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Are you guys holding warfarin/plavix, etc for this procedure?
Thnx! Any other thoughts from the peanut gallery? I am a little conflicted as there is no official guidance.Nope. Have placed them in patients on Plavix, Warfarin, and Brilinta.
I’ve had a couple fractures as well, but as you said, what else do you do? Try to aggressively treat osteopenia first?I’ve been having fractures even with spinoplasty. These are all oldsters though, mostly women, poor surgical candidates overall, with osteopenia. I feel like there was no other option to treat them.
I get DEXAs if they haven’t had recently. I don’t always get one in men. I treat the osteopenia with Evista or Fosamax after getting the result but I don’t wait 3 months to place the Vertiflex or anything like that.I’ve had a couple fractures as well, but as you said, what else do you do? Try to aggressively treat osteopenia first?
Are you getting bone densities on these patients pre-operatively? I will admit I have not, unless they have a history of fractures