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Rivaroxaban Versus Enoxaparin As Thromboprophylaxis In Degenerative Spine Surgery

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Ace Report Cover
July 2025

Rivaroxaban Versus Enoxaparin As Thromboprophylaxis In Degenerative Spine Surgery

Vol: 307| Issue: 7| Number:63| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Rivaroxaban versus enoxaparin as thromboprophylaxis in degenerative spine surgery: a randomized blinded non-inferiority study.

Eur Spine J . 2025 May;34(5):1926-1933.

Contributing Authors:
HRK Kashani S Salimi P Alizadeh P Paryan Z Mohammadi N Kachoueian M Heli N Ghalandari H Esmaily

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Synopsis

Two hundred twenty patients undergoing degenerative spine surgery were randomized to receive either enoxaparin 40 mg subcutaneously once daily (n=110) or rivaroxaban 10 mg orally once daily (n=110). The primary outcome was the incidence of venous thromboembolism (VTE) (DVT and PE). Secondary outcomes included reoperation rate, length of hospital stay, surgical site infection, CSF leakage, and oth...

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