Peri-operative optimization in adult spinal deformity surgery |
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| Affiliation: | 1. Center of Excellence in Biomechanics and Innovative Spine Surgery, Chulalongkorn University, Bangkok, Thailand;2. Department of Orthopedic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA;3. Governors Regenerative Medicine Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA;1. Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA;2. Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, USA;1. Indiana Spine Group, 13225 North Meridian Street, Carmel, IN 46032, USA;2. Indiana University SOM Department of Orthopaedic Surgery, Indianapolis, IN, USA |
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| Abstract: | The population aged 65 and over is projected to double by the year 2050. As the population continues to age, the incidence of adult spinal deformity (ASD) will continue to rise. It is estimated that 30–50% of patients older than 65-years develop a degenerative scoliosis. Many of these patients have little to no symptoms as a result of their deformity and continue to lead active and healthy lives. A smaller subset of patients with degenerative scoliosis develops pain and disability as a result of their underlying deformity. The outcomes of surgery in this group are generally favorable but there is significant risk and potential morbidity associated with deformity correction surgery. The pre-operative planning and technical aspects of surgery are important but the peri-operative optimization of modifiable factors to minimize the risk of complications is even more important to achieve optimal outcomes. This paper will review the most up-to-date literature on the peri-operative optimization of patients undergoing adult spinal deformity surgery. |
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