Recent advances in the prevention and management of complications associated with routine lumbar spine surgery.
Lumbar spine surgery is often associated with complications in the perioperative and postoperative periods. Evidence-based literature in the prevention and management of adverse events, including surgical site infection, venous thromboembolism, and positioning-related complications, has advanced the understanding of the etiology of these complications and preventive measures. Cost-effective measures to reduce intraoperative bleeding can lead to a lower incidence of infection, disease transmission, and morbidity in the postoperative period. As the healthcare system receives additional scrutiny with value-based assessments, surgeons, hospitals, and administrators will need to make critical decisions to prevent and manage the complications of lumbar spine surgery.
Associate Chair, Department of Orthopaedic Surgery, Newton Wellesley Hospital, Newton, Massachusetts.
Louis G
LG
Jenis
Wellington K
WK
Hsu
Joseph R
JR
O'Brien
Peter G
PG
Whang
D019072:Antibiotic Prophylaxis; D006801:Humans; D007431:Intraoperative Complications; D008159:Lumbar Vertebrae / Q000601:surgery*; D056888:Patient Positioning / Q000009:adverse effects*; D019990:Perioperative Care; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D054556:Venous Thromboembolism / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*