Is High-Dose Tranexamic Safe in Spine Surgery? A Systematic Review and Meta-Analysis.
Izzet AkosmanFrancis C LovecchioMitchell FourmanManuel SarmientoKeith LyonsStavros MemtsoudisPhilip J YorkPublished in: Global spine journal (2023)
Compared to LD TXA or placebo, there is moderate evidence that HD is not associated with an increased risk of medical complications. Compared to LD, there is moderate evidence that HD reduces transfusion requirements. High-Dose TXA can be safely utilized in healthy patients undergoing major spine surgery.