作者
Khoa S Tran, Tariq Ziad Issa, Yunsoo Lee, Mark J Lambrechts, Skylar Nahi, Cannon Hiranaka, Andrew Tokarski, Dominic Lambo, Blaire Adler, Ian David Kaye, Jeffrey A Rihn, Barrett I Woods, Jose A Canseco, Alan S Hilibrand, Alexander R Vaccaro, Christopher K Kepler, Gregory D Schroeder
发表日期
2023/1/1
期刊
World neurosurgery
卷号
169
页码范围
e214-e220
出版商
Elsevier
简介
Objective
To determine the effect of operative duration on the rate of postoperative symptomatic venous thromboembolic (VTE) events in patients undergoing thoracolumbar spine fusion.
Methods
We identified all thoracolumbar spine fusion patients between 2012 and 2021. Operative duration was defined as time from skin incision to skin closure. A 1:1 propensity match was conducted incorporating patient and surgical characteristics. Logistic regression was performed to assess predictors of postoperative symptomatic VTE events. A receiver operating characteristic curve was created to determine a cutoff time for increased likelihood of VTE.
Results
We identified 101 patients with VTE and 1108 patients without VTE. Seventy-five patients with VTE were matched to 75 patients without VTE. Operative duration (339 vs. 262 minutes, P = 0.010) and length of stay (5.00 vs. 3.54 days, P = 0.008) were significantly longer in …
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