Abstract:
STANDARDS:Prophylactic treatment of thromboembolism in patients with severe motor deficits due to spinal cord injury is recommended. The use of low-molecular-weight heparins, rotating beds, adjusted dose heparin, or a combination of modalities is recommended as a prophylactic treatment strategy. Low-dose heparin in combination with pneumatic compression stockings or electrical stimulation is recommended as a prophylactic treatment strategy. GUIDELINES:Low-dose heparin therapy alone is not recommended as a prophylactic treatment strategy. Oral anticoagulation alone is not recommended as a prophylactic treatment strategy. OPTIONS:Duplex Doppler ultrasound, impedance plethysmography, and venography are recommended for use as diagnostic tests for deep venous thrombosis in the spinal cord-injured patient population. A 3-month duration of prophylactic treatment for deep venous thrombosis and pulmonary embolism is recommended. Vena cava filters are recommended for patients who do not respond to anticoagulation or who are not candidates for anticoagulation therapy and/or mechanical devices.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Hadley MN,Walters BC,Grabb PA,Oyesiku NM,Przybylski GJ,Resnick DK,Ryken TCdoi
10.1097/00006123-200203001-00014keywords:
subject
Has Abstractpub_date
2002-03-01 00:00:00pages
S73-80issue
3 Suppleissn
0148-396Xissn
1524-4040journal_volume
50pub_type
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