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. 2019 Jan;62(1):53-60.
doi: 10.3340/jkns.2017.0287. Epub 2018 Nov 30.

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

Ho Yong Choi  1 , Seung-Jae Hyun  2 , Ki-Jeong Kim  2 , Tae-Ahn Jahng  2 , Hyun-Jib Kim  2
Affiliations

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

Ho Yong Choi et al. J Korean Neurosurg Soc. 2019 Jan.

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.

Keywords: Allogeneic blood transfusion; Cell salvage system; Spine surgery.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
Photograph showing the intra-operative cell salvage system (Cell Saver®, Haemonetics©, Baltimore, MA, USA).
See this image and copyright information in PMC

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