Abstract

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.

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