Deep Venous Thrombosis and Pulmonary Embolism After Minimally Invasive Transforaminal Lumbar Interbody Fusion: Report of 2 Cases in 315 Procedures

June 5, 2020

Review

. 2020 Jul;51(3):423-425.

doi: 10.1016/j.ocl.2020.02.006.

Epub 2020 Mar 19.

Affiliations

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Review

Catherine R Olinger et al.

Orthop Clin North Am.

2020 Jul.

. 2020 Jul;51(3):423-425.

doi: 10.1016/j.ocl.2020.02.006.

Epub 2020 Mar 19.

Affiliations

¹ Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA. Electronic address: [email protected].
² Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.

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Abstract

When the guidelines of the North American Spine Society concerning deep venous thrombosis (DVT) prophylaxis were followed, only 2 (0.63%) of 315 patients with minimally invasive transforaminal lumbar interbody fusions developed DVT complications over a 9-year period. Based on these findings, mechanical DVT prophylaxis appears to be adequate in patients undergoing elective spinal surgery, with no current support for pharmacologic prophylaxis.

Keywords:

Deep venous thrombosis; Minimally invasive spine surgery; Pulmonary embolism; Transforaminal lumbar interbody fusion.