{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T19:03:14Z","timestamp":1790103794290,"version":"4.0.1"},"reference-count":16,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,9,5]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>We report the case of an adolescent Jehovah\u2019s Witness with Lenke type 6C+ adolescent idiopathic scoliosis who underwent posterior spinal fusion at a tertiary spine centre. The patient declined allogeneic blood transfusion but consented to intraoperative autologous cell salvage and the use of topical haemostatic agents. A structured multimodal blood-conservation protocol comprising tranexamic acid, controlled hypotensive anaesthesia, meticulous haemostasis and intra-operative cell salvage enabled safe completion of a 5\u20136-hour procedure without transfusion. This case adds to the limited literature describing scoliosis correction in Jehovah\u2019s Witness patients and highlights the ethical, surgical and perioperative considerations necessary to achieve a successful outcome in this complex setting.<\/jats:p>","DOI":"10.1136\/bcr-2025-271350","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:15:18Z","timestamp":1790100918000},"page":"e271350","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Posterior spinal fusion for adolescent idiopathic scoliosis in a Jehovah\u2019s Witness"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8877-8564","authenticated-orcid":false,"given":"Haya","family":"AlKhalifa","sequence":"first","affiliation":[{"name":"Spinal Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Adsul","sequence":"additional","affiliation":[{"name":"Spinal Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stewart","family":"Prestwich","sequence":"additional","affiliation":[{"name":"Anaesthetics, Leeds Teaching Hospitals NHS Trust, Leeds, England, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal","family":"Borse","sequence":"additional","affiliation":[{"name":"Spinal Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"2026092211150927000_19.9.e271350.1","doi-asserted-by":"crossref","unstructured":"Mihas A , Ramchandran S , Rivera S , et al . 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