AANS Beyond 2021: Full Collection-VTE Prophylaxis in Adult Degenerative Spine Surgery

VTE Prophylaxis in Adult Degenerative Spine Surgery

Video Transcription

Video Summary

In this video, Joseph Spinelli, Chief of Neurosurgery at Walter Reed National Military Medical Center, discusses VTE prophylaxis and its impact on neurosurgery. He highlights the significant impact of DVT-PE on patient safety and the high financial cost associated with it. Spinelli explains that the true incidence of VTE in adult degenerative spine surgery is unclear, with rates varying widely in the literature. He discusses the risk factors and complications associated with VTE in this specific population. Spinelli also provides an overview of current guidelines, which he describes as vague and based on limited evidence. He emphasizes the difficulty of balancing the risks and benefits of prophylactic measures, including chemoprophylaxis and the use of IVC filters. Spinelli concludes by stressing the need for individual practitioners to develop a practical approach based on their own practice and patient population.

Keywords

VTE prophylaxis

neurosurgery

DVT-PE

risk factors

complications