Review ArticlePerioperative Blood Management in Pediatric Spine SurgeryOetgen, Matthew E. MD, MBA; Litrenta, Jody MDAuthor Information From the Department of Orthopaedic Surgery and Sports Medicine, Children’s National Medical Center, Washington, DC. Dr. Oetgen or an immediate family member serves as a board member, owner, officer, or committee member of the American Academy of Orthopaedic Surgeons, the Pediatric Orthopaedic Society of North America, and the Scoliosis Research Society. Neither Dr. Litrenta nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article. Journal of the American Academy of Orthopaedic Surgeons: July 2017 - Volume 25 - Issue 7 - p 480-488 doi: 10.5435/JAAOS-D-16-00035 Metrics Abstract Blood management strategies are integral to successful outcomes in many types of orthopaedic surgery. These strategies minimize blood loss and transfusion requirements, ultimately decreasing complications, improving outcomes, and potentially eliminating risks associated with allogeneic transfusion. Practices to achieve these goals include preoperative evaluation and optimization of hemoglobin, the use of pharmacologic agents or anesthetic methods, intraoperative techniques to improve hemostasis and cell salvage, and the use of predonated autologous blood. Guidelines can also help manage allogeneic transfusions in the perioperative period. Although the literature on blood management has focused primarily on arthroplasty and adult spine surgery, pediatric spinal fusion for scoliosis involves a large group of patients with a specific set of risk factors for transfusion and distinct perioperative considerations. A thorough understanding of blood management techniques will improve surgical planning, limit transfusion-associated risks, maintain hemostasis, and optimize outcomes in this pediatric population. Copyright 2017 by the American Academy of Orthopaedic Surgeons.