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Multidisciplinary approaches to complication reduction in complex spine surgery: a systematic review
Gabriel N Friedman1, Joshua A Benton2, Murray Echt2
1Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Summary
Multidisciplinary care pathways significantly reduce complications in complex spine surgery. This systematic review identifies key strategies for improving patient outcomes in spinal deformity treatment.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Healthcare Management
Background:
- Complex spine surgery has a high complication rate.
- Multidisciplinary pathways show promise in reducing these complications.
- No systematic collation of these approaches exists.
Purpose of the Study:
- Determine effective multidisciplinary strategies for reducing complex spine surgery complications.
- Analyze existing institutional approaches.
- Identify common themes across practice settings.
Main Methods:
- Systematic review following PRISMA guidelines.
- Searched PubMed, Embase, CINAHL, Web of Science, Cochrane.
- Included studies on multidisciplinary care phases (preoperative to postoperative).
Main Results:
- 10 articles met inclusion criteria from 406 initial studies.
- Key strategies: preoperative workup, interdisciplinary conferencing, intraoperative communication, postoperative management.
- These approaches decreased surgical duration and complication rates.
Conclusions:
- First systematic analysis of multidisciplinary approaches for complex spine surgery complications.
- Provides a roadmap for reducing complication rates.
- Highlights the importance of integrated care teams.
