Thromboprophylaxie en chirurgie rachidienne traumatologique et non traumatologique

Translated title of the contribution: Thromboprophylaxis in elective spinal surgery and spinal cord injury

G. Audibert, T. Faillot, M. C. Vergnes, J. L. Bosson, C. Bernard, J. F. Payen, B. Lestienne, N. Bruder

Research output: Contribution to journalArticle

Abstract

The risk of deep vein thrombosis (DVT) after spinal cord injury is very high. Without prophylaxis the incidence of DVT using venography is 81% and the risk of symptomatic DVT is between 12 and 23%. The risk is much lower in elective spine surgery. After discectomy or laminectomy on less than two spine levels, the risk of DVT is less than 1%. After spinal fusion or extended laminectomy, the risk can be estimated between 0.3 and 2.2%. A prophylaxis is recommended for all patients after spinal cord injury (grade A). The association of a mechanical method and heparin is recommended (grade B). The duration of prophylaxis is 3 months in patients with a motor deficit (grade C). No prophylaxis is recommended after discectomy or limited laminectomy in patients without additional risk factors. Mechanical methods are recommended after spinal fusion or extended laminectomy. For patients with additional risk factors a low molecular weight heparin is recommended.

Original languageFrench
Pages (from-to)928-934
Number of pages7
JournalAnnales francaises d'anesthesie et de reanimation
Volume24
Issue number8
DOIs
StatePublished - Aug 1 2005

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Keywords

  • Deep vein thrombosis
  • Discectomy
  • Laminectomy
  • Spinal cord injury
  • Spine surgery

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Audibert, G., Faillot, T., Vergnes, M. C., Bosson, J. L., Bernard, C., Payen, J. F., Lestienne, B., & Bruder, N. (2005). Thromboprophylaxie en chirurgie rachidienne traumatologique et non traumatologique. Annales francaises d'anesthesie et de reanimation, 24(8), 928-934. https://doi.org/10.1016/j.annfar.2005.05.010