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Preoperative Maximization to Reduce Complications in Spinal Surgery.
Sukanta Maitra1, Christopher Mikhail2, Samuel K Cho2
1Department of Orthopaedic Surgery, UNLV School of Medicine, Las Vegas, NV, USA.
Global Spine Journal
|January 15, 2020
Summary
Optimizing modifiable patient risk factors like obesity, diabetes, and smoking before spine surgery can significantly reduce complications. Addressing these preoperative factors improves patient outcomes and supports value-based care goals.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Value-Based Care
Background:
- Preoperative optimization is crucial for improving patient outcomes in spine surgery.
- Identifying and modifying patient-specific risk factors can mitigate surgical complications.
Purpose of the Study:
- To review and summarize modifiable preoperative risk factors in spinal surgery patients.
- To identify factors surgeons can optimize to enhance patient-reported outcomes and reduce complications.
Main Methods:
- An invited narrative review of current literature.
- Authors conducted a comprehensive review of relevant scientific publications.
Main Results:
- Key modifiable patient risk factors include obesity, malnutrition, diabetes/hyperglycemia, anemia, vitamin D deficiency, nicotine use, and psychosocial factors.
- Optimization of these factors is essential for preoperative patient management.
Conclusions:
- Maximizing patient physiological and psychological status preoperatively is vital for elective spine surgery.
- Preoperative optimization aligns with value-based care by improving outcomes and reducing healthcare costs.
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