Risk Factors for Poor Outcomes

The newest JBJS ( The Journal of Bone and Joint Surgery) just arrived and as usual I started to look through the newest literature being published on the various Orthopedic specialities, in particular, Spine surgery as expected.

What better time during the holiday season to talk about risk factors for poor outcomes in cervical spine procedures and diabetes.

As you may be well aware, diabetes and smoking, are well known to be risk factors for poor outcomes related to any surgery.  Diabetes and smoking, namely nicotine, are considered a “microvascular ” disease that systemically effects the entire body rather than just the lungs or pancreas.

The best analogy that I can make related to how microvascular works in the body is through waterways.  Follow me on this, if you would take a large body of water such as a river, and as the river begins to work through it’s tributaries and smaller streams, eventually the river becomes a creek, the creek becomes a small stream, and so on and so on, until these small streams make their way to the farthest reaching plants and trees.  These small capillaries or micro-vasculature feeds these plants and streams with the water that they need.  If you cut off the water supply to these capillaries and streams, the plants and trees die.

The same be held true for the micro-vasculature of the body.  Diabetes and Smoking essentially chokes off the blood supply to the bone,  organs,  and tissues that need these pathways to survive.  If you block the blood supply to the bone, organs, and tissues, this in turn forces them to not work efficiently and effectively.

Essentially, working to better control diabetes, cease smoking, and losing weight all help to improve successful outcomes with any surgery.    Therefore, it is imperative to work with your medical provider to monitor your hemoglobin A1C, work on smoking cessation, and improve your overall health.

2049.full

1. References available

You Might Also Enjoy...

Kyphoplasty vs Vertebroplasty: Which is Right for Me?

Back problems are pretty common, especially as you get older, but often they don’t require surgery. If your spine fractures and you need surgery, it’s important to know whether your condition needs kyphoplasty or vertebroplasty.

5 Different Surgeries That Help Severe Neck Pain

When severe neck pain doesn’t respond effectively to conservative care measures, it may be time to consider surgery. Explore some of the most common surgical techniques for chronic neck pain, and find out which may be right for you.

How Do You Know If You Have a Disc Injury?

Back injuries are quite common, whether they come from sports injuries, exercise, or just lifting something the wrong way. When dealing with problems related to back injuries, how do you know when it’s caused by a spinal disc?

What Is Spinal Stenosis?

Many people have backaches from time to time, and nearly everyone has had the uncomfortable experience of having a sore neck. Sometimes, though, such problems persist, and you need an expert. Spinal stenosis could be to blame.