Venous Thromboprophylaxis in Spine Surgery

Author:

Alvarado Anthony M.1ORCID,Porto Guilherme B. F.2,Wessell Jeffrey2,Buchholz Avery L.3,Arnold Paul M.4

Affiliation:

1. University of Kansas Medical Center, Kansas City, KS, USA

2. Medical University of South Carolina, Charleston, SC, USA

3. University of Virginia, Charlottesville, VA, USA

4. Carle Clinic, Champaign-Urbana, IL, USA

Abstract

Study Design: Review article. Objective: A review of the literature on postoperative initiation of thrombophylactic agents following spine surgery. Methods: A review of the literature and synthesis of the data to provide an update on venous thromboprophylaxis following spine surgery. Results: Postoperative regimens of venous thromboprophylaxis measures following spine surgery remain a controversial issue. Recommendations regarding mechanical versus chemical prophylaxis vary greatly among institutions. Conclusion: Postoperative spine surgery initiation of thromboprophylaxis remains controversial regarding optimal timing and agent selection. The benefits of deep vein thrombosis/pulmonary embolism prophylaxis must be weighed against the possible postoperative complications associated with spine surgery.

Publisher

SAGE Publications

Subject

Clinical Neurology,Orthopedics and Sports Medicine,Surgery

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