Increased Risk of Venous Thromboembolism Following Posterior Versus Anterior Cervical Spine Fusion: A Propensity-Matched Cohort Study.

ABSTRACT: Study DesignPropensity-matched retrospective cohort study.ObjectiveThis study aimed to compare the incidence of venous thromboembolism (VTE) complications following posterior cervical decompression and fusion (PCDF) and anterior cervical discectomy and fusion (ACDF).MethodsThe TriNetX database was queried for patients >18 years old undergoing single- or multi-level ACDF or PCDF between 2004 and 2024. Patients with prior VTE, thrombophilia, or prior cervical spine surgery were excluded. Propensity score matching was performed using demographics, comorbidities, and anticoagulation use. Primary outcomes included 30- and 90-day incidence of VTE events and post-operative bleeding complications. Differences between PCDF and ACDF were reported as odds ratios with 95% confidence intervals (CI).Res

SUBMITTER: Silvestre J 

PROVIDER: S-EPMC12664781 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature