Outpatient spine surgery: defining the outcomes, value, and barriers to implementation.

Abstract:

:Spine surgery is a key target for cost reduction within the United States health care system. One possible strategy involves the transition of inpatient surgeries to the ambulatory setting. Lumbar laminectomy with or without discectomy, lumbar fusion, anterior cervical discectomy and fusion, and cervical disc arthroplasty all represent promising candidates for outpatient surgeries in select populations. In this focused review, the authors clarify the different definitions used in studies describing outpatient spine surgery. They also discuss the body of evidence supporting each of these procedures and summarize the proposed cost savings. Finally, they examine several patient- and surgeon-specific considerations to highlight the barriers in translating outpatient spine surgery into actual practice.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Pendharkar AV,Shahin MN,Ho AL,Sussman ES,Purger DA,Veeravagu A,Ratliff JK,Desai AM

doi

10.3171/2018.2.FOCUS17790

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

E11

issue

5

issn

1092-0684

journal_volume

44

pub_type

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