Comprehensive guidelines for prehabilitation in spine surgery
Study Design: Literature review. Objectives: Review prehabilitation techniques used for elective spine surgery to create a comprehensive list of recommendations. Methods: A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines by sear...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jcvjs.jcvjs_209_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849471816783888384 |
|---|---|
| author | Paulomi Gohel Raj Swaroop Lavadi Mohamed-Ali H. Jawad-Makki Rohit Prem Kumar Ayesha Akbar Waheed Lior M. Elkaim Vinay Jaikumar Nima Alan Thomas J. Buell Brenton Pennicooke D. Kojo Hamilton Nitin Agarwal |
| author_facet | Paulomi Gohel Raj Swaroop Lavadi Mohamed-Ali H. Jawad-Makki Rohit Prem Kumar Ayesha Akbar Waheed Lior M. Elkaim Vinay Jaikumar Nima Alan Thomas J. Buell Brenton Pennicooke D. Kojo Hamilton Nitin Agarwal |
| author_sort | Paulomi Gohel |
| collection | DOAJ |
| description | Study Design:
Literature review.
Objectives:
Review prehabilitation techniques used for elective spine surgery to create a comprehensive list of recommendations.
Methods:
A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines by searching three electronic databases from 1997 to 2021. Pertinent literature reporting information on prehabilitation, applicable to spine surgery, was identified. Seventy studies were selected for further analysis. Findings from the literature were reinforced by practices employed by the authors.
Results:
Preoperative smoking cessation should be achieved 3–4 weeks before elective spine surgery. Preoperative weight loss programs to reach a goal BMI <35 kg/m2 may be a viable solution to minimize wound complications and surgical site infections. To minimize the negative impact of cardiopulmonary comorbidities, patients can enroll in an exercise program prior to surgery. Patients should abstain from alcohol before elective spine surgery. Patients with osteoporosis may benefit from supplementation with Vitamin D, calcium, and parathyroid hormone. Opioids should be weaned to complete cessation 6–8 weeks before surgery. Preoperative cognitive behavioral therapy (CBT) and education seem to be the most beneficial in reducing complications associated with psychiatric comorbidities. Patients should engage in a comprehensive prehabilitation regimen.
Conclusion:
Targeting patient risk factors with personalized interventions can improve postoperative outcomes in patients undergoing elective spine surgery. |
| format | Article |
| id | doaj-art-1fc408825fee496c9fe50b6efcedf3a0 |
| institution | Kabale University |
| issn | 0974-8237 0976-9285 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj-art-1fc408825fee496c9fe50b6efcedf3a02025-08-20T03:24:43ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82370976-92852025-01-0116151510.4103/jcvjs.jcvjs_209_24Comprehensive guidelines for prehabilitation in spine surgeryPaulomi GohelRaj Swaroop LavadiMohamed-Ali H. Jawad-MakkiRohit Prem KumarAyesha Akbar WaheedLior M. ElkaimVinay JaikumarNima AlanThomas J. BuellBrenton PennicookeD. Kojo HamiltonNitin AgarwalStudy Design: Literature review. Objectives: Review prehabilitation techniques used for elective spine surgery to create a comprehensive list of recommendations. Methods: A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines by searching three electronic databases from 1997 to 2021. Pertinent literature reporting information on prehabilitation, applicable to spine surgery, was identified. Seventy studies were selected for further analysis. Findings from the literature were reinforced by practices employed by the authors. Results: Preoperative smoking cessation should be achieved 3–4 weeks before elective spine surgery. Preoperative weight loss programs to reach a goal BMI <35 kg/m2 may be a viable solution to minimize wound complications and surgical site infections. To minimize the negative impact of cardiopulmonary comorbidities, patients can enroll in an exercise program prior to surgery. Patients should abstain from alcohol before elective spine surgery. Patients with osteoporosis may benefit from supplementation with Vitamin D, calcium, and parathyroid hormone. Opioids should be weaned to complete cessation 6–8 weeks before surgery. Preoperative cognitive behavioral therapy (CBT) and education seem to be the most beneficial in reducing complications associated with psychiatric comorbidities. Patients should engage in a comprehensive prehabilitation regimen. Conclusion: Targeting patient risk factors with personalized interventions can improve postoperative outcomes in patients undergoing elective spine surgery.https://journals.lww.com/10.4103/jcvjs.jcvjs_209_24elective spine surgerypostoperative complicationsprehabilitationpreoperative risk |
| spellingShingle | Paulomi Gohel Raj Swaroop Lavadi Mohamed-Ali H. Jawad-Makki Rohit Prem Kumar Ayesha Akbar Waheed Lior M. Elkaim Vinay Jaikumar Nima Alan Thomas J. Buell Brenton Pennicooke D. Kojo Hamilton Nitin Agarwal Comprehensive guidelines for prehabilitation in spine surgery Journal of Craniovertebral Junction and Spine elective spine surgery postoperative complications prehabilitation preoperative risk |
| title | Comprehensive guidelines for prehabilitation in spine surgery |
| title_full | Comprehensive guidelines for prehabilitation in spine surgery |
| title_fullStr | Comprehensive guidelines for prehabilitation in spine surgery |
| title_full_unstemmed | Comprehensive guidelines for prehabilitation in spine surgery |
| title_short | Comprehensive guidelines for prehabilitation in spine surgery |
| title_sort | comprehensive guidelines for prehabilitation in spine surgery |
| topic | elective spine surgery postoperative complications prehabilitation preoperative risk |
| url | https://journals.lww.com/10.4103/jcvjs.jcvjs_209_24 |
| work_keys_str_mv | AT paulomigohel comprehensiveguidelinesforprehabilitationinspinesurgery AT rajswarooplavadi comprehensiveguidelinesforprehabilitationinspinesurgery AT mohamedalihjawadmakki comprehensiveguidelinesforprehabilitationinspinesurgery AT rohitpremkumar comprehensiveguidelinesforprehabilitationinspinesurgery AT ayeshaakbarwaheed comprehensiveguidelinesforprehabilitationinspinesurgery AT liormelkaim comprehensiveguidelinesforprehabilitationinspinesurgery AT vinayjaikumar comprehensiveguidelinesforprehabilitationinspinesurgery AT nimaalan comprehensiveguidelinesforprehabilitationinspinesurgery AT thomasjbuell comprehensiveguidelinesforprehabilitationinspinesurgery AT brentonpennicooke comprehensiveguidelinesforprehabilitationinspinesurgery AT dkojohamilton comprehensiveguidelinesforprehabilitationinspinesurgery AT nitinagarwal comprehensiveguidelinesforprehabilitationinspinesurgery |