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March 27, 2023
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VIDEO: Venous thromboembolic prophylaxis may not increase complications in spine surgery

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LAS VEGAS — Results presented at the American Academy of Orthopaedic Surgeons Annual Meeting showed venous thromboembolism prophylaxis may not increase the risk of postoperative complications in patients undergoing elective spine surgery.

“Ultimately, this study supports the currently existing literature that, in elective spine surgery, the epidural hematoma rate is probably about the same with or without anticoagulation,” R. Kiran Alluri, MD, orthopedic spine surgeon at the University of Southern California Spine Center at the Keck Medical School at USC, told Healio. “Whether or not these patients need anticoagulation to prevent a [venous thromboembolic] VTE complication continues to remain controversial. We certainly are proud of this study, but we look forward to investigating the same question in a higher-level evidence-type designed study.”