Incidence of deep vein thrombosis in major adult spinal surgery

Deep vein thrombosis and pulmonary embolus are well known complications of lengthy orthopaedic procedures. Historically spine surgery has been associated with few thrombotic complications. Recent widespread use of instrumentation in adult cases led to concern regarding the incidence of deep vein thr...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1992-08, Vol.17 (8), p.S254-S257
Main Authors: WEST, J. L, ANDERSON, L. D
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Humans
Incidence
Medical sciences
Orthopedic surgery
Postoperative Complications - diagnostic imaging
Postoperative Complications - epidemiology
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - epidemiology
Pulmonary Embolism - etiology
Spinal Diseases - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thrombophlebitis - diagnostic imaging
Thrombophlebitis - epidemiology
Thrombophlebitis - etiology
Ultrasonography
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Summary:Deep vein thrombosis and pulmonary embolus are well known complications of lengthy orthopaedic procedures. Historically spine surgery has been associated with few thrombotic complications. Recent widespread use of instrumentation in adult cases led to concern regarding the incidence of deep vein thrombosis and pulmonary embolus. Forty-one patients underwent posterior spinal procedures using either pedicular or segmental instrumentation. One day before discharge all patients underwent noninvasive testing using color duplex Doppler imaging to rule out deep vein thrombosis. Six patients were noted to have tests results compatible with deep vein thrombosis. The incidence of deep vein thrombosis during this study (14%) reveals a group of patients who would have been discharged with ongoing thrombosis and potential pulmonary embolism.
ISSN:0362-2436
1528-1159
DOI:10.1097/00007632-199208001-00007