Pulmonary Embolism After Adult Spinal Deformity Surgery

• DOI: 10.1097/brs.0b013e31816245e1
• Publication Date: 2009-03-05T12:57:10Z
• Authors: Dhruv B. Pateder; Ricardo A. Gonzales; Khaled M. Kebaish; David F. Antezana; David B. Cohen; Jen-Yi Chang; John P. Kostuik
• Keywords: Kyphosis; Spinal Deformity; Kyphoscoliosis

In Brief Study Design. Retrospective review. Objective. To determine the incidence and identify associated risk factors of pulmonary embolism (PE) in patients who receive pharmacologic thromboprophylaxis after adult spinal deformity surgery. Summary Background Data. The PE surgery is reported to be as high 2.2%. However, risks same patient population postoperative unknown. Methods. study included 361 with underwent 407 corrective procedures for scoliosis, kyphosis, or kyphoscoliosis. was determined compared a (historical control) similar undergoing but without thromboprophylaxis. Their demographic information, American Society Anesthesiologists score, operative time, surgical approach, complexity, intraoperative blood loss were also analyzed presence factors. Results. Despite universal thromboprophylaxis, 10 emboli (2.4%) diagnosed. Patients anterior at significantly higher than those posterior (P = 0.024). right-side approach left-sided 0.018). Although rate did not differ from historical control, reduced by 50% control. Age, gender, estimated loss, revision status, number fusion levels significant variables PE. There 2 epidural hematomas requiring decompression (0.48%) 1 wound hematoma (0.24%). Conclusion. probably does have role surgery, data this suggest that it lower Compared where current demonstrated surgery; however, between two studies.