Preoperative optimization for patients undergoing elective spine surgery

•We have developed a pre-operative optimization protocol for patients undergoing elective spine surgery.•We provide recommendations for management of medical comorbidities that are relevant to spine surgery.•We discuss Preoperative testing centers (PTCs), risk calculators and pre-habilitation progra...

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Veröffentlicht in:	Clinical neurology and neurosurgery 2021-03, Vol.202, p.106445-106445, Article 106445
Hauptverfasser:	Wang, Timothy Y., Price, Meghan, Mehta, Vikram A., Bergin, Stephen M., Sankey, Eric W., Foster, Norah, Erickson, Melissa, Gupta, Dhanesh K., Gottfried, Oren N., Karikari, Isaac O., Than, Khoi D., Goodwin, C. Rory, Shaffrey, Christopher I., Abd-El-Barr, Muhammad M.
Format:	Artikel
Sprache:	eng
Schlagworte:	Antibiotic resistance Anticoagulants Antihypertensives Back surgery Beta blockers Bone surgery Cardiology Cardiovascular disease Clinical Protocols Comorbidity Complication reduction Diabetes Diabetes mellitus Diagnostic Tests, Routine Elective spine surgery Elective surgery Elective Surgical Procedures Glucose Health Status Heart attacks Heart failure Humans Hyperglycemia Hypertension Hypoglycemia Insulin Ketoacidosis Laboratories Mechanical ventilation Mortality Neurology Optimization Patients Preoperative Preoperative Care Spine - surgery Thromboembolism
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Zusammenfassung:	•We have developed a pre-operative optimization protocol for patients undergoing elective spine surgery.•We provide recommendations for management of medical comorbidities that are relevant to spine surgery.•We discuss Preoperative testing centers (PTCs), risk calculators and pre-habilitation programs.
ISSN:	0303-8467 1872-6968
DOI:	10.1016/j.clineuro.2020.106445