Perioperative Pain Management for Elective Spine Surgery: Opioid Use and Multimodal Strategies.

dc.contributor.author

Corley, Jacquelyn A

dc.contributor.author

Charalambous, Lefko T

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Mehta, Vikram A

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Wang, Timothy Y

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Abdelgadir, Jihad

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Than, Khoi D

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Abd-El-Barr, Muhammad M

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Goodwin, C Rory

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Shaffrey, Christopher I

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Karikari, Isaac O

dc.date.accessioned

2023-06-15T17:33:01Z

dc.date.available

2023-06-15T17:33:01Z

dc.date.issued

2022-06

dc.date.updated

2023-06-15T17:33:00Z

dc.description.abstract

In recent years, physicians and institutions have come to recognize the increasing opioid epidemic in the United States, thus prompting a dramatic shift in opioid prescribing patterns. The lack of well-studied alternative treatment regimens has led to a substantial burden of opioid addiction in the United States. These forces have led to a huge economic burden on the country. The spine surgery population is particularly high risk for uncontrolled perioperative pain, because most patients experience chronic pain preoperatively and many patients continue to experience pain postoperatively. Overall, there is a large incentive to better understand comprehensive multimodal pain management regimens, particularly in the spine surgery patient population. The goal of this review is to explore trends in pain symptoms in spine surgery patients, overview the best practices in pain medications and management, and provide a concise multimodal and behavioral treatment algorithm for pain management, which has since been adopted by a high-volume tertiary academic medical center.

dc.identifier

S1878-8750(22)00376-X

dc.identifier.issn

1878-8750

dc.identifier.issn

1878-8769

dc.identifier.uri

https://hdl.handle.net/10161/28014

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

World neurosurgery

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10.1016/j.wneu.2022.03.084

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Humans

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Opioid-Related Disorders

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Pain, Postoperative

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Analgesics, Opioid

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United States

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Pain Management

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Practice Patterns, Physicians'

dc.title

Perioperative Pain Management for Elective Spine Surgery: Opioid Use and Multimodal Strategies.

dc.type

Journal article

duke.contributor.orcid

Abd-El-Barr, Muhammad M|0000-0001-7151-2861

duke.contributor.orcid

Goodwin, C Rory|0000-0002-6540-2751

duke.contributor.orcid

Shaffrey, Christopher I|0000-0001-9760-8386

pubs.begin-page

118

pubs.end-page

125.e1

pubs.organisational-group

Duke

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School of Medicine

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Staff

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Clinical Science Departments

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Institutes and Centers

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Orthopaedic Surgery

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Radiation Oncology

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Duke Cancer Institute

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Neurosurgery

pubs.publication-status

Published

pubs.volume

162

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