ArticleGlobal spine journal2016
Thromboembolic Disease after Cervical Spine Surgery: A Review of 5,405 Surgical Procedures and Matched Cohort Analysis.
Article in Global spine journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Postoperative functional rehabilitation for cervical spondylotic myelopathy: An integrative review guided by Orem's self-care deficit theory.International journal of nursing studies advances · 2026Review
- Suspected cavernous sinus thrombosis and blindness after lumbar spine surgery: A rare case report and literature review.International journal of surgery case reports · 2024Article
- Surgery As a Trigger for Incident Venous Thromboembolism: Results from a Population-Based Case-Crossover Study.TH open : companion journal to thrombosis and haemostasis · 2023Article
- Venous Thromboembolism Prophylaxis in Elective Spine Surgery.Global spine journal · 2021Article
- Multimodal Analgesic Management for Cervical Spine Surgery in the Ambulatory Setting.International journal of spine surgery · 2021Article
- Venous Thromboembolism After Degenerative Spine Surgery: A Nationwide Readmissions Database Analysis.World neurosurgery · 2019Article
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6 authors.
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Abstract
STUDY
designRetrospective matched cohort analysis.
objectiveThe majority of the literature on venous thromboembolism (VTE) after spine surgery is limited to studies of thoracolumbar surgery. Less is known regarding the incidence of VTE and associated risk factors following cervical spine surgery.
methodsA total of 5,405 patients at our institution underwent cervical diskectomy, laminectomy, corpectomy, laminoplasty, or fusion between 1995 and 2012; 85 of the 5,405 patients (1.57%) suffered either a DVT (55) or pulmonary embolus (51) within 30 days postoperatively. The cases were matched 1:2 to controls based on age, sex, and date of surgery. Data regarding multiple perioperative factors, demographics, and comorbidities was collected.
resultsSeveral risk factors were identified for VTE. Significant medical comorbidities included chronic venous insufficiency (odds ratio [OR] = 3.40), atrial fibrillation (OR = 2.69), obesity (OR = 2.67), and ischemic heart disease (OR = 2.18). Staged surgery (OR = 28.0), paralysis (OR = 19.0), combined approach (OR = 7.46), surgery for infection (OR = 18.5), surgery for trauma (OR = 11.1), comorbid traumatic injuries (OR > 10), oncologic procedures (OR = 5.2), use of iliac crest autograft (OR = 4.16), two or more surgical levels (OR = 3.48), blood loss > 300 mL (OR = 1.66), and length of stay 5 days or greater (OR = 3.47) were all found to be risk factors for VTE (p < 0.05) in univariate analysis. Multivariate analysis found staged surgery (OR = 35.7), paralysis (OR = 7.86), and nonelective surgery (OR = 6.29) to be independent risk factors for VTE.
conclusionsAlthough the incidence of VTE following cervical spine surgery is low, we identified several risk factors that may be predictive. More aggressive approaches to prophylaxis and surveillance in certain patient populations may be warranted.
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