What is the role of deep venous thrombosis (DVT) prophylaxis in elective spine surgery?

Updated: Jan 28, 2021
  • Author: David A Forsh, MD; Chief Editor: Vinod K Panchbhavi, MD, FACS, FAOA, FABOS, FAAOS  more...
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For patients who have no additional risk factors, antithrombotic prophylaxis following elective spine surgery is not recommended. Patients at high risk for developing postoperative VTE may be treated with LDUH, LMWH, or perioperative IPC. Multiple risk factors may require the combined use of mechanical and pharmacologic measures.

Epstein reported a 2.8% incidence of DVT and a 0.7% incidence of PE in 139 patients following multilevel lumbar spine surgery treated with IPC and early mobilization. [63] For prevention of thromboembolism in spinal cord injuries, see the recommendations of the Consortium for Spinal Cord Medicine. [64]

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