2000
DOI: 10.1097/00007632-200011150-00019
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Deep Venous Thrombosis after Posterior Spinal Surgery

Abstract: The prevalence of deep venous thrombosis after posterior spinal surgery is higher than generally recognized. Therefore, further study is necessary to clarify the appropriate method for screening and the effect of prophylaxis against thromboembolism after spinal surgery.

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Cited by 163 publications
(128 citation statements)
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“…162 Risk factors for VTE in spinal surgery patients likely include a combined anterior-posterior approach; multiple operative levels; and patient-related factors, such as older age, prior VTE, and malignancy. 163,164 In a population-based retrospective analysis of discharges from California hospitals in 1992 to 1996, the risk of symptomatic VTE within 91 days of surgery was 0.5% (95% CI, 0.4%-0.5%) among 34,355 patients who underwent spinal surgery for nonmalignant disease, whereas the risk of VTE was 2.0% (95% CI, 1.4%-2.6%) among 1,545 who underwent spinal surgery for malignant disease. 75 Accordingly, we classify the baseline risk of VTE in spinal surgery as low for most patients with nonmalignant disease and moderate for those with malignancy.…”
Section: Recommendations For Spinal Surgerymentioning
confidence: 99%
“…162 Risk factors for VTE in spinal surgery patients likely include a combined anterior-posterior approach; multiple operative levels; and patient-related factors, such as older age, prior VTE, and malignancy. 163,164 In a population-based retrospective analysis of discharges from California hospitals in 1992 to 1996, the risk of symptomatic VTE within 91 days of surgery was 0.5% (95% CI, 0.4%-0.5%) among 34,355 patients who underwent spinal surgery for nonmalignant disease, whereas the risk of VTE was 2.0% (95% CI, 1.4%-2.6%) among 1,545 who underwent spinal surgery for malignant disease. 75 Accordingly, we classify the baseline risk of VTE in spinal surgery as low for most patients with nonmalignant disease and moderate for those with malignancy.…”
Section: Recommendations For Spinal Surgerymentioning
confidence: 99%
“…73 The incidence of venography-detected DVT has been reported to be 18%. 74 Advanced age, cervical versus lumbar surgery, anterior surgical approach, surgery for malignancy, prolonged procedure, and reduced preoperative and postoperative mobility are risk factors for VTE in these patients. 1 In absence of additional risk factors, early and persistent mobilization is recommended in patients undergoing elective spinal surgery.…”
Section: Elective Spine Surgerymentioning
confidence: 99%
“…18,19 The incidence of VTE after spine surgery is poorly defined and highly variable, with published rates ranging from 0.3% to 31%. 6,[9][10][11]28,32,35 This high variance is likely due to heterogeneities of the studied patient populations as well as to inconsistent treatment practices and diagnostic measures.…”
mentioning
confidence: 99%