Abstract
More than 500,000 spinal operations are performed annually in the USA. Unanticipated coagulopathy during spine surgery is uncommon; however, substantial blood loss remains a feared complication of increasingly complex and longer-duration procedures. Significant intraoperative coagulopathy, defined as recurrent microvascular bleeding despite local hemostatic measures or decreased clot formation of blood pooled within the surgical field, has been reported in up to 16% of patients undergoing major spinal surgery. This bleeding can result in serious consequences including early termination of the procedure, postoperative hematoma formation, and increased in-hospital mortality.
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Milby, A.H., Halpern, C.H., Schuster, J.M. (2020). Coagulopathy in Spinal Surgery. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17410-1_39
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DOI: https://doi.org/10.1007/978-3-030-17410-1_39
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