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Clinical Efficacy of Intra-Operative Cell Salvage System in Major Spinal Deformity Surgery

Journal of Korean Neurosurgical Society 2019년 62권 1호 p.53 ~ 60
최호용, 현승재, 김기정, 장태안, 김현집,
소속 상세정보
최호용 ( Choi Ho-Yong ) - Kyung Hee University School of Medicine Kyung Hee University Hospital at Gangdong Department of Neurosurgery
현승재 ( Hyun Seung-Jae ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Neurosurgery
김기정 ( Kim Ki-Jeong ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Neurosurgery
장태안 ( Jahng Tae-Ahn ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Neurosurgery
김현집 ( Kim Hyun-Jib ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Neurosurgery

Abstract


Objective: The purpose of this study was to determine the efficacy of intra-operative cell salvage system (ICS) to decrease the need for allogeneic transfusions in patients undergoing major spinal deformity surgeries.

Methods: A total of 113 consecutive patients undergoing long level posterior spinal segmental instrumented fusion (≥5 levels) for spinal deformity correction were enrolled. Data including the osteotomy status, the number of fused segments, estimated blood loss, intra-operative transfusion amount by ICS (Cell Saver®, Haemoneticsⓒ, Baltimore, MA, USA) or allogeneic blood, postoperative transfusion amount, and operative time were collected and analyzed.

Results: The number of patients was 81 in ICS group and 32 in non-ICS group. There were no significant differences in demographic data and comorbidities between the groups. Autotransfusion by ICS system was performed in 53 patients out of 81 in the ICS group (65.4%) and the amount of transfused blood by ICS was 226.7 mL in ICS group. The mean intra-operative allogeneic blood transfusion requirement was significantly lower in the ICS group than non-ICS group (2.0 vs. 2.9 units, p=0.033). The regression coefficient of ICS use was -1.036.

Conclusion: ICS use could decrease the need for intra-operative allogeneic blood transfusion. Specifically, the use of ICS may reduce about one unit amount of allogeneic transfusion in major spinal deformity surgery.

키워드

Cell salvage system; Allogeneic blood transfusion; Spine surgery

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