Document Type

Article

Publication Date

1-6-2020

Publication Title

Global Spine Journal

Publisher

SAGE Publications

Volume

10

First page number:

45

Last page number:

52

Abstract

Study design: Invited narrative review. Objectives: The aim of this review was to summarize current literature regarding risk factors that surgeons can optimize in the preoperative setting in the spinal surgery patient, in order to reduce complications and improve patient-reported outcomes. Methods: Review of the relevant literature by the authors. Results: Modifiable risk factors identified relative to the patient include obesity, malnutrition/nutrient deficiency, diabetes/hyperglycemia, preoperative anemia, vitamin D/DEXA (dual-energy radiograph absorptiometry), nicotine use/smoking, and opioid use/psychosocial factors. Conclusion: By maximizing a patient's physiological and psychological status prior to elective spine surgery, we may move closer to achieving the goals of value-based care: improving patient-reported outcomes while decreasing the cost of care.

Keywords

Spinal Surgery; Complications; Patient-Reported Outcomes; Obesity; Malnutrition; Deficiency; Diabetes; Anemia; Smoking

Disciplines

Medical Specialties | Medicine and Health Sciences | Orthopedics

File Format

pdf

File Size

257 KB

Language

English

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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