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Prophylaxis Against Thromboembolism in Spinal Surgery

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Manual of Spine Surgery

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Abstract

Depending on the type and scope of the surgical procedure or of an injury and the resulting immobility, surgical patients face a statistically predictable risk of venous thromboembolism (VTE). The risk of venous thromboembolism must be taken into consideration for all patients undergoing surgical procedures or suffering from injuries or acute illness. Therefore, physical- or medication-based prophylaxis is to be arranged for on a case-by-case basis, taking additional expositional and dispositional risk factors into account. The indication is to be determined on an individual and risk-adapted basis. The summary provided here can only function as a guide for orientation. The goal of the chapter is to help in delivering optimum, efficacious treatment with the aim of preventing thromboembolism. The decision in favor of or against measures regarding thromboprophylaxis must be made independently by each doctor and individually for each patient, taking the medical and legal viewpoint into account. The guidelines do not represent a standard of care or fixed treatment protocol. DVT prophylaxis must be a desirable benefit-risk ratio. The chapter provides a brief background regarding venous thromboembolism (VTE) and identifies the risk factors for developing VTE and reviews the general principles for thromboprophylaxes.

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Authors and Affiliations

  1. Department of Conservative and Surgical Spine Therapy with Interdisciplinary Spinal Deformities Centre and Rummelsberg Sectional Center, Hospital Rummelsberg, Schwarzenbruck, Germany

    Uwe Vieweg

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  1. Uwe Vieweg
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Correspondence to Uwe Vieweg .

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Editors and Affiliations

  1. Surgical and Conservative Spine Therapy, Hospital Rummelsberg, Schwarzenbruck, Germany

    Uwe Vieweg

  2. Metropol Medical Center, Center for Orthopaedics, Neurosurgery and Traumatology, Nuremberg, Germany

    Frank Grochulla

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Vieweg, U. (2023). Prophylaxis Against Thromboembolism in Spinal Surgery. In: Vieweg, U., Grochulla, F. (eds) Manual of Spine Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-64062-3_18

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  • DOI: https://doi.org/10.1007/978-3-662-64062-3_18

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-64060-9

  • Online ISBN: 978-3-662-64062-3

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