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

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Sethi, RK; Wright, AK; Nemani, VM; Bean, HA; Friedman, AS; Leveque, J-CA; Buchlak, QD; Shaffrey, CI; Polly, DW

Published Date

  • April 2020

Published In

Volume / Issue

  • 8 / 4

Start / End Page

  • e0145 -

PubMed ID

  • 32304494

Electronic International Standard Serial Number (EISSN)

  • 2329-9185

Digital Object Identifier (DOI)

  • 10.2106/JBJS.RVW.19.00145


  • eng

Conference Location

  • United States