Asian Journal of Neurosurgery

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 15  |  Issue : 1  |  Page : 51--58

Postoperative venous thromboembolism in extramedullary spinal tumors


Anukoon Kaewborisutsakul1, Thara Tunthanathip1, Pakorn Yuwakosol1, Srirat Inkate2, Sutthiporn Pattharachayakul3 
1 Neurological Surgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat-Yai, Songkhla, Thailand
2 Division of Nursing Services, Faculty of Medicine, Prince of Songkla University, Hat-Yai, Songkhla, Thailand
3 Department of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Prince of Songkla University, Hat-Yai, Songkhla, Thailand

Correspondence Address:
Dr Anukoon Kaewborisutsakul
Department of Surgery, Neurological Surgery Unit, Faculty of Medicine, Prince of Songkla University, Hat-Yai, Songkhla 90110
Thailand

Context: Venous thromboembolism (VTE), including deep-vein thrombosis (DVT) and pulmonary embolism (PE), is the fatal complication following spine surgery and the appropriate perioperative prophylaxis is still debated. Aims: The aim of this study is to evaluate the incidence of along with risk factors for postoperative VTE in surgically treated extramedullary spinal tumor patients. Setting and Designs: The study design involves single institute and retrospective cohort study. Subjects and Methods: The cohort database was reviewed between the periods of January 2014 and June 2019. Patients undergoing surgery for spine tumor, extradural tumor, and intradural extramedullary were consecutively collected. Statistical Analysis Used: The incidence of VTE and clinical factors reported to be associated with VTE were identified, and then analyzed with an appropriate Cox regression model. Results: The study identified 103 extramedullary spinal tumor patients. Three patients (2.9%) were diagnosed with a proximal leg DVT, while symptomatic PE did not identify. Risk factors associated with DVT occurrence were as follows: operative time ≥8 h (Hazard ratio [HR] 13.98,P= 0.03) and plasma transfusion (HR 16.38,P= 0.02), whereas plasma transfusion was the only significant factor, after multivariate analysis (HR 11.77,P= 0.05). Conclusions: Patients who underwent surgery for extramedullary spinal tumors showed a 2.9% incidence of DVT. The highest rate of DVT was found in patients who received plasma transfusion. More attention should be paid on perioperative associated factors for intensive prevention coupled with early screening in this group.


How to cite this article:
Kaewborisutsakul A, Tunthanathip T, Yuwakosol P, Inkate S, Pattharachayakul S. Postoperative venous thromboembolism in extramedullary spinal tumors.Asian J Neurosurg 2020;15:51-58


How to cite this URL:
Kaewborisutsakul A, Tunthanathip T, Yuwakosol P, Inkate S, Pattharachayakul S. Postoperative venous thromboembolism in extramedullary spinal tumors. Asian J Neurosurg [serial online] 2020 [cited 2021 Jan 25 ];15:51-58
Available from: https://www.asianjns.org/article.asp?issn=1793-5482;year=2020;volume=15;issue=1;spage=51;epage=58;aulast=Kaewborisutsakul;type=0