Complications of anticoagulant therapy after surgical interventions on the vertebral column
The article contains results of a literature review and the authors’ own experience in aspects of postoperative anticoagulation therapy in patients, who survived surgical interventions on their vertebral column. As a result of the research, it was revealed that venous filters were the most effective means for preventing thromboembolic complications. The use of anticoagulant agents was accompanied by an acceptable rate of complications, heparin being the most optimum drug. But at present it is necessary to develop a protocol for anticoagulation therapy in patients after operations on the vertebral column.
Full Text:PDF (Русский)
AANS/CNS Joint Committee on Acute Spinal Cord Injury. Guide lines for management of acute spinal cord injuries. — Neurosurgery. — 2002. — Vol. 50. — P. 179.
Becker D. M. Inferior vena cava filters. Indications, safety, effectiveness / D. M. Becker, J. T. Philbrick, J. B. Selby // Arch. Intern. Med. — 1985. — Vol. 152. — P. 1985–1994.
Cain J. E. The morbidity of heparin therapy after development of pulmonary embolus in patients undergoing thoracolumbar or lumbar spinal fusion/ J. E. Cain, M. R. Major, W. C. Lauerman // Spine. — 1995. — Vol. 20. — P. 1600–1603.
Catre M. G. Anticoagulation in spinal surgery. A critical review of the literature / M. G. Catre // Can. J. Surg. — 1997. — Vol. 40. — P. 413–419.
Dickman C. A. Transpedicular screw-rod fixation of the lumbar spine: operative technique and outcome in 104 cases / C. A. Dickman, R. G. Fessler, M. MacMillan // J. Neurosurg. — 1992. — Vol. 77. — P. 860–870.
Ferree B. A. Deep venous thrombosis after spinal surgery / B. A. Ferree, P. J. Stern, R. S. Jolson // Spine. — 1993. — Vol. 18. — P. 315–319.
Ferree B. Deep venous thrombosis following posterior lumbar spinal surgery / B. A. Ferree, A. M. Wright // Spine. — 1993. — Vol. 18. — P. 1079–1082.
Hans P. Epidural hematoma after cervical spine surgery / P. Hans, P. P. Delleuze, J. D. Born // J. Neurosurg. Anesthesiol. — 2003. — Vol. 15. — P. 282–285.
Inci S. Pulmonary embolism in neurosurgical patients / S. Inci, A. Erbengi, M. Berker // Surg. Neurol. — 1995. — Vol. 43. — P. 123–129.
Kaya R. A. Modified transpedicular approach for the surgical treatment of severe thoracolumbar or lumbar burst fractures / R. A. Kaya, Y. Aydin // Spine. — 2004. — Vol. 4. — P. 208–217.
Kou J. Risk factors for spinal epidural hematoma after spinal surgery / J. Kou, J. Fischgrund, A. Biddinger // Spine. — 2002. — Vol. 27. — P. 1670–1673.
Lawton M. T. Surgical management of spinal epidural hematoma: relationship between surg ical timing and neurological outcome / M. T. Lawton, R. W. Porter, J. E. Heiserman // J. Neurosurg. — 1995. — Vol. 83. — P. 1–7.
Rokito S. E. Deep vein thrombosis after major reconstructive spinal surgery / S. E. Rokito, M. C. Schwartz, M. G. Neuwirth // Spine. — 1996. — Vol. 21. — P. 853–859.
Rossoll L. W. A 59-year-old man who had undergone cervical laminectomy with sharp neck and chest pain / L. W. Rossoll, E. Corcoran // J. Emerg. Nurs. — 1999. — Vol. 25. — P. 465–467.
Scaduto A. A. Perioperative complications of threaded cylindrical lumbar interbody fusion devices: anterior verses posterior approach / A. A. Scaduto, S. C. Gamradt, W. D. Yu // J. Spinal Disord. Tech. — 2003. — Vol. 16. — P. 502–507.
Smith M. D. Deep venous thrombosis and pulmonary embolism after major reconstructive operations on the spine. A prospective analysis of three hundred and seventeen patients / M. D. Smith, E. L. Bressler, J. E. Lonstein // J. Bone Joint Surg. Am. — 1994. — Vol. 76. — P. 980–985.
Spanier D. E. Delayed postoperative epidural hematoma formation after heparinization in lumbar spinal surgery / D. E. Spanier, J. L. Stambough // J. Spinal Disord. — 2000. — Vol. 13. — P. 46–49.
Uribe J. Delayed postoperative spinal epidural hematomas / J. Uribe, K.Moza, O. Jimenez // Spine. — 2003. — Vol. 3. — P. 125–129.
Yonenobu K. Neurologic complications of surgery for cervical compression myelopathy / K. Yonenobu, N. Hosono, M. Iwasaki // Spine. — 1991. — Vol. 16. — P. 1277–1282.
Copyright (c) 2014 Dmytro Petrenko, Mykyta Voloshin, Andrey Mezentsev
This work is licensed under a Creative Commons Attribution 4.0 International License.