Venous Thromboprophylaxis in Spine Surgery.

Alvarado, Anthony M; Porto, Guilherme B F; Wessell, Jeffrey; Buchholz, Avery L; Arnold, Paul M · Global Spine J · 2020

review · Level V

Where this comes from

Abstract

Review article. A review of the literature on postoperative initiation of thrombophylactic agents following spine surgery. A review of the literature and synthesis of the data to provide an update on venous thromboprophylaxis following spine surgery. Postoperative regimens of venous thromboprophylaxis measures following spine surgery remain a controversial issue. Recommendations regarding mechanical versus chemical prophylaxis vary greatly among institutions. Postoperative spine surgery initiation of thromboprophylaxis remains controversial regarding optimal timing and agent selection. The benefits of deep vein thrombosis/pulmonary embolism prophylaxis must be weighed against the possible postoperative complications associated with spine surgery.