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Related Experiment Video

Updated: Feb 26, 2026

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF

Optimizing Minimally Invasive Spine Surgery: A Fully 3D CT O-Arm Navigated Workflow in MIS TLIF

Published on: October 17, 2025

Management of complex spine surgery.

Massimo Lamperti¹, Boris Tufegdzic, Rafi Avitsian

¹aAnesthesiology Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE bAnesthesiology Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

Current Opinion in Anaesthesiology

|July 22, 2017

Summary

This summary is machine-generated.

Optimizing perioperative management for major spine surgery, especially in older patients, involves a multidisciplinary approach. Enhanced Recovery After Surgery (ERAS) programs and perioperative optimization with bundled interventions improve pain control and recovery.

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Last Updated: Feb 26, 2026

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Area of Science:

Anesthesiology
Neurosurgery
Orthopedic Surgery

Background:

Major spine surgery is increasingly performed on older and high-risk patients.
Evolving surgical techniques necessitate updated perioperative management strategies.

Purpose of the Study:

To present updated data on perioperative management for major spine surgery.
To address the challenges of managing older and high-risk surgical populations.

Main Methods:

Structured preoperative assessment and stabilization using a multidisciplinary approach.
Implementation of Enhanced Recovery After Surgery (ERAS) programs and Perioperative Surgical Home concepts.
Utilizing bundled interventions and drug protocols for perioperative optimization.

Main Results:

Perioperative optimization and bundled interventions show promise in reducing postoperative pain.
Multidisciplinary approaches and structured protocols enhance patient stabilization.
Fluid management, pain control, and blood management are critical for successful outcomes.

Conclusions:

A tailored approach to perioperative care improves outcomes and quality of life for major spine surgery patients.
Further research is needed to refine ERAS elements for long-term patient benefits.