Article

This study investigates efficacy and safety of routine cell salvage system use in
adolescent idiopathic scoliosis patients undergoing primary posterior spinal
fusion surgery with segmental spinal instrumentation.
Forty-five consecutive
adolescent idiopathic scoliosis patients undergoing posterior spinal fusion by
two surgeons at a single hospital were studied. Intraoperative cell salvage
system was used in 23 patients, and the control group was 22 patients who
underwent surgery without cell salvage system. The cell salvage system was the
Haemonetics Cell Saver 5. The primary outcome measures were intraoperative and
perioperative allogeneic transfusion rate, difference between preoperative and
discharge Hg and Hct levels. Average patient age was 14.65 +/- 1.49 in cell saver
group and 13.86 +/- 2.0 in control group. In cell saver group, average
intraoperative autotransfusion was 382.1 +/- 175 ml. Average perioperative
allogeneic blood transfusion need was 1.04 +/- 0.7 unit in cell saver group and
2.5 +/- 1.14 unit in control group. No transfusion reactions occurred in either
group. Average hemoglobin level in cell saver group was 10.7 +/- 0.86 and average
hemoglobin level in control group was 10.7 +/- 0.82 on discharge. Cell saver
reduces perioperative transfusion rate in patients undergoing posterior spinal
fusion for adolescent idiopathic scoliosis.

Langue : ANGLAIS