Thromboembolic events and spinal surgery

Kyriakos Papadimitriou, Anubhav G. Amin, Ryan M. Kretzer, Daniel Sciubba, Ali Bydon, Timothy F Witham, Jean Paul Wolinsky, Ziya L. Gokaslan, Ali A. Baaj

Research output: Contribution to journalArticle

Abstract

Management of patients undergoing neurosurgical spinal procedures requires balancing the competing risks of hemorrhage and thrombosis. Deep venous thrombosis (DVT) and pulmonary embolism (PE) may be significant complications following spinal surgery. The authors reviewed 30 studies regarding thromboembolic events following spinal surgery for various etiologies and analysed all the methods used to prevent thromboembolic events. Despite the low incidence of DVT (2.7%) and PE (2%), most spinal surgeons routinely treat patients with a non-invasive prophylactic method such as pneumatic sequential compression devices or compression stockings. Chemoprophylaxis is another effective method to prevent thromboembolic episodes. Inferior vena cava filters may be a safe and effective method to prevent thromboembolic episodes in this patient cohort when chemoprophylaxis and mechanical compression is contraindicated.

Original languageEnglish (US)
Pages (from-to)1617-1621
Number of pages5
JournalJournal of Clinical Neuroscience
Volume19
Issue number12
DOIs
StatePublished - Dec 2012

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Keywords

  • Deep venous thrombosis
  • Inferior vena cava filter
  • Pulmonary embolism

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)

Cite this

Papadimitriou, K., Amin, A. G., Kretzer, R. M., Sciubba, D., Bydon, A., Witham, T. F., Wolinsky, J. P., Gokaslan, Z. L., & Baaj, A. A. (2012). Thromboembolic events and spinal surgery. Journal of Clinical Neuroscience, 19(12), 1617-1621. https://doi.org/10.1016/j.jocn.2012.03.024