Thromboprophylaxis in Spinal Surgery.

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Abstract

[Indexed for MEDLINE] 8. Cureus. 2024 Feb 6;16(2):e53726. doi: 10.7759/cureus.53726. eCollection 2024 Feb. Deep Vein Thrombosis Prophylaxis in Orthopedic Surgery. Lin S(1), Alepuz A(1), Tritsch T(1), Schwartz G(2). Author information: (1)Medical Education, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, USA. (2)Orthopedic Surgery, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, USA. Deep vein thrombosis (DVT) is a complex and multifactorial process arising from a variety of factors, including recent surgical procedures, traumatic events, and periods of prolonged immobility. The extended period of stasis post-orthopedic surgery places patients at a notably high risk of developing DVT, and DVT-related pulmonary embolism (PE) ranks as the third most common cause of death in orthopedic surgery patients. This review examines the multifaceted risk factors contributing to the development of DVT in orthopedic patients. Additionally, it addresses the importance of DVT prophylaxis in orthopedic settings, the efficacy and safety of various prophylactic methods encompassing both mechanical and pharmacological approaches, and the economic dimensions of DVT prophylaxis, including scrutiny of cost-effectiveness and the exploration of strategies for optimization. Copyright © 2024, Lin et al. DOI: 10.7759/cureus.53726 PMCID: PMC10919879