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Thromboembolic events and spinal surgery.

Kyriakos Papadimitriou1, Anubhav G Amin, Ryan M Kretzer

  • 1The Johns Hopkins School of Medicine, The Johns Hopkins Hospital, Department of Neurosurgery, 550 North Broadway Street, Baltimore, MD 21231, USA.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|October 20, 2012
PubMed
Summary
This summary is machine-generated.

Preventing blood clots like deep venous thrombosis (DVT) and pulmonary embolism (PE) after spinal surgery is crucial. Non-invasive methods and chemoprophylaxis are common, with filters used when other options fail.

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Area of Science:

  • Neurosurgery
  • Vascular Surgery
  • Thromboembolic Disease

Background:

  • Neurosurgical spinal procedures carry risks of both bleeding and blood clots.
  • Deep venous thrombosis (DVT) and pulmonary embolism (PE) are potential complications after spinal surgery.

Purpose of the Study:

  • To review existing literature on thromboembolic events following spinal surgery.
  • To analyze methods for preventing these thromboembolic events.

Main Methods:

  • A systematic review of 30 studies concerning thromboembolic events after spinal surgery.
  • Analysis of various prophylactic strategies employed.

Main Results:

  • The incidence of DVT was found to be 2.7% and PE was 2%.
  • Most spinal surgeons utilize non-invasive prophylaxis (e.g., compression devices, stockings).
  • Chemoprophylaxis is an effective preventive measure.
  • Inferior vena cava filters are a safe option when other methods are contraindicated.

Conclusions:

  • While DVT and PE incidence is low, prophylactic measures are standard practice in spinal surgery.
  • A combination of mechanical and pharmacological prophylaxis, or filters when necessary, ensures patient safety.