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Preoperative Optimization for Adult Spinal Deformity Surgery: A Systematic Review
Prerana Katiyar1, Justin Reyes2, Josephine Coury2
1Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Spine
|September 7, 2023
Summary
Optimizing modifiable risk factors before adult spinal deformity surgery can significantly reduce complications and improve patient outcomes. This review compiles evidence-based recommendations for preoperative patient care.
Area of Science:
- Orthopedic Surgery
- Spinal Deformity
- Patient Optimization
Background:
- Adult spinal deformity surgery requires careful patient preparation.
- Optimizing modifiable risk factors improves outcomes and reduces healthcare costs.
- Limited literature exists on preoperative optimization for this specific patient group.
Approach:
- Systematic review of 70 studies.
- Searched PubMed for modifiable risk factors (e.g., osteoporosis, obesity, smoking, diabetes).
- Compiled evidence-based recommendations for preoperative optimization.
Key Points:
- Identified key modifiable risk factors in adult spinal deformity surgery.
- Synthesized literature into actionable preoperative optimization strategies.
- Recommendations cover a range of patient health variables.
Conclusions:
- Preoperative optimization, despite initial effort, reduces perioperative complications.
- Improved surgical outcomes, reduced morbidity and mortality are key benefits.
- Enhanced patient quality of life and satisfaction are expected outcomes.
