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Preoperative Clinical Evaluation of Adult Lumbar Scoliosis

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Adult Lumbar Scoliosis

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Abstract

Complication rates for complex adult lumbar scoliosis surgery are high. Standardized protocols encompassing a comprehensive set of perioperative processes have been shown to significantly reduce the likelihood of a spectrum of complications associated with complex adult lumbar scoliosis surgery. To increase patient safety and reduce risk, an entire team should work together appropriately and effectively to deliver care for the adult lumbar scoliosis patient from their preoperative state through to their recovery.This chapter describes preoperative patient evaluation in adult lumbar scoliosis surgery. Areas of focus include (1) the appropriate management of medical conditions; (2) the role, composition, and activities of a multidisciplinary conference review team; and (3) considerations for the management of osteoporosis. A comprehensive systematic preoperative surgical evaluation process is described. Patient evaluation approaches and processes are scientifically supported by the evidence-based Seattle Spine Team Protocol and by recently published research literature.

Disclosures: All authors have reviewed and approved this manuscript and have no relevant disclosures to report.

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Author information

Authors and Affiliations

  1. Neuroscience Institute, Virginia Mason Medical Center, Seattle, WA, USA

    Quinlan D. Buchlak MPsych, MBIS, Vijay Yanamadala MD, Jean-Christophe Leveque MD & Rajiv Sethi MD

  2. Department of Health Services, University of Washington, Seattle, WA, USA

    Rajiv Sethi MD

Authors
  1. Quinlan D. Buchlak MPsych, MBIS
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  2. Vijay Yanamadala MD
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  3. Jean-Christophe Leveque MD
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  4. Rajiv Sethi MD
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Corresponding author

Correspondence to Rajiv Sethi MD .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, University of California - Davis, Sacramento, California, USA

    Eric O. Klineberg

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Buchlak, Q.D., Yanamadala, V., Leveque, JC., Sethi, R. (2017). Preoperative Clinical Evaluation of Adult Lumbar Scoliosis. In: Klineberg, E. (eds) Adult Lumbar Scoliosis. Springer, Cham. https://doi.org/10.1007/978-3-319-47709-1_6

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  • DOI: https://doi.org/10.1007/978-3-319-47709-1_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-47707-7

  • Online ISBN: 978-3-319-47709-1

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