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Svetlana Kvint, James Schuster and Monisha A. Kumar

V iscoelastic hemostatic assays (VHAs), such as thromboelastography (TEG) and rotational thromboelastometry (ROTEM), are global assessments of coagulation based on the physical and kinetic properties of clot formation. 52 VHAs allow for rapid, point-of-care testing and identify all phases of hemostasis, from initial fibrin formation to clot lysis. VHAs provide a real-time analysis of hemostasis with information on the kinetics of clot formation and clot stability from the occurrence of the initial thrombin burst to fibrinolysis. Through measurement of the

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Christopher I. Shaffrey, Justin S. Smith, Christopher P. Ames, Mitsuru Yagi, Ahmet Alanay and Yoon Ha

DI , Zuo Z , Clark P , Terkawi AS , : Rotational thromboelastometry-guided blood product management in major spine surgery . J Neurosurg Spine 23 : 239 – 249 , 2015 26053893 10.3171/2014.12.SPINE14620 5 Paulus MC , Kalantar SB , Radcliff K : Cost and value of spinal deformity surgery . Spine (Phila Pa 1976) 39 : 388 – 393 , 2014 10.1097/BRS.0000000000000150 24573071 6 Robin GC , Span Y , Steinberg R , Makin M , Menczel J : Scoliosis in the elderly: a follow-up study . Spine (Phila Pa 1976) 7 : 355 – 359 , 1982 6215719