Preoperative Clinical Evaluation of Adult Lumbar Scoliosis

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.