Patel Arati, Dada Abraham, Saggi Satvir, Yamada Hunter, Ambati Vardhaan S, Goldstein Elianna, Hsiao Edward C, Mummaneni Praveen V
Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA
Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA.
Int J Spine Surg. 2024 Nov 15;18(6):676-93. doi: 10.14444/8644.
Patient-centric decision-making has imbued all aspects of health care, including spine surgery. This review describes how spine surgeons can use evolving technologies and knowledge of disease and pain states to tailor their surgical approach to the individual patient. This includes preoperative screening for and optimization of low bone mineral density, intraoperative selection of implant material and customization of interbody cages and screws, and postoperative personalization of pain regimens and rehabilitation courses. By working in a multidisciplinary fashion, spine surgeons can avail themselves of these advances to provide individualized care.
以患者为中心的决策已渗透到医疗保健的各个方面,包括脊柱外科手术。本综述描述了脊柱外科医生如何利用不断发展的技术以及对疾病和疼痛状态的了解,为个体患者量身定制手术方案。这包括术前筛查和优化低骨矿物质密度、术中选择植入材料以及定制椎间融合器和螺钉,以及术后个性化的疼痛治疗方案和康复课程。通过多学科协作,脊柱外科医生可以利用这些进展提供个性化的医疗服务。