Risk factors ID'd for massive blood loss in scoliosis surgery

March 8, 2013
Risk factors ID'd for massive blood loss in scoliosis surgery
For patients undergoing scoliosis surgery, the risk of massive blood loss is increased with preoperative Cobb angles bigger than 50 degrees and for those undergoing osteotomy or fusion of more than six levels, according to a study published in the Feb. 15 issue of Spine.

(HealthDay)—For patients undergoing scoliosis surgery, the risk of massive blood loss is increased with preoperative Cobb angles bigger than 50 degrees and for those undergoing osteotomy or fusion of more than six levels, according to a study published in the Feb. 15 issue of Spine.

Xuerong Yu, M.D., from Peking Union Medical College Hospital in Beijing, and colleagues retrospectively analyzed data from patients undergoing surgery, from June 1, 2011 to Oct. 31, 2011, based on their classification as having lost more than 30 percent of estimated blood volume (group A; 95 patients) and those who lost 30 percent or less of their (group B; 64 patients). Total blood loss was defined as the sum of intraoperative and postoperative estimated blood loss.

The researchers found that 59.7 percent of the patients had massive blood loss. There were significant differences between the groups with patients in group A shorter, with larger preoperative Cobb angles, more levels fused, and more osteotomies than patients in group B. Independent for massive blood loss included preoperative Cobb angle of more than 50 degrees (odds ratio [OR], 2.47), more than six levels fused (OR, 3.70), and osteotomy (OR, 4.64).

"In conclusion, patients with preoperative Cobb angle larger than 50 degrees or patients planning to undergo osteotomy or fusion of more than six levels have an increased risk of massive blood loss," write the authors. "This may contribute to an improved use of blood conservation strategy."

Explore further: Predictors of length of hospital stay after spine surgery ID'd

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Predictors of length of hospital stay after spine surgery ID'd

May 17, 2012
(HealthDay) -- A variety of pre-, intra-, and postoperative factors contribute to increased length of stay (LOS) for patients who undergo level 1 minimally invasive (MIS) transforaminal interbody fusions (TLIF) spine surgery, ...

Study supports costoplasty for rib hump deformity correction

October 10, 2012
(HealthDay)—In the treatment of adolescent idiopathic scoliosis, the addition of costoplasty to pedicle screws and vertebral derotation may significantly improve correction of the rib hump deformity compared with pedicle ...

InteguSeal does not reduce scoliosis surgery infections

July 26, 2012
(HealthDay) -- Preoperative cyanoacrylate sealant (InteguSeal) application does not reduce the risk of surgical site infection for patients undergoing scoliosis surgery, according to a study published online July 18 in Spine.

Classification rule IDs four risk groups in scoliosis progression

July 9, 2012
(HealthDay) -- The risk of curvature progression in patients with adolescent idiopathic scoliosis (AIS) can be based on initial angle of curvature, age, menarcheal status, and height, according to a study published online ...

Omega-3 supplements don't increase surgical blood loss

December 16, 2012
(HealthDay)—Omega-3 fatty acid (n-3FA) supplements do not correlate with higher perioperative blood loss during spinal fusion procedures, according to a study published in the December issue of the European Spine Journal.

Post-op mortality up for elderly with pre-heart op anxiety

January 11, 2013
(HealthDay)—Few elderly patients about to undergo cardiac surgery experience high levels of anxiety, but for those who do, there is a five-fold higher risk of postoperative major morbidity or mortality, according to research ...

Recommended for you

Smoking raises risk of aneurysm recurrence after endovascular treatment

August 17, 2017
In a new study, researchers report people who have experienced an aneurysm have another reason to quit smoking.

Study adds to evidence that most prescribed opioid pills go unused

August 2, 2017
In a review of half a dozen published studies in which patients self-reported use of opioids prescribed to them after surgery, researchers at Johns Hopkins report that a substantial majority of patients used only some or ...

Engineers harness the power of 3-D printing to help train surgeons, shorten surgery times

August 2, 2017
A team of engineers and pediatric orthopedic surgeons are using 3D printing to help train surgeons and shorten surgeries for the most common hip disorder found in children ages 9 to 16. In a recent study, researchers showed ...

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.