Key result
Targeted perioperative protocols for anticoagulants, NSAIDs, and immunosuppressants minimize spinal surgery complications.
Why the study?
More patients are undergoing elective spinal procedures, and comorbid medication regimens can predispose them to complications, prolonged recoveries, or death, necessitating appropriate perioperative management.
This review provides a consolidated guide for the perioperative management of common non-pain medications, including blood thinners and immunosuppressants, in patients undergoing spinal surgery.
Supports cautious perioperative medication protocols in spinal surgery; leaves open need for prospective validation.
With a rising incidence of chronic back pain and associated postural maladies, more patients are undergoing elective spinal procedures. Patients with pre-existing or comorbid medical conditions may require medication regimens that uniquely predispose them to complications resulting in increased costs, prolonged recoveries, or even death. Therefore, it is imperative that medications are both monitored and managed appropriately. This review article serves to provide a review of perioperative medication management-with a primary focus on non-pain medications-to be considered as physicians prepare patients for elective spinal surgery.
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Venuti et al. (2020) conducted a review in Spinal surgery. Perioperative medication management (Anticoagulants, NSAIDs, Immunosuppressants) was evaluated. Perioperative management of anticoagulants, NSAIDs, and immunosuppressants requires specific discontinuation and resumption protocols to minimize complications in spinal surgery.
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