Our Summary

This research paper looks at whether a treatment called cryoprecipitate can help reduce blood loss and the need for blood transfusions during scoliosis surgery in adults. Scoliosis is a condition that causes the spine to curve, and surgery to correct it can often result in significant blood loss. Cryoprecipitate is a substance derived from blood plasma that can help with clotting.

In the study, 80 patients were split into two groups. One group was given cryoprecipitate before their surgery, while the other was given a placebo (a harmless substance with no effect). The researchers then compared the amount of blood lost and the need for blood transfusions between the two groups.

The results showed no major difference between the two groups in terms of blood loss during surgery or the need for blood transfusions. However, the group given cryoprecipitate did experience less blood loss after surgery.

Overall, the study concludes that giving patients cryoprecipitate before scoliosis surgery doesn’t seem to reduce blood loss during the operation or lower the need for blood transfusions.

FAQs

  1. What is cryoprecipitate and how is it related to scoliosis surgery?
  2. Did the use of cryoprecipitate before scoliosis surgery reduce the need for blood transfusions during the procedure?
  3. What was the effect of cryoprecipitate on blood loss after scoliosis surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scoliosis surgery is to ask about the potential risks and benefits of using cryoprecipitate during the procedure. It’s important for patients to have a thorough understanding of all potential treatment options and their potential outcomes in order to make informed decisions about their care.

Suitable For

Patients who are typically recommended scoliosis surgery are those with severe curvature of the spine (typically greater than 40-50 degrees) that is causing pain, difficulty breathing, or other significant symptoms. Surgery may also be recommended for patients whose curvature is progressing rapidly, particularly in children and adolescents who are still growing. Additionally, patients who have not responded to other treatments such as bracing may be considered for surgery. Each patient’s individual circumstances and symptoms will be taken into account when determining if surgery is the best course of action.

Timeline

Before scoliosis surgery:

  • Patient is diagnosed with scoliosis and recommended for surgery
  • Patient undergoes pre-operative testing and evaluation
  • Patient discusses surgical options with their healthcare provider
  • Patient prepares for surgery by following pre-operative instructions (such as fasting)
  • Patient is admitted to the hospital on the day of surgery

After scoliosis surgery:

  • Patient wakes up in the recovery room and is monitored closely by healthcare providers
  • Patient is given pain medication to manage post-operative pain
  • Patient begins physical therapy and rehabilitation to regain strength and mobility
  • Patient is discharged from the hospital once medically stable
  • Patient follows up with their healthcare provider for post-operative care and monitoring
  • Patient continues with physical therapy and rehabilitation to fully recover from surgery

What to Ask Your Doctor

  1. What are the potential risks and complications associated with scoliosis surgery?

  2. How long is the recovery process after scoliosis surgery and what can I expect in terms of pain management and physical therapy?

  3. Will scoliosis surgery improve my quality of life and reduce my symptoms?

  4. How many scoliosis surgeries have you performed and what is your success rate?

  5. Are there alternative treatments or less invasive procedures that I can consider before opting for surgery?

  6. What is the expected outcome of scoliosis surgery in terms of correcting the curvature of my spine?

  7. How long will I need to stay in the hospital after scoliosis surgery and what is the post-operative care plan?

  8. Will I need to wear a brace or use any assistive devices after scoliosis surgery?

  9. Are there any long-term effects or complications that I should be aware of following scoliosis surgery?

  10. What is the expected timeline for recovery and when can I return to normal activities, such as work or exercise?

Reference

Authors: Ismail TI, Mahrous RS. Journal: J Perioper Pract. 2024 Mar;34(3):60-69. doi: 10.1177/17504589221132393. Epub 2022 Nov 23. PMID: 36416379