·The Journal of Bone and Joint Surgery. American Volume·Patrick BoschJonathan H Waters
Nov 4, 2016·The Journal of Bone and Joint Surgery. American Volume·Amit JainUNKNOWN Harms Study Group
Sep 28, 2018·Journal of Pediatric Orthopedics·Oussama AbousamraUNKNOWN Harms Study Group
Jun 12, 2018·Spine Deformity·Bridget OlleschGaia Georgopoulos
Jun 24, 2016·Journal of Pediatric Orthopedics. Part B·Benjamin T BjerkeMatthew E Cunningham
Oct 21, 2017·Spine Deformity·Sean WahlquistScott Nelson
Nov 1, 2017·Spine Deformity·Sean WahlquistScott Nelson

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