From: Effectiveness of tranexamic acid in reducing blood loss in spinal surgery: a meta-analysis
Study | Type | Intervation | Surgery | Outcome measure | Complication | Indication of transfusion | Jadad’ score |
---|---|---|---|---|---|---|---|
Neilipovitz DT, 2001 [15] | RCT | I: 10 mg/kg | Posterior spinal fusion for scoliosis, 16 pts accepted autologous bone harvest | Blood loss, blood transused, Hb, Plt, PTT, DVT | 0 | Hb ≤ 7 g/L | 5 |
M: 1Â mg/kg/h | |||||||
P: Unclear | |||||||
Sethna NF, 2005 [16] | RCT | I: 100 mg/kg | Thirty six pts for posterior spinal instrumentation and 8 for anterior–posterior instrumentation | Blood loss, blood transused, Hct, PT, Plt, PTT, DVT | 0 | Hct ≤ 25% | 5 |
M: 10Â mg/kg/h | |||||||
P: Saline | |||||||
Wong J, 2008 [17] | RCT | I: 10 mg/kg | Thoracic, thoracolumbar or lumbar spinal decompression and instrumented fusion | Blood loss, blood transused, Hb, PT, PTT, DVT | TXA: 1 pts MI | Hb ≤ 7 g/L | 5 |
M: 1Â mg/kg/h | P: 1 pts DVT | ||||||
P: Saline | Â | ||||||
Elwatidy S, 2008 [19] | RCT | I: 2 g for adouts, 30 mg/kg for children | Eighteen pts had multiple level anterior cervical discectomy with or without fixation, 37 had spinal decompression for multisegment spinal stenosis, 9 had laminectomy and excision of spinal tumor | Blood loss, blood transused, Hb, Hct, DVT | 0 | Hb ≤ 9 g/L | 5 |
M: 100 mg/h for adouts, 1 mg/kg/h for children | Hct ≤ 27% | ||||||
P: Saline | |||||||
Farrokhi MR, 2011 [18] | RCT | I: 10 mg/kg | Posterior thoracic or lumbar instrumented spinal fusion at 4 to 6 vertebrae | Blood loss, blood transused, Hb, PT, PTT, DVT | 0 | Hb ≤ 10 g/L | 5 |
M: 1Â mg/kg/h | |||||||
P: Saline | |||||||
Tsutsumimoto T, 2011 [20] | RCT | I: 15Â mg/kg | Cervical laminoplasty from C3 to C6 | Blood loss, Hb, Hct, PT, PTT, DVT, hematoma formation | 0 | Not mention | 4 |
P: Saline |