5 Patient controlled Risk Factors for Spine Surgery

5 Patient controlled Risk Factors for Spine Surgery

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The TRUTH.   YOU the PATIENT have control over 5 of the risk factors associated with SPINE SURGERY:

1. SMOKING.  Smoking is associated with poor healing of the wounds.  From a very basic science perspective,  smoking decreases the blood flow to areas secondary by causing constriction of your arteries.  The lack of blood supply impedes healing of the wound.  In terms of fusions,  it is a well known inhibitor of its formation.

2. OBESITY. Having a Body Mass Index of over 35 is considered morbidly obese.  Physicians have been accused of not being sensitive,  or being judgmental when discussing obesity with patients.  While it is a sensitive topic,  there is no denying the truth.  Having an elevated BMI puts you at risk for any surgery,  both in the short term,  and the long term.  For SPINE SURGERY,  obesity has been associated with poorer outcomes and satisfaction.  I am not judging anyone.  As a Physician,  I advise everyone to keep their weight down,  especially if you have spine pain,  and have concerns for potential future spine surgery.

3. FITNESS.  This seems to go hand in hand with OBESITY,  but this is actually a different factor.  You can be over weight,  but still be relatively fitter.  Studies have shown that people who are more active have better recoveries from most surgery.  You do not need to be a marathon runner, or an olympic athlete to work on your fitness.   A consensus recommendation is 2.5 hours of moderate exercise a week.  That can be activities like walking,  gardening,  mowing your lawn, doubles tennis, etc.  Before you say you do not have time,  understand that there are 168 hours in a week.  That 2.5 hours can make a significant difference to your overall health,  and can improve your chances in case you have surgery.

4. NUTRITION. Yes,  you can be OBESE,  and have poor nutrition.  A balanced diet,  with complex carbohydrates,  and proteins is necessary to maintain better blood sugar levels,  and blood albumin levels.  Several studies have demonstrated poorer outcomes with poor nutrition.  While some argue that it may be too expensive to have an appropriate diet,  the truth is there are many economical food items that allow you to digest healthy proteins,  and carbohydrates.  You can always find an excuse.  If you want to give yourself the best chances,  have a balanced diet,  maintain your weight,  while getting proper nutrition.  Your surgical outcome depends on it.

5. ATTITUDE.  People who are confident in their surgical decision will also take the appropriate steps to maximize the chance of a successful outcome.  ATTITUDE ensures people will maximally control what is in their power.  ATTITUDE means thoughtful exploration of the options,  and once a decision is made,  positively taking the steps to improve the outcome.  At the same time,  because of the proper steps initiated,  and appropriate understanding achieved,  the outcome,  no matter what,  if much more acceptable.  YOUR ATTITUDE is essential to maximize your chances of a positive outcome.

This Blog will be hard for some to read.  The reality is that YOU HAVE SOME CONTROL over your spine condition and treatment.  YOU HAVE A SHARED RESPONSIBILITY over the outcome of you surgery. These factors are controllable,  but take hard work and discipline.  You cannot just rely solely on the medical team.

Citations

  • Elgafy H, Hamilton R, Peters N, Paull D, Hassan A. Critical care of obese patients during and after spine surgery. World J Crit Care Med. 2016 Feb 4;5(1):83-8. PubMed PMID: 26855897

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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