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Research ArticleArticles

Tranexamic Acid Reduced the Percent of Total Blood Volume Lost During Adolescent Idiopathic Scoliosis Surgery

Kristen E. Jones, Elissa K. Butler, Tara Barrack, Charles T. Ledonio, Mary L. Forte, Claudia S. Cohn and David W. Polly
International Journal of Spine Surgery January 2017, 11 (4) 27; DOI: https://doi.org/10.14444/4027
Kristen E. Jones
1Departments of Orthopaedic Surgery and Neurosurgery, University of Minnesota, Minneapolis, MN
MD
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Elissa K. Butler
2Department of Surgery, University of Washington, Seattle, WA
MD
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Tara Barrack
3Summit Orthopedics, Woodbury, MN
MS, PA-C
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Charles T. Ledonio
4Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN
MD
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Mary L. Forte
4Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN
PhD, DC
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Claudia S. Cohn
5Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN
MD
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David W. Polly Jr.
1Departments of Orthopaedic Surgery and Neurosurgery, University of Minnesota, Minneapolis, MN
MD
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    Table 1

    Nadler’s14 Equations to Estimate Total Blood Volume in Adults.

    SexEstimated total blood volume (L)
    Female=(0.3561 * Ht[m]3) + (0.03308 * Wt[kg]) + 0.1833
    Male=(0.3669 * Ht[m]3) + (0.03219 * Wt[kg]) + 0.6041
    • Ht: height in meters. Ht[m]3: (height in meters)3. Wt: weight in kilograms

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    Table 2

    Characteristics and Baseline Hematologic Status of Patients who Underwent Posterior Spine Fusion for Adolescent Idiopathic Scoliosis.

    PatientsTranexamic acid N=18 Mean (sd)No tranexamic acid N=18 Mean (sd)P value
    Females n (%)16 (88.9)15 (83.3)0.63
    Age (yrs.)16.1 (3.1)15.2 (3.4)0.44
    Body mass index (kg/m2)22.2 (5.2)20.2 (3.3)0.19
    Preoperative hemoglobin (g/ dL)13.9 (1.3)13.9 (1.1)1.00
    Estimated total blood volume (L)14 3.80 (0.89)3.38 (0.48)0.15
    • N: number, Yrs: years,kg/m2: kilograms per meter squared, g/dL: grams per deciliter, L: Liter.

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    Table 3

    Operative Factors and Blood-related Outcomes of Patients who Underwent Posterior Spine Fusion for Adolescent Idiopathic Scoliosis.

    Tranexamic acid n=18No tranexamic acid n=18
    VariableMean(sd)Median [range]Mean(sd)Median [range]Pvalue
    Number of levels fused10.5 (2.2)11.09.6(2.0)10.00.21
    Number of osteotomies1.6 (2.5)[0-8]0.9 (1.6)[0-5]0.34
    Duration of operation (hours)6.1(1.1)6.06.1(1.2)6.31.00
    Estimated blood loss (ml)474 (382)285583 (316)5000.12
    Est. blood loss/level fused (ml)44 (31)3361(33)460.06
    Percent total blood volume lost12.1(8.8)8.2317.3 (8.8)14.30 0.03
    Percent TBV lost/level fused1.1(0.7)1.01.8 (1.0)1.0tf3-10.05
    • TBV: total blood volume

    • ↵* p=0.048, Bold = p<0.05, Est.: estimated, ml: milliliters

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Tranexamic Acid Reduced the Percent of Total Blood Volume Lost During Adolescent Idiopathic Scoliosis Surgery
Kristen E. Jones, Elissa K. Butler, Tara Barrack, Charles T. Ledonio, Mary L. Forte, Claudia S. Cohn, David W. Polly
International Journal of Spine Surgery Jan 2017, 11 (4) 27; DOI: 10.14444/4027

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Tranexamic Acid Reduced the Percent of Total Blood Volume Lost During Adolescent Idiopathic Scoliosis Surgery
Kristen E. Jones, Elissa K. Butler, Tara Barrack, Charles T. Ledonio, Mary L. Forte, Claudia S. Cohn, David W. Polly
International Journal of Spine Surgery Jan 2017, 11 (4) 27; DOI: 10.14444/4027
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Keywords

  • tranexamic acid
  • adolescent idiopathic scoliosis
  • blood loss
  • posterior spinal fusion

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