Cervical Spinal Surgery of a Patient with Hemophilia and Ehlers-Danlos Syndrome: Anesthetic Considerations

Spinal surgery carries the risk of significant intraoperative blood loss requiring blood transfusions. In patients with coexisting coagulopathy the risk is substantially higher, and proper correction of coagulation deficiency is mandatory to avoid major and uncontrolled blood loss and hematoma formation with spinal cord compression. We present a clinical case of successful cervical tumor removal in a patient with coexisting hemophilia A and Ehlers-Danlos syndrome. Coordination of the treatment plan between anesthesia providers, surgeons, and the hematological service helped to uneventfully remove the tumor and avoid perioperative complications.