Our Summary

This study looked at the effects of a specific protocol for managing blood and fluids during scoliosis surgery. The researchers believed that this approach, which is based on goal-directed fluid therapy, cell salvage and a medication called tranexamic acid, could help to reduce the need for blood transfusions.

The study involved 35 patients who were split into two groups: one group followed the new protocol (Group Pro) and the other group did not (Group noPro). The results showed that patients in the protocol group needed less crystalloid fluid (a type of fluid used in IV therapy) and fewer blood transfusions. They also had better urine output (diuresis) and more use of drugs that constrict blood vessels (vasopressors) compared to the no-protocol group.

In simple terms, this means that the new protocol could improve how blood and fluids are managed during scoliosis surgery, potentially reducing the need for blood transfusions.

FAQs

  1. What is the new protocol for managing blood and fluids during scoliosis surgery?
  2. How does the new protocol affect the need for blood transfusions and fluid management during scoliosis surgery?
  3. Did the patients who followed the new protocol demonstrate any other improvements, besides needing less blood transfusion?

Doctor’s Tip

One helpful tip a doctor might give a patient about scoliosis surgery is to follow the recommended protocol for managing blood and fluids before, during, and after the surgery. This can help reduce the risk of complications and improve recovery outcomes. It is important to discuss any concerns or questions about the protocol with your healthcare team so they can provide you with the best care possible.

Suitable For

Scoliosis surgery is typically recommended for patients who have a severe curvature of the spine that is causing pain, difficulty breathing, or other complications. Patients who are still growing and have a curvature that is progressing rapidly may also be candidates for surgery. Additionally, patients who have tried non-surgical treatments such as bracing and physical therapy without success may be recommended for surgery. The decision to undergo scoliosis surgery is usually made in consultation with a spine specialist or orthopedic surgeon.

Timeline

Before scoliosis surgery:

  1. Patient consults with a spine surgeon to discuss treatment options.
  2. Patient undergoes pre-operative testing, such as blood work and imaging scans.
  3. Patient may participate in physical therapy to strengthen muscles and improve range of motion.
  4. Patient receives anesthesia and is prepped for surgery.

During scoliosis surgery:

  1. Surgeon corrects the curvature of the spine using rods, screws, and/or bone grafts.
  2. Anesthesiologist monitors the patient’s vital signs and administers any necessary medications.
  3. Surgical team manages blood loss and fluid levels to maintain stability and prevent complications.

After scoliosis surgery:

  1. Patient is monitored in the recovery room for a period of time before being transferred to a hospital room.
  2. Patient may experience pain and discomfort, which is managed with pain medications.
  3. Patient participates in physical therapy to regain strength and mobility.
  4. Patient is advised on post-operative care, such as wound care and activity restrictions.
  5. Follow-up appointments are scheduled to monitor healing progress and address any concerns.

What to Ask Your Doctor

  1. What are the risks and benefits of scoliosis surgery for my specific case?
  2. How experienced are you in performing scoliosis surgery?
  3. What is the success rate of scoliosis surgery in general, and for patients with similar conditions as mine?
  4. Will I need a blood transfusion during or after the surgery?
  5. How will my blood and fluids be managed during the surgery?
  6. Will I be receiving tranexamic acid or any other medications during the surgery?
  7. What is the recovery process like after scoliosis surgery?
  8. What are the potential complications or side effects of scoliosis surgery?
  9. How long will it take for me to fully recover and return to normal activities?
  10. Are there any alternative treatments or procedures available for scoliosis that I should consider before opting for surgery?

Reference

Authors: Koraki E, Stachtari C, Stergiouda Z, Stamatopoulou M, Gkiouliava A, Sifaki F, Chatzopoulos S, Trikoupi A. Journal: Eur J Orthop Surg Traumatol. 2020 Jul;30(5):809-814. doi: 10.1007/s00590-020-02637-y. Epub 2020 Feb 3. PMID: 32016528