Journal List > J Korean Orthop Assoc > v.35(2) > 1103562

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Suk, Lee, Moon, Kim, Wang, Kim, and Park: Deep Vein Thrombosis After Major Spinal Surgery: Incidence in a Korean Population
Original Article

Journal of the Korean Orthopaedic Association 2000; 35(2): 199-204.

Published online: 30 April 2000

DOI: https://doi.org/10.4055/jkoa.2000.35.2.199

Deep Vein Thrombosis After Major Spinal Surgery: Incidence in a Korean Population

Kyung Soo Suk, Hwan Mo Lee, Seong Hwan Moon, Dong Jun Kim, Jin Man Wang, Nam Hyun Kim, Young Sik Park

Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea.

Department of Orthopaedic Surgery, Ewha Womans University College of Medicine, Seoul, Korea.

Copyright © by The Korean Orthopaedic Association

Abstract

PURPOSE

To determine the incidence of deep vein thrombosis (DVT) after major spinal surgery in a Korean population without antithrombic prophylaxis.

MATERIALS AND METHODS

Three hundred and thirteen patients who underwent major spinal surgery were evaluated prospectively. All patients were examined with duplex ultrasonography assessments of both lower extremities. No specific antithrombotic prophylaxes were used in any patient before or after surgery.

RESULTS

There were 4 patients with positive findings of DVT on duplex ultrasonography and only 1 patient with clinically symptomatic DVT. The overall incidence of thrombotic complications was 1.3% and incidence of symptomatic DVT was 0.3%.

CONCLUSION

Considering the low rate of DVT, routine screening and prophylaxis for DVT appears unwarranted in Koreans before or after major spinal surgery.

Keywords: Deep vein thrombosis, Duplex ultrasonography, Major spinal surgery, Korean

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