Venous Thromboprophylaxis in Spine Surgery

STUDY DESIGN: Review article. OBJECTIVE: A review of the literature on postoperative initiation of thrombophylactic agents following spine surgery. METHODS: A review of the literature and synthesis of the data to provide an update on venous thromboprophylaxis following spine surgery. RESULTS: Postoperative regimens of venous thromboprophylaxis measures following spine surgery remain a controversial issue. Recommendations regarding mechanical versus chemical prophylaxis vary greatly among institutions. CONCLUSION: Postoperative spine surgery initiation of thromboprophylaxis remains controversial regarding optimal timing and agent selection. The benefits of deep vein thrombosis/pulmonary embolism prophylaxis must be weighed against the possible postoperative complications associated with spine surgery.