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Spine Surgery and Ankylosing Spondylitis: Optimizing Perioperative Management
Andrei F Joaquim1, Samuel A de Oliveira2, Simone Appenzeller3
1Department of Neurology.
Clinical Spine Surgery
|March 7, 2022
Summary
Ankylosing spondylitis (AS) spine surgery requires careful perioperative planning. This review details optimal strategies for managing medications, airway, and complications in AS patients undergoing spinal procedures.
Area of Science:
- Orthopedics
- Rheumatology
- Anesthesiology
Background:
- Ankylosing spondylitis (AS) is a chronic inflammatory condition affecting the spine.
- AS patients often require spinal surgery for deformities, trauma, or infections.
- Unique AS characteristics pose specific perioperative challenges.
Approach:
- This paper reviews current literature on perioperative management for AS patients.
- Focuses on optimizing preoperative, intraoperative, and postoperative care.
- Highlights strategies to mitigate surgical risks and enhance recovery.
Key Points:
- Preoperative management includes careful drug interruption and bone quality assessment.
- Intraoperative considerations involve airway management and multimodal neurophysiological monitoring.
- Postoperative care emphasizes early mobilization, oral intake, and pain control.
Conclusions:
- AS patients present unique challenges for spine surgery.
- Optimized perioperative strategies are crucial for successful outcomes.
- This review provides a guide for managing AS patients undergoing spinal surgery.
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