March 3, 2026Neurosurgery0 citations

Cell Saver in Adult Spinal Deformity Surgery: Helping or Hurting?

HJHarsh Jain RARanbir Ahluwalia ASAdvith Sarikonda

Key Points

Increased intraoperative transfusions occur with cell saver use, posing safety risks.
The use of cell savers is linked to higher rates of medical complications during ASD surgery.
Operative time was controlled, yet complications like prolonged hypotension were still noted with cell savers.
Postoperative hematocrit levels did not improve despite the use of cell savers, raising doubts about their benefits.

Abstract

While controlling for operative time, CS use in ASD surgery was independently associated with increased intraoperative transfusions, medical complications, and prolonged hypotension without an improvement in postoperative hematocrit levels. Although giving patients back their own blood products seems beneficial, these data question the safety of CS use in ASD surgery.

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