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Coagulopathy in Spinal Surgery

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Essentials of Neurosurgical Anesthesia & Critical Care

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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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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA

    Andrew H. Milby

  2. Department of Neurosurgery, Stanford University, Palo Alto, CA, USA

    Casey H. Halpern

  3. Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA

    James M. Schuster

Authors
  1. Andrew H. Milby
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  2. Casey H. Halpern
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  3. James M. Schuster
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Corresponding author

Correspondence to Casey H. Halpern .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA

    Ansgar M. Brambrink

  2. Department of Anesthesiology, Oregon Health & Science University, Portland, OR, USA

    Jeffrey R. Kirsch

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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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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-17408-8

  • Online ISBN: 978-3-030-17410-1

  • eBook Packages: MedicineMedicine (R0)

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