Deep vein thrombosis in spinal surgery

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Abstract

Spinal surgery was associated with very few thrombotic complications in the past, but recently use of instrumentation in adult patients has led to a rise in the complexity of surgery, as well as to an increase in the length of surgical procedures. With this increase the concern for deep vein thrombosis and pulmonary embolus has increased. The question remains whether the incidence of deep vein thrombosis in spinal surgery is sufficient to consider use of prophylaxis; however, anticoagulants, pneumatic compression hose, and postoperative duplex screening have all been known to lower the risk of deep vein thrombosis in spinal surgery patients.

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