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Jian Guan, Chad D. Cole, Meic H. Schmidt and Andrew T. Dailey

perioperatively. 3 , 4 Rotational thromboelastometry (ROTEM; TEM International GmbH) is a form of viscoelastic testing that allows rapid analysis of multiple coagulation parameters. 6 Although significant questions remain regarding the interpretation and standardization of ROTEM, 10 trauma and transplant surgeons have begun to use this technology in clinical practice to guide transfusion and improve outcomes. 15 , 16 , 21 Investigations into the use of ROTEM for spine surgery (in general) and for deformity surgery (in particular) remain extremely limited. In this study, we