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Hemostats in Spine Surgery: Literature Review and Expert Panel Recommendations

Lookup NU author(s): Andrew Bowey



This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).


© 2022, Korean Spinal Neurosurgery Society. All rights reserved. Bleeding in spine surgery is a common occurrence but when bleeding is uncontrolled the consequences can be severe due to the potential for spinal cord compression and damage to the central nervous system. There are many factors that influence bleeding during spine surgery including patient factors and those related to the type of surgery and the surgical approach to bleeding. There are a range of methods that can be employed to both reduce the risk of bleeding and achieve hemostasis, one of which is the adjunct use of hemostatic agents. Hemostatic agents are available in a variety of forms and materials and with consid-erable variation in cost, but specific evidence to support their use in spine surgery is sparse. A literature review was conducted to identify the pre-, peri-, and postsurgical considerations around bleeding in spine surgery. The review generated a set of recommendations that were discussed and ratified by a wider expert group of spine surgeons. The results are intended to provide a practical guide to the selection of hemostats for specific bleeding situ-ations that may be encountered in spine surgery.

Publication metadata

Author(s): Le Huec JC, Aleissa S, Bowey AJ, Debono B, El-Shawarbi A, Fernandez-Baillo N, Han KS, Martin-Benlloch A, Pflugmacher R, Sabatier P, Vanni D, Walker I, Warren T, Litrico S

Publication type: Article

Publication status: Published

Journal: Neurospine

Year: 2022

Volume: 19

Issue: 1

Pages: 1-12

Online publication date: 31/03/2022

Acceptance date: 10/02/2022

Date deposited: 05/05/2022

ISSN (print): 2586-6583

ISSN (electronic): 2586-6591

Publisher: Korean Spinal Neurosurgery Society


DOI: 10.14245/ns.2143196.598


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