Prevention of Deep Venous Thrombosis in Patients with Acute Spinal Cord Injuries: Use of Rotating Treatment Tables

Author:

Becker Daniel M.12,Gonzalez Marco3,Gentili Amilcare1,Eismont Frank4,Green Barth A.5

Affiliation:

1. Departments of Medicine, University of Miami School of Medicine, Jackson Memorial Hospital, Miami, Florida

2. Departments of Medicine, University of Virigina School of Medicine.

3. University of Miami School of Medicine, and Division of Nuclear Medicine, Jackson Memorial Hospital, Miami, Florida

4. Orthopedics and Rehabilitation, University of Miami School of Medicine, Jackson Memorial Hospital, Miami, Florida

5. Neurological Surgery, University of Miami School of Medicine, Jackson Memorial Hospital, Miami, Florida

Abstract

Abstract A randomized clinical trial of 15 patients with acute spinal cord injuries was performed to test the hypothesis that rotating treatment tables prevent deep venous thrombosis in this population. Four of 5 control (nonrotated) patients developed distal and proximal thrombi, assessed by 125I fibrinogen leg scans and impedance plethysmography. In comparison, only 1 of 10 treated (rotated) patients developed both distal and proximal thrombosis (P = 0.007). These results suggest but do not prove that rotating treatment tables prevent the development of proximal deep venous thrombosis in spinal cord-injured patients. Larger clinical trials are needed to confirm this heretofore undocumented benefit of rotating treatment tables.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Surgery

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