ArticleInternational orthopaedics2024
Hidden blood loss and bleeding characteristics in children with congenital scoliosis undergoing spinal osteotomies.
Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed.
- Age at Initial Surgery and Surgical Burden in Congenital Spinal Deformity.Medicina (Kaunas, Lithuania) · 2026Article
- Predictors of hidden blood loss in ankylosing spondylitis patients receiving spinal deformity correction: osteotomy selection, bone density, and preoperative platelets.Spine deformity · 2026Article
- Risk Factors for Massive Intraoperative Blood Loss During Posterior Spinal Instrumentation and Fusion in Children: A Retrospective Cohort Study.Children (Basel, Switzerland) · 2026Article
- A comparison of hidden blood loss between the Wiltse approach with pedicle screw fixation and the percutaneous pedicle screw fixation for neurologically intact thoracolumbar fractures.Joint diseases and related surgery · 2026Article
- Predictors and Early Outcomes of Hidden Blood Loss Following Surgery for Spinal Metastases: A Retrospective Study Focusing on Tomita Type 1-5 Lesions.Journal of clinical medicine · 2026Article
- Hidden blood loss in anterior cervical discectomy and fusion versus single-level anterior cervical corpectomy and fusion with adjacent discectomy for two-level cervical spondylotic myelopathy.Joint diseases and related surgery · 2026Article
- The positioning of cephalon medullary nailing correlated with hidden blood loss during the perioperative period in patients with intertrochanteric fractures: A retrospective study.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Safety in Spine Surgery: Risk Factors for Intraoperative Blood Loss and Management Strategies.Life (Basel, Switzerland) · 2025Review
- Hidden blood loss of percutaneous vertebroplasty for osteoporotic vertebral compression fractures.Joint diseases and related surgery · 2025Article
- Hidden blood loss in percutaneous endoscopic lumbar discectomy via the posterolateral approach.Joint diseases and related surgery · 2025Article
- Hidden blood loss and risk factors in percutaneous endoscopic cervical discectomy.Joint diseases and related surgery · 2025Article
- Predictive value of stress hyperglycemia ratio for perioperative hidden blood loss in patients with hip fractures: a retrospective cohort study.Frontiers in medicine · 2025Article
- Enhanced recovery after surgery in children with congenital scoliosis.Scientific reports · 2024Article
- Paediatric orthopaedics: a special issue dedicated to current concepts and recent progress.International orthopaedics · 2024Article
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6 authors.
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Abstract
purposeSpinal osteotomies are often essential in the treatment of congenital scoliosis. Risk factors for bleeding in these patients needing extracavitatory approaches, especially hidden blood loss, are sparsely investigated. We aimed to investigate the bleeding characteristics and hidden blood loss in paediatric patients undergoing spinal osteotomies for congenital scoliosis.
methodsA retrospective analysis identified all patients with congenital scoliosis were retrospectively identified from the prospectively collected spine register from 2010 to 2022. Operative technique, perioperative laboratory results and imaging studies were extracted. The primary outcome was total blood loss including intraoperative, drain output and hidden blood loss.
resultsFifty-seven children (32 boys) with a mean age of 8.3 years underwent spinal osteotomy for congenital scoliosis. Posterolateral hemivertebrectomy was sufficient in 34 (59%) patients, while vertebral column resection (VCR) was required in 23 patients. Total bleeding averaged 792 (523) ml accounting for 42% of the estimated blood volume. Hidden blood loss accounted for 40% of total bleeding and 21% of estimated blood volume with a mean of 317 (256) ml. VCR was associated with greater intraoperative and total bleeding than hemivertebrectomies (p = 0.001 and 0.007, respectively). After adjusting for patient weight and fusion levels, hidden blood loss was larger in hemivertebrectomies (4.18 vs. 1.77 ml/kg/fused level, p = 0.049). In multivariable analysis, intraoperative blood loss was inversely correlated with preoperative erythrocyte levels. Younger age was associated with significantly greater drain, hidden and total blood loss.
conclusionHidden blood loss constitutes a significant portion (40%) of total bleeding in congenital scoliosis surgery. Younger age is a risk factor for bleeding and the hidden blood loss should be taken into consideration in their perioperative management.
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