TY - JOUR
T1 - Complication avoidance with pre-operative screening
T2 - insights from the Seattle spine team
AU - Buchlak, Quinlan D.
AU - Yanamadala, Vijay
AU - Leveque, Jean Christophe
AU - Sethi, Rajiv
N1 - Publisher Copyright:
© 2016, Springer Science+Business Media New York.
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Complication rates for complex adult lumbar scoliosis surgery are unacceptably high. Standardized preoperative evaluation protocols have been shown to significantly reduce the likelihood of a spectrum of negative outcomes associated with complex adult lumbar scoliosis surgery. To increase patient safety and reduce complication risk, an entire medical and surgical team should work together to care for adult lumbar scoliosis patients. This article describes preoperative patient evaluation strategies with a particular focus on adult lumbar scoliosis surgery involving six or more levels of spinal fusion. Domains considered include recent preoperative evaluation literature, predictive risk modeling, the appropriate management of medical conditions, and the composition and activities of a multidisciplinary conference review team. An evidence-based comprehensive systematic preoperative surgical evaluation process is described.
AB - Complication rates for complex adult lumbar scoliosis surgery are unacceptably high. Standardized preoperative evaluation protocols have been shown to significantly reduce the likelihood of a spectrum of negative outcomes associated with complex adult lumbar scoliosis surgery. To increase patient safety and reduce complication risk, an entire medical and surgical team should work together to care for adult lumbar scoliosis patients. This article describes preoperative patient evaluation strategies with a particular focus on adult lumbar scoliosis surgery involving six or more levels of spinal fusion. Domains considered include recent preoperative evaluation literature, predictive risk modeling, the appropriate management of medical conditions, and the composition and activities of a multidisciplinary conference review team. An evidence-based comprehensive systematic preoperative surgical evaluation process is described.
KW - Adult lumbar scoliosis
KW - Multidisciplinary patient care
KW - Risk mitigation
KW - Risk stratification
KW - Spine surgery
KW - Surgical risk management
UR - http://www.scopus.com/inward/record.url?scp=84979234526&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84979234526&partnerID=8YFLogxK
U2 - 10.1007/s12178-016-9351-x
DO - 10.1007/s12178-016-9351-x
M3 - Review article
AN - SCOPUS:84979234526
SN - 1935-973X
VL - 9
SP - 316
EP - 326
JO - Current Reviews in Musculoskeletal Medicine
JF - Current Reviews in Musculoskeletal Medicine
IS - 3
ER -