Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Practice Guideline
. 2022 Jul 1;34(3):257-276.
doi: 10.1097/ANA.0000000000000799. Epub 2021 Sep 6.

Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care

Affiliations
Practice Guideline

Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care

Samuel N Blacker et al. J Neurosurg Anesthesiol. .

Abstract

Evidence-based standardization of the perioperative management of patients undergoing complex spine surgery can improve outcomes such as enhanced patient satisfaction, reduced intensive care and hospital length of stay, and reduced costs. The Society for Neuroscience in Anesthesiology and Critical Care (SNACC) tasked an expert group to review existing evidence and generate recommendations for the perioperative management of patients undergoing complex spine surgery, defined as surgery on 2 or more thoracic and/or lumbar spine levels. Institutional clinical management protocols can be constructed based on the elements included in these clinical practice guidelines, and the evidence presented.

PubMed Disclaimer

Conflict of interest statement

A.V.L. receives salary support from LifeCenter Northwest. The remaining authors have no conflicts of interest to disclose.

Comment in

References

    1. Rajaee SS, Bae HW, Kanim LE, et al. Spinal fusion in the United States: analysis of trends from 1998 to 2008. Spine (Phila Pa 1976). 2012;37:67–76. doi:10.1097/BRS.0b013e31820cccfb - DOI
    1. Sheikh SR, Thompson NR, Benzel E, et al. Can we justify it? Trends in the utilization of spinal fusions and associated reimbursement. Neurosurgery. 2020;86:E193–E202. doi: 10.1093/neuros/nyz400 - DOI
    1. Deyo RA, Mirza SK, Martin BI, et al. Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. JAMA. 2010;303:1259–1265. doi:10.1001/jama.2010.338 - DOI
    1. Pumberger M, Chiu YL, Ma Y, et al. Perioperative mortality after lumbar spinal fusion surgery: an analysis of epidemiology and risk factors. Eur Spine J. 2012;21:1633–1639. doi:10.1007/s00586-012-2298-8 - DOI
    1. Bari TJ, Karstensen S, Sorensen MD, et al. Revision surgery and mortality following complex spine surgery: 2-year follow-up in a prospective cohort of 679 patients using the Spine AdVerse Event Severity (SAVES) system. Spine Deform. 2020;8:1341–1351. doi:10.1007/s43390-020-00164-8 - DOI

Publication types