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Clinical Outcomes of Outpatient Spine Surgery

  • Richard N. W. WohnsEmail author
  • Laura A. Miller Dyrda
  • Kenneth C. Nwosu
Chapter

Abstract

Spine surgery has been successfully performed in the outpatient setting for the past 30 years. An overwhelming number of reports indicate performing select spine procedures, on appropriate patients, in the outpatient setting is as safe and effective as performing them in the hospital setting.

The rapid adaptation of minimally invasive techniques has significantly contributed to this paradigm shift and has been repeatedly shown to be associated with decreased bleeding, pain, and infection rates while maintaining equivalent outcomes when compared to traditional techniques.

Careful patient selection has been paramount to this transition, and those with significant cardiac and pulmonary comorbidities are typically unfit for outpatient spine surgery. Outpatient surgery candidacy can be further limited based on age, BMI, and opioid dependency.

In addition to being safe and effective, ambulatory spine surgery is also associated with improved patient and physician satisfaction. Furthermore, its cost benefits are robustly documented resulting in a progressively increasing number of spine surgery CPT codes being approved for the outpatient setting and an associated increase in reimbursement rates.

Keywords

Ambulatory surgery Minimally invasive Outpatient surgery Disc replacement Spine cost-effective 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Richard N. W. Wohns
    • 1
    Email author
  • Laura A. Miller Dyrda
    • 2
  • Kenneth C. Nwosu
    • 3
  1. 1.NeoSpinePuyallupUSA
  2. 2.Becker’s HealthcareChicagoUSA
  3. 3.Department of Spine SurgeryMassachusetts General Hospital, Harvard Medical SchoolBostonUSA

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