Our Summary
This research paper focuses on the invasiveness and risks of adult spinal deformity (ASD) surgeries, comparing them to other major surgeries.
The researchers developed a score called the Surgical Invasiveness and Morbidity Score (SIMS) to measure the potential risks and complications of surgeries. They used a large database of surgical patients to compare the scores of different surgeries.
In the end, they found that ASD surgery ranked fourth in terms of invasiveness and risk. This means that, even after considering factors like patient’s age and other health conditions, ASD surgery is still more invasive and riskier than 13 other major surgeries, including esophagectomy (surgery to remove part or all of the esophagus), pancreatectomy (surgery to remove the pancreas), and craniotomy for tumors (surgery to remove brain tumors).
These findings are important for doctors when they are discussing the risks of surgery with patients. They also provide valuable information for hospitals and health systems when they are allocating resources for surgeries.
FAQs
- What is the Surgical Invasiveness and Morbidity Score (SIMS)?
- How does adult spinal deformity (ASD) surgery compare to other major surgeries in terms of invasiveness and risk?
- How can the findings from this research be used by doctors and health systems?
Doctor’s Tip
One helpful tip a doctor might tell a patient about spinal surgery is to carefully weigh the potential risks and benefits of the procedure. It’s important for the patient to have a thorough understanding of the invasiveness and potential complications associated with the surgery, as well as realistic expectations for the outcome. Additionally, patients should be encouraged to ask any questions they may have and to discuss any concerns with their healthcare provider before making a decision about undergoing spinal surgery.
Suitable For
Patients who are typically recommended spinal surgery include those with severe and debilitating spinal deformities, such as scoliosis, kyphosis, or spondylolisthesis. These conditions can cause significant pain, difficulty in mobility, and even neurological deficits. Patients who have failed conservative treatments such as physical therapy, medications, and injections may be candidates for spinal surgery.
Other patients who may be recommended spinal surgery include those with spinal tumors, infections, or injuries that require surgical intervention. In some cases, patients with degenerative conditions such as spinal stenosis or disc herniation may also benefit from spinal surgery if their symptoms are severe and impacting their quality of life.
It is important for patients to discuss their options with a spine specialist to determine if surgery is the best course of treatment for their specific condition. The decision to undergo spinal surgery should be carefully considered, weighing the potential risks and benefits, as well as the patient’s overall health and lifestyle.
Timeline
Overall, the timeline of what a patient experiences before and after spinal surgery can vary, but generally includes:
Before surgery:
- Patient undergoes a thorough evaluation by a spine specialist, including physical examination, imaging tests (such as x-rays, CT scans, or MRI), and possibly nerve tests (such as electromyography).
- Patient discusses the risks and benefits of surgery with their healthcare provider and decides to proceed with the surgery.
- Patient may need to undergo pre-operative testing, such as blood tests or cardiac evaluation, to ensure they are physically ready for surgery.
- Patient may need to stop taking certain medications, such as blood thinners, in the days leading up to surgery.
After surgery:
- Patient is closely monitored in the recovery room immediately after surgery to ensure there are no immediate complications.
- Patient may need to stay in the hospital for a few days to a week, depending on the type of surgery and their overall health.
- Patient may need to participate in physical therapy to regain strength and mobility in the days and weeks following surgery.
- Patient will have follow-up appointments with their healthcare provider to monitor their progress and address any concerns or complications that may arise.
- Patient may need to take pain medication and follow specific instructions for wound care and activity restrictions during the recovery period.
- Patient may experience some pain, discomfort, and fatigue in the weeks and months following surgery as their body heals and adjusts to the changes made during surgery.
Overall, the recovery process from spinal surgery can be challenging and may require patience and dedication to achieving the best possible outcome. It is important for patients to closely follow their healthcare provider’s instructions and communicate any concerns or complications that arise during the recovery process.
What to Ask Your Doctor
Some questions a patient should ask their doctor about spinal surgery, especially for adult spinal deformity, include:
- What specific type of spinal surgery do you recommend for my condition?
- What are the potential risks and complications associated with this surgery?
- How does the Surgical Invasiveness and Morbidity Score (SIMS) compare for this surgery versus other major surgeries?
- What is the expected recovery time and rehabilitation process after the surgery?
- Are there any alternative treatment options to consider before undergoing surgery?
- What is your experience and success rate with performing this type of surgery?
- Will I need any additional procedures or treatments before or after the surgery?
- What are the long-term outcomes and potential complications I should be aware of?
- How will this surgery impact my daily activities and quality of life?
- What can I do to prepare for the surgery and optimize my chances of a successful outcome?
Reference
Authors: Lakomkin N, Stannard B, Fogelson JL, Mikula AL, Lenke LG, Zuckerman SL. Journal: Spine J. 2021 Nov;21(11):1784-1792. doi: 10.1016/j.spinee.2021.07.013. Epub 2021 Jul 29. PMID: 34332146