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New research · Internal Medicine
Global spine journal · 3h
Cohort studyGlobal spine journal · 2026

Early Surgical Decompression and Pulmonary Embolism Risk in Traumatic Cervical Spinal Cord Injury: A Propensity Score-Matched National Analysis.

Samer G Salman, Rohan A Phadke, Nathan J Lee
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Internal MedicineCohort study

Early cervical decompression not associated with in-hospital pulmonary embolism risk

Early Surgical Decompression and Pulmonary Embolism Risk in Traumatic Cervical Spinal Cord Injury: A Propensity Score-Matched National Analysis.

Samer G Salman … Nathan J Lee
Global spine journal · 2026
Purpose

To determine whether early cervical decompression is associated with in-hospital pulmonary embolism (pulmonary embolism) after traumatic cervical spinal cord injury (spinal cord injury).

Methods

Were matched 1:1 using 30 covariates.

Results

similar pulmonary embolism risk with early versus delayed decompression

OR by subgroup · 95% CI
null = 1
detected PE
0.97
null negative-control outcome
1.10
similar
0.88
in-hospital mortality overall
1.54
More results

Among 11,530 decompression-coded patients, matching yielded 4,480 balanced pairs.

No subgroup interaction was significant after multiplicity correction.

“
Conclusion · 1 of 2

Early cervical decompression after traumatic cervical spinal cord injury was not associated with increased detected in-hospital pulmonary embolism.

Conclusion · 2 of 2

pulmonary embolism risk alone should not justify delaying otherwise indicated decompression, but differential mortality and residual confounding require cautious interpretation and prospective confirmation.

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