Rationale of revision lumbar spine surgery.
Publication/Presentation Date
3-1-2012
Abstract
Revision lumbar spine surgeries are technically challenging with inconstant outcome results. This article discusses the preoperative, intraoperative, as well as postoperative management in these difficult patients. Successful intervention requires a detailed history and physical examination and carefully chosen diagnostic tests. Preoperative planning is paramount in these cases. The decision-making process should address the timing of the surgery, surgical approach, level of interbody fusion required, correction of sagittal imbalance, type of osteotomy, location of the osteotomy, and the end of the construct. Surgeons should be prepared to manage associated complications such as dural tear and massive blood loss. The use of autograft and/or biologic graft is necessary to help in achieving a successful fusion. Postoperative management includes prophylactic antibiotic, anticoagulation, nutritional support, and brace.
Volume
2
Issue
1
First Page
7
Last Page
14
ISSN
2192-5682
Published In/Presented At
Elgafy, H., Vaccaro, A. R., Chapman, J. R., & Dvorak, M. F. (2012). Rationale of revision lumbar spine surgery. Global spine journal, 2(1), 7–14. https://doi.org/10.1055/s-0032-1307254
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
24353940
Department(s)
Administration and Leadership
Document Type
Article