Article Figures & Data
Figures
- Figure
Flow diagram outlining the systematic review performed for this study.
Tables
- Table 1
Intraoperative and postoperative information for patients with disseminated intravascular coagulopathy following scoliosis surgery.
Study Name Past MedicalHistory Time of Destabilization IO Complication PO Symptoms PO Diagnosis/Intervention Benavides S et al, 2003 Viral illness prior to PO blood donation IO Fever, hypotension Septic shock, ARDS, LE ischemia, seizures, hypotension, renal failure, anemia Yersinia enterocolitica from transfusion, BL below knee amputation, multiple intracranial hemorrhagic infarcts with subsequent seizure disorder Canbay O et al, 2004 NR PO Dislocation of a pedicular pin at T3, loss of LE motor function, hypotension, myoclonic spasms Hypotension, tachycardia and fever, myoclonic spasms, malignant hyperthermia Myelography with nonionic, water-soluble contrast, rhabdomyolysis Chechik O et al, 2010 Cerebral palsy PO NR NR NR Ferschl M et al, 2009 None IO Ventricular tachycardia, ventricular fibrillation, cardiac arrest, surgical site bleeding, hypotension, cardiac resuscitation Hypotension, ventricular fibrillation IO application of a (20 mL) topical hemostatic matrix for increased bleeding at L2 pedicle was sent into intravascular space Gabos PG et al, 2012. Rett syndrome PO NR NR Heparin-induced thrombocytopenia following right leg deep vein thrombosis treatment Hassmann GC et al, 1974 Distal weakness IO Pulseless ventricular tachycardia (at 90th min), cardiac massage performed, increased bleeding Hypotension, restrictive lung disease, petechiae, hematuria Coagulopathy after homologous blood Master DL et al, 2011 None PO Coagulopathy, excessive blood loss, cardiac failure, death NR Death McKie JS et al, 1997 None IO Increased bleeding, hypotension Hypotension, ST- segment depression, ARDS, acute pancreatitis Coagulopathy after reinfusion of IO retrieved blood Murray DJ el al, 1992 Cerebral palsy with spastic quadriparesis IO Increased bleeding NR Coagulopathy after reinfusion of IO retrieved blood Murray DJ el al, 1992 Myelomeningocele, T10 sensory level IO Increased bleeding, hematuria NR Coagulopathy after reinfusion of IO retrieved blood Ogura Y et al, 2011 Cavernous hemangioma PO Massive hemorrhage from hemangioma, hypotension Agitation, hypovolemic shock, BL frontal and temporal ischemia, aphasia PO hemorrhage from hemangioma. Aphasia resolved and infarcts decreased in size Raphael BG et al, 1982 Paraplegia, T6 injury at birth IO Increased bleeding, hypotension 24 h PO bleeding Unknown Raphael BG et al, 1982 Familial osteochondromatosis IO Increased bleeding 24 h PO bleeding Unknown ARDS, acute respiratory distress syndrome; BL, bilateral; IO, intraoperative; LE, lower extremity; NR, not recorded; PO, postoperative.
- Table 2
A summary of patient demographics, scoliosis type, procedure performed, and labs taken during time of disseminated intravascular coagulopathy.
Study Name Age Sex Scoliosis Type Procedure Platelets (109 /L) Prothrombin Time (s) Fibrin Degradation Products (s) Fibrinogen (mg/dL) Benavides S et al, 2003 12 F Congenital Posterior spinal fusion NR NR NR NR Canbay O et al, 2004 14 F Congenital Posterior spinal fusion NR NR >150 75 Chechik O et al, 2010 NR NR Neuromuscular Posterior spinal fusion NR NR NR NR Ferschl M et al, 2009 18 F Idiopathic Posterior spinal fusion 11 NR >100 51 Gabos PG et al, 2012 14 F Neuromuscular Unit rod NR 17.4 50 NR Hassmann GC et al, 1974 13 F Neuromuscular Harrington rod 75 18.8 50 130 Master DL et al, 2011 NR NR Neuromuscular Posterior spinal fusion NR NR NR NR McKie JS et al, 1997 17 M Idiopathic Harrington rod NR 17.4 >150 NR Murray DJ et al, 1992 18 M Neuromuscular Posterior spinal fusion 95 NR NR NR Murray DJ et al, 1992 17 F Neuromuscular Posterior spinal fusion 46 18 75 50 Ogura Y et al, 2011 12 M Tumor induced Posterior spinal fusion 19 20 150 19 Raphael BG et al, 1982 26 F Neuromuscular Distraction rods 73.5 16.4 56 125 Raphael BG et al, 1982 13 F Tumor induced Harrington distraction rod 75 17 51.2 70 NR, not reported.
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