Antifibrinolytic Therapy in Surgery for Adolescent Idiopathic Scoliosis Does the Level 1 Evidence Translate to Practice?

Journal: Bulletin of the Hospital for Joint Disease (2013)
Published Date:

Abstract

INTRODUCTION: Previous randomized controlled trials have demonstrated the efficacy of antifibrinolytic agents in the reduction of intraoperative blood loss in adolescent idiopathic scoliosis (AIS) surgery. Tranexamic acid (TXA) was found to be more effective at reducing total blood loss compared with epsilon-aminocaproic acid (AM) than placebo. We set out to study whether or not the level 1 evidence can be corroborated in a large multicenter, multisurgeon cohort.

Authors

  • Baron S Lonner
  • Yuan Ren
  • Jahangir Asghar
  • Suken A Shah
  • Amer F Samdani
  • Peter O Newton
    Rady Children's Hospital, San Diego, California.