Thromboprophylaxie en chirurgie rachidienne traumatologique et non traumatologique

G. Audibert; T. Faillot; M. C. Vergnes; J. L. Bosson; C. Bernard; J. F. Payen; B. Lestienne; N. Bruder

doi:10.1016/j.annfar.2005.05.010

Thromboprophylaxie en chirurgie rachidienne traumatologique et non traumatologique

Translated title of the contribution: Thromboprophylaxis in elective spinal surgery and spinal cord injury

G. Audibert, T. Faillot, M. C. Vergnes, J. L. Bosson, C. Bernard, J. F. Payen, B. Lestienne, N. Bruder

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

The risk of deep vein thrombosis (DVT) after spinal cord injury is very high. Without prophylaxis the incidence of DVT using venography is 81% and the risk of symptomatic DVT is between 12 and 23%. The risk is much lower in elective spine surgery. After discectomy or laminectomy on less than two spine levels, the risk of DVT is less than 1%. After spinal fusion or extended laminectomy, the risk can be estimated between 0.3 and 2.2%. A prophylaxis is recommended for all patients after spinal cord injury (grade A). The association of a mechanical method and heparin is recommended (grade B). The duration of prophylaxis is 3 months in patients with a motor deficit (grade C). No prophylaxis is recommended after discectomy or limited laminectomy in patients without additional risk factors. Mechanical methods are recommended after spinal fusion or extended laminectomy. For patients with additional risk factors a low molecular weight heparin is recommended.

Translated title of the contribution	Thromboprophylaxis in elective spinal surgery and spinal cord injury
Original language	French
Pages (from-to)	928-934
Number of pages	7
Journal	Annales Francaises d'Anesthesie et de Reanimation
Volume	24
Issue number	8
DOIs	https://doi.org/10.1016/j.annfar.2005.05.010
State	Published - Aug 2005
Externally published	Yes

Keywords

Deep vein thrombosis
Discectomy
Laminectomy
Spinal cord injury
Spine surgery

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1016/j.annfar.2005.05.010

Cite this

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title = "Thromboprophylaxie en chirurgie rachidienne traumatologique et non traumatologique",

abstract = "The risk of deep vein thrombosis (DVT) after spinal cord injury is very high. Without prophylaxis the incidence of DVT using venography is 81% and the risk of symptomatic DVT is between 12 and 23%. The risk is much lower in elective spine surgery. After discectomy or laminectomy on less than two spine levels, the risk of DVT is less than 1%. After spinal fusion or extended laminectomy, the risk can be estimated between 0.3 and 2.2%. A prophylaxis is recommended for all patients after spinal cord injury (grade A). The association of a mechanical method and heparin is recommended (grade B). The duration of prophylaxis is 3 months in patients with a motor deficit (grade C). No prophylaxis is recommended after discectomy or limited laminectomy in patients without additional risk factors. Mechanical methods are recommended after spinal fusion or extended laminectomy. For patients with additional risk factors a low molecular weight heparin is recommended.",

keywords = "Deep vein thrombosis, Discectomy, Laminectomy, Spinal cord injury, Spine surgery",

author = "G. Audibert and T. Faillot and Vergnes, {M. C.} and Bosson, {J. L.} and C. Bernard and Payen, {J. F.} and B. Lestienne and N. Bruder",

year = "2005",

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doi = "10.1016/j.annfar.2005.05.010",

language = "French",

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AU - Audibert, G.

AU - Faillot, T.

AU - Vergnes, M. C.

AU - Bosson, J. L.

AU - Bernard, C.

AU - Payen, J. F.

AU - Lestienne, B.

AU - Bruder, N.

PY - 2005/8

Y1 - 2005/8

N2 - The risk of deep vein thrombosis (DVT) after spinal cord injury is very high. Without prophylaxis the incidence of DVT using venography is 81% and the risk of symptomatic DVT is between 12 and 23%. The risk is much lower in elective spine surgery. After discectomy or laminectomy on less than two spine levels, the risk of DVT is less than 1%. After spinal fusion or extended laminectomy, the risk can be estimated between 0.3 and 2.2%. A prophylaxis is recommended for all patients after spinal cord injury (grade A). The association of a mechanical method and heparin is recommended (grade B). The duration of prophylaxis is 3 months in patients with a motor deficit (grade C). No prophylaxis is recommended after discectomy or limited laminectomy in patients without additional risk factors. Mechanical methods are recommended after spinal fusion or extended laminectomy. For patients with additional risk factors a low molecular weight heparin is recommended.

AB - The risk of deep vein thrombosis (DVT) after spinal cord injury is very high. Without prophylaxis the incidence of DVT using venography is 81% and the risk of symptomatic DVT is between 12 and 23%. The risk is much lower in elective spine surgery. After discectomy or laminectomy on less than two spine levels, the risk of DVT is less than 1%. After spinal fusion or extended laminectomy, the risk can be estimated between 0.3 and 2.2%. A prophylaxis is recommended for all patients after spinal cord injury (grade A). The association of a mechanical method and heparin is recommended (grade B). The duration of prophylaxis is 3 months in patients with a motor deficit (grade C). No prophylaxis is recommended after discectomy or limited laminectomy in patients without additional risk factors. Mechanical methods are recommended after spinal fusion or extended laminectomy. For patients with additional risk factors a low molecular weight heparin is recommended.

KW - Deep vein thrombosis

KW - Discectomy

KW - Laminectomy

KW - Spinal cord injury

KW - Spine surgery

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Thromboprophylaxie en chirurgie rachidienne traumatologique et non traumatologique

Abstract

Keywords

ASJC Scopus subject areas

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