Prevalence of Asymptomatic Deep Vein Thrombosis in Preoperative State of Spine Surgeries
Deep venous thrombosis (DVT) is considered the most common cause of preventable death among hospitalized patients. A few studies have investigated the risk of venous thromboembolic events in patients undergoing elective spine surgery and reported varying incidences. We aim to assess the incidence of...
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| Veröffentlicht in: | World neurosurgery 2023-02, Vol.170, p.e737-e743 |
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| creator | Basindwah, Sarah AlHamzah, Musaad Balsharaf, Fatima AlRajhi, Balqes Sewaralthahab, Sarah Altoijry, Abdulmajeed Altuwaijri, Talal Al-Habib, Amro |
| description | Deep venous thrombosis (DVT) is considered the most common cause of preventable death among hospitalized patients. A few studies have investigated the risk of venous thromboembolic events in patients undergoing elective spine surgery and reported varying incidences. We aim to assess the incidence of preoperative lower limb DVT in patients with lumbar degenerative disease undergoing elective surgery.
This is a retrospective review of prospectively collected data on adult patients with lumbar degenerative spine diseases (lumbar stenosis [LST], lumbar spondylolisthesis [SPL], or lumbar disc herniation) who were scheduled for operative management. Each patient underwent a preoperative lower limb venous Duplex (LLVD). Incidence of DVT, risk factors, and clinical course of patients were reported.
Forty-nine patients (32 females; 65%) were included. All patients were diagnosed clinically and radiologically with lumbar degenerative diseases; LST (44.9%), SPL (36.7%), and lumbar disc herniation (18.4%), requiring surgical management. Three patients (6.1%) were found to have positive DVT studies, leading to the cancellation or rescheduling of their procedures (P |
| doi_str_mv | 10.1016/j.wneu.2022.11.105 |
| format | Article |
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This is a retrospective review of prospectively collected data on adult patients with lumbar degenerative spine diseases (lumbar stenosis [LST], lumbar spondylolisthesis [SPL], or lumbar disc herniation) who were scheduled for operative management. Each patient underwent a preoperative lower limb venous Duplex (LLVD). Incidence of DVT, risk factors, and clinical course of patients were reported.
Forty-nine patients (32 females; 65%) were included. All patients were diagnosed clinically and radiologically with lumbar degenerative diseases; LST (44.9%), SPL (36.7%), and lumbar disc herniation (18.4%), requiring surgical management. Three patients (6.1%) were found to have positive DVT studies, leading to the cancellation or rescheduling of their procedures (P < 0.01). These included 1 patient with LST (P = 0.045) and 2 patients with SPL (P = 0.006). Among patients with LST and SPL, higher disability (modified Rankin scale ≥3) was significantly associated with positive LLVD (P = 0.035).
Patients with LST or SPL with higher preoperative disability scores were at higher risk to have preoperative DVT. Further research is needed to evaluate the feasibility and value of preoperative LLVD to detect DVT in patients planned for lumbar degenerative surgery.</description><identifier>ISSN: 1878-8750</identifier><identifier>ISSN: 1878-8769</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2022.11.105</identifier><identifier>PMID: 36442779</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Constriction, Pathologic - complications ; Deep vein thrombosis ; Degenerative lumbar disease ; Duplex ; Female ; Humans ; Intervertebral Disc Displacement - complications ; Lumbar spine surgery ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - surgery ; Prevalence ; Retrospective Studies ; Spine - diagnostic imaging ; Spine - surgery ; Venous Thromboembolism - epidemiology ; Venous Thrombosis - diagnostic imaging ; Venous Thrombosis - epidemiology ; Venous Thrombosis - etiology</subject><ispartof>World neurosurgery, 2023-02, Vol.170, p.e737-e743</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c286t-bc71b310347cfd94cc8507e00a7e71a11a571d0790c423f14f7c62f25a3a50f43</citedby><cites>FETCH-LOGICAL-c286t-bc71b310347cfd94cc8507e00a7e71a11a571d0790c423f14f7c62f25a3a50f43</cites><orcidid>0000-0001-6682-9709 ; 0000-0002-9237-598X ; 0000-0001-6960-9170 ; 0000-0002-0833-2945</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.wneu.2022.11.105$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36442779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Basindwah, Sarah</creatorcontrib><creatorcontrib>AlHamzah, Musaad</creatorcontrib><creatorcontrib>Balsharaf, Fatima</creatorcontrib><creatorcontrib>AlRajhi, Balqes</creatorcontrib><creatorcontrib>Sewaralthahab, Sarah</creatorcontrib><creatorcontrib>Altoijry, Abdulmajeed</creatorcontrib><creatorcontrib>Altuwaijri, Talal</creatorcontrib><creatorcontrib>Al-Habib, Amro</creatorcontrib><title>Prevalence of Asymptomatic Deep Vein Thrombosis in Preoperative State of Spine Surgeries</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Deep venous thrombosis (DVT) is considered the most common cause of preventable death among hospitalized patients. A few studies have investigated the risk of venous thromboembolic events in patients undergoing elective spine surgery and reported varying incidences. We aim to assess the incidence of preoperative lower limb DVT in patients with lumbar degenerative disease undergoing elective surgery.
This is a retrospective review of prospectively collected data on adult patients with lumbar degenerative spine diseases (lumbar stenosis [LST], lumbar spondylolisthesis [SPL], or lumbar disc herniation) who were scheduled for operative management. Each patient underwent a preoperative lower limb venous Duplex (LLVD). Incidence of DVT, risk factors, and clinical course of patients were reported.
Forty-nine patients (32 females; 65%) were included. All patients were diagnosed clinically and radiologically with lumbar degenerative diseases; LST (44.9%), SPL (36.7%), and lumbar disc herniation (18.4%), requiring surgical management. Three patients (6.1%) were found to have positive DVT studies, leading to the cancellation or rescheduling of their procedures (P < 0.01). These included 1 patient with LST (P = 0.045) and 2 patients with SPL (P = 0.006). Among patients with LST and SPL, higher disability (modified Rankin scale ≥3) was significantly associated with positive LLVD (P = 0.035).
Patients with LST or SPL with higher preoperative disability scores were at higher risk to have preoperative DVT. Further research is needed to evaluate the feasibility and value of preoperative LLVD to detect DVT in patients planned for lumbar degenerative surgery.</description><subject>Adult</subject><subject>Constriction, Pathologic - complications</subject><subject>Deep vein thrombosis</subject><subject>Degenerative lumbar disease</subject><subject>Duplex</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - complications</subject><subject>Lumbar spine surgery</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Spine - diagnostic imaging</subject><subject>Spine - surgery</subject><subject>Venous Thromboembolism - epidemiology</subject><subject>Venous Thrombosis - diagnostic imaging</subject><subject>Venous Thrombosis - epidemiology</subject><subject>Venous Thrombosis - etiology</subject><issn>1878-8750</issn><issn>1878-8769</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF1LwzAUhoMoTub-gBfSS282c9K0acEbmZ8wUNgU70KWnmrG2tSknezfmzrdpblJzuF5X8hDyBnQCVBIL1eTrxq7CaOMTQDCLjkgJ5CJbJyJND_cvxM6ICPvVzScGHgm4mMyiFPOmRD5CXl7drhRa6w1RraMrv22alpbqdbo6AaxiV7R1NHiw9lqab3xUZhCxDboArPBaN6q9ic6b0wdxs69ozPoT8lRqdYeR7_3kLzc3S6mD-PZ0_3j9Ho21ixL2_FSC1jGQGMudFnkXOssoQIpVQIFKACVCCioyKnmLC6Bl0KnrGSJilVCSx4PycWut3H2s0Pfysp4jeu1qtF2XjLBWZpkOU0CynaodtZ7h6VsnKmU20qgspcqV7KXKnupEiDs-tD5b3-3rLDYR_4UBuBqB2D45cagk16b3mdhHOpWFtb81_8NW9OICg</recordid><startdate>202302</startdate><enddate>202302</enddate><creator>Basindwah, Sarah</creator><creator>AlHamzah, Musaad</creator><creator>Balsharaf, Fatima</creator><creator>AlRajhi, Balqes</creator><creator>Sewaralthahab, Sarah</creator><creator>Altoijry, Abdulmajeed</creator><creator>Altuwaijri, Talal</creator><creator>Al-Habib, Amro</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6682-9709</orcidid><orcidid>https://orcid.org/0000-0002-9237-598X</orcidid><orcidid>https://orcid.org/0000-0001-6960-9170</orcidid><orcidid>https://orcid.org/0000-0002-0833-2945</orcidid></search><sort><creationdate>202302</creationdate><title>Prevalence of Asymptomatic Deep Vein Thrombosis in Preoperative State of Spine Surgeries</title><author>Basindwah, Sarah ; AlHamzah, Musaad ; Balsharaf, Fatima ; AlRajhi, Balqes ; Sewaralthahab, Sarah ; Altoijry, Abdulmajeed ; Altuwaijri, Talal ; Al-Habib, Amro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c286t-bc71b310347cfd94cc8507e00a7e71a11a571d0790c423f14f7c62f25a3a50f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Constriction, Pathologic - complications</topic><topic>Deep vein thrombosis</topic><topic>Degenerative lumbar disease</topic><topic>Duplex</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - complications</topic><topic>Lumbar spine surgery</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Spine - diagnostic imaging</topic><topic>Spine - surgery</topic><topic>Venous Thromboembolism - epidemiology</topic><topic>Venous Thrombosis - diagnostic imaging</topic><topic>Venous Thrombosis - epidemiology</topic><topic>Venous Thrombosis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Basindwah, Sarah</creatorcontrib><creatorcontrib>AlHamzah, Musaad</creatorcontrib><creatorcontrib>Balsharaf, Fatima</creatorcontrib><creatorcontrib>AlRajhi, Balqes</creatorcontrib><creatorcontrib>Sewaralthahab, Sarah</creatorcontrib><creatorcontrib>Altoijry, Abdulmajeed</creatorcontrib><creatorcontrib>Altuwaijri, Talal</creatorcontrib><creatorcontrib>Al-Habib, Amro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Basindwah, Sarah</au><au>AlHamzah, Musaad</au><au>Balsharaf, Fatima</au><au>AlRajhi, Balqes</au><au>Sewaralthahab, Sarah</au><au>Altoijry, Abdulmajeed</au><au>Altuwaijri, Talal</au><au>Al-Habib, Amro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Asymptomatic Deep Vein Thrombosis in Preoperative State of Spine Surgeries</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2023-02</date><risdate>2023</risdate><volume>170</volume><spage>e737</spage><epage>e743</epage><pages>e737-e743</pages><issn>1878-8750</issn><issn>1878-8769</issn><eissn>1878-8769</eissn><abstract>Deep venous thrombosis (DVT) is considered the most common cause of preventable death among hospitalized patients. A few studies have investigated the risk of venous thromboembolic events in patients undergoing elective spine surgery and reported varying incidences. We aim to assess the incidence of preoperative lower limb DVT in patients with lumbar degenerative disease undergoing elective surgery.
This is a retrospective review of prospectively collected data on adult patients with lumbar degenerative spine diseases (lumbar stenosis [LST], lumbar spondylolisthesis [SPL], or lumbar disc herniation) who were scheduled for operative management. Each patient underwent a preoperative lower limb venous Duplex (LLVD). Incidence of DVT, risk factors, and clinical course of patients were reported.
Forty-nine patients (32 females; 65%) were included. All patients were diagnosed clinically and radiologically with lumbar degenerative diseases; LST (44.9%), SPL (36.7%), and lumbar disc herniation (18.4%), requiring surgical management. Three patients (6.1%) were found to have positive DVT studies, leading to the cancellation or rescheduling of their procedures (P < 0.01). These included 1 patient with LST (P = 0.045) and 2 patients with SPL (P = 0.006). Among patients with LST and SPL, higher disability (modified Rankin scale ≥3) was significantly associated with positive LLVD (P = 0.035).
Patients with LST or SPL with higher preoperative disability scores were at higher risk to have preoperative DVT. Further research is needed to evaluate the feasibility and value of preoperative LLVD to detect DVT in patients planned for lumbar degenerative surgery.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36442779</pmid><doi>10.1016/j.wneu.2022.11.105</doi><orcidid>https://orcid.org/0000-0001-6682-9709</orcidid><orcidid>https://orcid.org/0000-0002-9237-598X</orcidid><orcidid>https://orcid.org/0000-0001-6960-9170</orcidid><orcidid>https://orcid.org/0000-0002-0833-2945</orcidid></addata></record> |
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| subjects | Adult Constriction, Pathologic - complications Deep vein thrombosis Degenerative lumbar disease Duplex Female Humans Intervertebral Disc Displacement - complications Lumbar spine surgery Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - surgery Prevalence Retrospective Studies Spine - diagnostic imaging Spine - surgery Venous Thromboembolism - epidemiology Venous Thrombosis - diagnostic imaging Venous Thrombosis - epidemiology Venous Thrombosis - etiology |
| title | Prevalence of Asymptomatic Deep Vein Thrombosis in Preoperative State of Spine Surgeries |
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