Prone Position Increases the Risk of Postoperative Deep Vein Thrombosis in Cervical Spine Surgery by Limiting Venous Return in the Lower Limbs

doi:10.1097/BRS.0000000000004929

科研成果详情

题名	Prone Position Increases the Risk of Postoperative Deep Vein Thrombosis in Cervical Spine Surgery by Limiting Venous Return in the Lower Limbs
作者	Wang, Yu 1; Chen, Xiaohui1; Wu, Qilong2; Wang, Yefeng1; Wang, Jing 1; Teng, Honglin1; Xu, Shihao 2; Wang, Yu.1
发表日期	2024-08-15
发表期刊	Spine 影响因子和分区
语种	英语
原始文献类型	Journal Article
关键词	degenerative cervical myelopathy deep vein thrombosis prone position supine position postural cushions lower extremity venous blood flow velocity
其他关键词	THROMBOEMBOLIC EVENTS ; COMPRESSION ; PROPHYLAXIS ; MORTALITY ; WEIGHT
摘要	Retrospective clinical study with confirmatory evaluation in healthy volunteers., To investigate the association between deep vein thrombosis (DVT) and surgical position after cervical spine surgery., It is unclear whether posterior cervical surgery using the prone position increases the risk of postoperative DVT relative to anterior cervical surgery., 340 patients undergoing surgery for degenerative cervical myelopathy were included. Multivariate analysis was used to identify the predictors of postoperative DVT, adjusting for potential confounders. In addition, 45 healthy volunteers were used to study blood flow velocity and intravascular diameter of the posterior tibial vein (PTV) and popliteal vein (PV) of the subjects were monitored by ultrasound and compared among three positions (supine, prone, and prone with iliac cushions)., Multivariate analysis showed that advanced age (>63.5 y old), preoperative varicose veins, D-dimer>0.255 mg/L, bleeding volume>303 mL and prone positioning were significantly associated with DVT after cervical spine surgery. The results of vascular ultrasound showed that blood flow velocities of PV and PTV in the prone position with cushions were significantly lower than those in the supine position. The diameter of PV in prone position with cushions was also significantly larger. The blood flow velocity and diameter of PV in the prone position with cushions were significantly lower and larger, respectively, than those in the prone position without cushions., Posterior cervical surgery in the prone position was significantly associated with postoperative DVT. The prone position with iliac cushions may decrease venous flow within the lower extremities due to compression of iliac veins, obstructing venous return and thus increasing the incidence of postoperative DVT. The prone position without iliac cushions may reduce the potential for DVT., 3.
资助项目	Zhejiang Provincial Natural Science Foundation of China [LY21H060008]; Medical and Health Technology Project of Zhejiang Province [2018KY124]
出版者	LIPPINCOTT WILLIAMS & WILKINS
ISSN	0362-2436
EISSN	1528-1159
卷号	49 期号:16 页码:1154-1161
DOI	10.1097/BRS.0000000000004929
页数	8
WOS类目	Clinical Neurology ; Orthopedics
WOS研究方向	Neurosciences & Neurology ; Orthopedics
WOS记录号	WOS:001275687200011
收录类别	PUBMED ; SCIE ; SCOPUS
URL	查看原文
PubMed ID	38258955
SCOPUSEID	2-s2.0-85193536125
通讯作者地址	[Wang, Yu.]Wenzhou Med Univ, Affiliated Hosp 1, Wenzhou, Peoples R China.
Scopus学科分类	Orthopedics and Sports Medicine;Neurology (clinical)
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/207486
专题	附属第一医院第一临床医学院（信息与工程学院）、附属第一医院_影像医学与核医学_超声影像科
通讯作者	Wang, Yu.
作者单位	1.Wenzhou Med Univ, Dept Orthoped Spine Surg, Affiliated Hosp 1, Wenzhou, Peoples R China; 2.Wenzhou Med Univ, Dept Ultrasonog, Affiliated Hosp 1, Wenzhou, Peoples R China
第一作者单位	附属第一医院
通讯作者单位	附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	Wang, Yu,Chen, Xiaohui,Wu, Qilong,et al. Prone Position Increases the Risk of Postoperative Deep Vein Thrombosis in Cervical Spine Surgery by Limiting Venous Return in the Lower Limbs[J]. Spine,2024,49(16):1154-1161.
APA	Wang, Yu., Chen, Xiaohui., Wu, Qilong., Wang, Yefeng., Wang, Jing., ... & Wang, Yu.. (2024). Prone Position Increases the Risk of Postoperative Deep Vein Thrombosis in Cervical Spine Surgery by Limiting Venous Return in the Lower Limbs. Spine, 49(16), 1154-1161.
MLA	Wang, Yu,et al."Prone Position Increases the Risk of Postoperative Deep Vein Thrombosis in Cervical Spine Surgery by Limiting Venous Return in the Lower Limbs".Spine 49.16(2024):1154-1161.