Team Approach: Safety and Value in the Practice of Complex Adult Spinal Surgery.

Loading...
Thumbnail Image

Date

2020-04

Authors

Sethi, Rajiv K
Wright, Anna K
Nemani, Venu M
Bean, Helen A
Friedman, Andrew S
Leveque, Jean-Christophe A
Buchlak, Quinlan D
Shaffrey, Christopher I
Polly, David W

Journal Title

Journal ISSN

Volume Title

Repository Usage Stats

19
views
35
downloads

Citation Stats

Abstract

Surgical management of complex adult spinal deformities is of high risk, with a substantial risk of operative mortality. Current evidence shows that potential risk and morbidity resulting from surgery for complex spinal deformity may be minimized through risk-factor optimization. The multidisciplinary team care model includes neurosurgeons, orthopaedic surgeons, physiatrists, anesthesiologists, hospitalists, psychologists, physical therapists, specialized physician assistants, and nurses. The multidisciplinary care model mimics previously described integrated care pathways designed to offer a structured means of providing a comprehensive preoperative medical evaluation and evidence-based multimodal perioperative care. The role of each team member is illustrated in the case of a 66-year-old male patient with previous incomplete spinal cord injury, now presenting with Charcot spinal arthropathy and progressive vertebral-body destruction resulting in lumbar kyphosis.

Department

Description

Provenance

Citation

Published Version (Please cite this version)

10.2106/jbjs.rvw.19.00145

Publication Info

Sethi, Rajiv K, Anna K Wright, Venu M Nemani, Helen A Bean, Andrew S Friedman, Jean-Christophe A Leveque, Quinlan D Buchlak, Christopher I Shaffrey, et al. (2020). Team Approach: Safety and Value in the Practice of Complex Adult Spinal Surgery. JBJS reviews, 8(4). p. e0145. 10.2106/jbjs.rvw.19.00145 Retrieved from https://hdl.handle.net/10161/28154.

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.


Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.