Abstract

AGUERO MARTINEZ, Maria Oslaida et al. Major spinal surgery-associated coagulopathy. Rev cuba anestesiol reanim [online]. 2010, vol.9, n.3, pp.161-174. ISSN 1726-6718.

Introduction: Coagulation disorders present during major spinal surgery due to scoliosis are commonest; however, patient may to develop clinical manifestations of disseminated intravascular coagulation (DIVC) present during such interventions represent only a small percentage. Perioperative monitoring of coagulation factors in this setting will allow us to identify patients with a high risk of suffer this syndrome and to made an appropriate diagnosis using a suitable therapy. Objectives: to identify the appearance frequency of DIVC in the major spinal surgery. Methods: A sample including 19 patients was studied registering the following variables: coagulation studies, hematocrit, blood losses, surgical time, the type of scoliosis and the DIVC diagnosis. Results: There was predominance of female sex (68,4%), idiopathic scoliosis was the most frequent diagnosis. Blood coagulation tests were modified in the 100% of patients. The most variable moment was the post-bone decortications period. Patients diagnosed with neuromuscular scoliosis had higher blood losses, associated with a greater variability of the coagulation tests and with the surgical time magnitude. Conclusions: All study patients had coagulation disorders. The DIVC incidence was low.

Keywords : Disseminated intravascular coagulation; coagulation disorders; and major spinal surgery.

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