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    Venous Thromboembolism Prophylaxis for Patients Having Elective Spine Surgery: When, Why, and How Much

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    Authors
    Rockson, Hayden B.
    DiPaola, Christian P.
    Connolly, Patrick J.
    Stauff, Michael P.
    UMass Chan Affiliations
    Department of Orthopedics and Physical Rehabilitation
    Document Type
    Journal Article
    Publication Date
    2019-07-03
    Keywords
    Cardiovascular Diseases
    Orthopedics
    Rehabilitation and Therapy
    Surgery
    
    Metadata
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    Link to Full Text
    https://doi.org/10.2106/JBJS.18.00849
    Abstract
    The prevalence of venous thromboembolism (VTE) events varies widely following elective spine surgery, with reported rates ranging from 0.21% to 13.6%. Risk factors for the development of VTE after spine surgery include patient or family history, obesity, longer operative time, manipulation of the great vessels, and decreased mobility postoperatively. There is limited consensus regarding the selection and initiation of postoperative chemoprophylaxis, which should be implemented thoughtfully because of the bleeding risk and, specifically, the development of epidural hematoma. Prophylactic use of inferior vena cava filters in low-risk patients having elective spine surgery has not been well supported in the literature. Further investigation is needed to determine its utility as an additional modality to prevent postoperative pulmonary embolus in elective spine surgery.
    Source

    J Bone Joint Surg Am. 2019 Jul 3;101(13):1220-1229. doi: 10.2106/JBJS.18.00849. Link to article on publisher's site

    DOI
    10.2106/JBJS.18.00849
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/43001
    PubMed ID
    31274725
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.2106/JBJS.18.00849
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    UMass Chan Faculty and Researcher Publications
    Orthopedics and Physical Rehabilitation Publications

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