AANS Beyond 2021: Trauma Bundle-VTE Prophylaxis in Adult Degenerative Spine Surgery

VTE Prophylaxis in Adult Degenerative Spine Surgery

Video Transcription

Video Summary

In this video, Dr. Joseph Spinelli discusses venous thromboembolism (VTE) prophylaxis in adult degenerative spine surgery. He highlights the significant impact of DVT-PE on patient safety and the healthcare system. The incidence of VTE in adult degenerative spine surgery varies widely across studies. The highest rates of VTE occur in spinal deformity surgery and surgeries with prolonged perioperative immobilization. Guidelines for VTE prophylaxis are limited and lack strong evidence. Different societies recommend mechanical prophylaxis, low molecular weight heparin, and cautious use of IVC filters in high-risk patients. Dr. Spinelli emphasizes the need for individualized approaches based on patient factors and surgeon experience.

Keywords

venous thromboembolism

VTE prophylaxis

adult degenerative spine surgery

DVT-PE

patient safety