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ICU Care for the Spine Patient

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Multidisciplinary Spine Care

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Abstract

Spine patients in the intensive care unit generally include those who require close postoperative monitoring after elective spine surgery and patients who have acute spinal cord injuries. These patients have unique considerations that must be evaluated based on their admission diagnosis, planned clinical course, and development of unexpected complications. It is important for providers to be familiar with the management principles for patients following spine surgery given the potential for morbidity and mortality. This chapter will discuss the critical care services that are provided to spine patients using a comprehensive, system-based approach.

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References

  1. Memtsoudis SG, Stundner O, Sun X, Chiu Y-L, Ma Y, Fleischut P, et al. Critical care in patients undergoing lumbar spine fusion: a population-based study. J Intensive Care Med. 2014;29(5):275–84.

    Article  PubMed  Google Scholar 

  2. Casha S, Christie S. A systematic review of intensive cardiopulmonary management after spinal cord injury. J Neurotrauma. 2011;28(8):1479–95.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Street JT, Lenehan BJ, DiPaola CP, Boyd MD, Kwon BK, Paquette SJ, et al. Morbidity and mortality of major adult spinal surgery. A prospective cohort analysis of 942 consecutive patients. Spine J. 2012;12(1):22–34.

    Article  PubMed  Google Scholar 

  4. Early acute management in adults with spinal cord injury: a clinical practice guideline for health-care professionals. J Spinal Cord Med. 2008;31(4):403–79.

    Article  Google Scholar 

  5. International standards for neurological classification of spinal cord injury. Richmond, VA: American Spinal Injury Association; 2019.

    Google Scholar 

  6. Schuster JM, Syre P. 30 - Spine trauma and spinal cord injury. In: Kumar M, Kofke WA, Levine JM, Schuster J, editors. Neurocritical care management of the neurosurgical patient. London: Elsevier; 2018. p. 303–14.

    Chapter  Google Scholar 

  7. Shank CD, Walters BC, Hadley MN. Current topics in the management of acute traumatic spinal cord injury. Neurocrit Care. 2019;30(2):261–71.

    Article  PubMed  Google Scholar 

  8. Bajwa SJ, Haldar R. Pain management following spinal surgeries: an appraisal of the available options. J Craniovertebr Junction Spine. 2015;6(3):105–10.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Terracina S, Robba C, Prete A, Sergi PG, Bilotta F. Prevention and treatment of postoperative pain after lumbar spine procedures: a systematic review. Pain Pract. 2018;18(7):925–45.

    Article  PubMed  Google Scholar 

  10. Soffin EM, Wetmore DS, Beckman JD, Sheha ED, Vaishnav AS, Albert TJ, et al. Opioid-free anesthesia within an enhanced recovery after surgery pathway for minimally invasive lumbar spine surgery: a retrospective matched cohort study. Neurosurg Focus. 2019;46(4):E8.

    Article  PubMed  Google Scholar 

  11. Del Fabro AS, Mejia M, Nemunaitis G. An investigation of the relationship between autonomic dysreflexia and intrathecal baclofen in patients with spinal cord injury. J Spinal Cord Med. 2018;41(1):102–5.

    Article  PubMed  Google Scholar 

  12. Yelnik AP, Simon O, Bensmail D, Chaleat-Valayer E, Decq P, Dehail P, et al. Drug treatments for spasticity. Ann Phys Rehabil Med. 2009;52(10):746–56.

    Article  CAS  PubMed  Google Scholar 

  13. Elbasiouny SM, Moroz D, Bakr MM, Mushahwar VK. Management of spasticity after spinal cord injury: current techniques and future directions. Neurorehabil Neural Repair. 2010;24(1):23–33.

    Article  PubMed  Google Scholar 

  14. Madera M, Brady J, Deily S, McGinty T, Moroz L, Singh D, et al. The role of physical therapy and rehabilitation after lumbar fusion surgery for degenerative disease: a systematic review. J Neurosurg Spine. 2017;26(6):694–704.

    Article  PubMed  Google Scholar 

  15. Parry SM, Puthucheary ZA. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med. 2015;4:16.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Inouye SK. Delirium in older persons. N Engl J Med. 2006;354(11):1157–65.

    Article  CAS  PubMed  Google Scholar 

  17. Kang T, Park SY, Lee JH, Lee SH, Park JH, Kim SK, et al. Incidence & risk factors of postoperative delirium after spinal surgery in older patients. Sci Rep. 2020;10(1):9232.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Cavallazzi R, Saad M, Marik PE. Delirium in the ICU: an overview. Ann Intensive Care. 2012;2(1):49.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Arumugam S, El-Menyar A, Al-Hassani A, Strandvik G, Asim M, Mekkodithal A, et al. Delirium in the intensive care unit. J Emerg Trauma Shock. 2017;10(1):37–46.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Ushida T, Yokoyama T, Kishida Y, Hosokawa M, Taniguchi S, Inoue S, et al. Incidence and risk factors of postoperative delirium in cervical spine surgery. Spine (Phila Pa 1976). 2009;34(23):2500–4.

    Article  Google Scholar 

  21. Gao R, Yang ZZ, Li M, Shi ZC, Fu Q. Probable risk factors for postoperative delirium in patients undergoing spinal surgery. Eur Spine J. 2008;17(11):1531–7.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Kawaguchi Y, Kanamori M, Ishihara H, Abe Y, Nobukiyo M, Sigeta T, et al. Postoperative delirium in spine surgery. Spine J. 2006;6(2):164–9.

    Article  PubMed  Google Scholar 

  23. Inouye SK, Baker DI, Fugal P, Bradley EH. Dissemination of the hospital elder life program: implementation, adaptation, and successes. J Am Geriatr Soc. 2006;54(10):1492–9.

    Article  PubMed  Google Scholar 

  24. Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF bundle in critical care. Crit Care Clin. 2017;33(2):225–43.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Meng L, Yu W, Wang T, Zhang L, Heerdt PM, Gelb AW. Blood pressure targets in perioperative care. Hypertension. 2018;72(4):806–17.

    Article  CAS  PubMed  Google Scholar 

  26. Sessler DI, Meyhoff CS, Zimmerman NM, Mao G, Leslie K, Vásquez SM, et al. Period-dependent associations between hypotension during and for four days after noncardiac surgery and a composite of myocardial infarction and death: a substudy of the POISE-2 trial. Anesthesiology. 2018;128(2):317–27.

    Article  PubMed  Google Scholar 

  27. Futier E, Lefrant JY, Guinot PG, Godet T, Lorne E, Cuvillon P, et al. Effect of individualized vs standard blood pressure management strategies on postoperative organ dysfunction among high-risk patients undergoing major surgery: a randomized clinical trial. JAMA. 2017;318(14):1346–57.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Smith JS, Saulle D, Chen CJ, Lenke LG, Polly DW Jr, Kasliwal MK, et al. Rates and causes of mortality associated with spine surgery based on 108,419 procedures: a review of the Scoliosis Research Society Morbidity and Mortality Database. Spine (Phila Pa 1976). 2012;37(23):1975–82.

    Article  Google Scholar 

  29. Bohl DD, Webb ML, Lukasiewicz AM, Samuel AM, Basques BA, Ahn J, et al. Timing of complications after spinal fusion surgery. Spine (Phila Pa 1976). 2015;40(19):1527–35.

    Article  Google Scholar 

  30. Harwin B, Formanek B, Spoonamore M, Robertson D, Buser Z, Wang JC. The incidence of myocardial infarction after lumbar spine surgery. Eur Spine J. 2019;28(9):2070–6.

    Article  PubMed  Google Scholar 

  31. Wang TY, Martin JR, Loriaux DB, Desai R, Shammas RL, Adogwa O, et al. Risk assessment and characterization of 30-day perioperative myocardial infarction following spine surgery: a retrospective analysis of 1346 consecutive adult patients. Spine (Phila Pa 1976). 2016;41(5):438–44.

    Article  Google Scholar 

  32. Bovonratwet P, Bohl DD, Malpani R, Haynes MS, Rubio DR, Ondeck NT, et al. Cardiac complications related to spine surgery: timing, risk factors, and clinical effect. J Am Acad Orthop Surg. 2019;27(7):256–63.

    Article  PubMed  Google Scholar 

  33. Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof E, Fleischmann KE, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 2002 guidelines on perioperative cardiovascular evaluation for noncardiac surgery): developed in Collaboration with the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery. Circulation. 2007;116(17):1971–96.

    Article  PubMed  Google Scholar 

  34. Ryken TC, Hurlbert RJ, Hadley MN, Aarabi B, Dhall SS, Gelb DE, et al. The acute cardiopulmonary management of patients with cervical spinal cord injuries. Neurosurgery. 2013;72(Suppl 2):84–92.

    Article  PubMed  Google Scholar 

  35. Rogers WK, Todd M. Acute spinal cord injury. Best Pract Res Clin Anaesthesiol. 2016;30(1):27–39.

    Article  PubMed  Google Scholar 

  36. Inoue T, Manley GT, Patel N, Whetstone WD. Medical and surgical management after spinal cord injury: vasopressor usage, early surgerys, and complications. J Neurotrauma. 2014;31(3):284–91.

    Article  PubMed  Google Scholar 

  37. Romito B, Meltzer JS. Tachycardia and Bradycardia. In: Vincent JL, Abraham EMF, Kochanek PM, Fink MP, editors. Textbook of critical care. Philadelphia: Elsevier Inc.; 2017. p. 27–9.

    Google Scholar 

  38. Grigorean VT, Sandu AM, Popescu M, Iacobini MA, Stoian R, Neascu C, et al. Cardiac dysfunctions following spinal cord injury. J Med Life. 2009;2(2):133–45.

    PubMed  PubMed Central  Google Scholar 

  39. Palumbo MA, Aidlen JP, Daniels AH, Bianco A, Caiati JM. Airway compromise due to laryngopharyngeal edema after anterior cervical spine surgery. J Clin Anesth. 2013;25(1):66–72.

    Article  PubMed  Google Scholar 

  40. Li H, Huang Y, Shen B, Ba Z, Wu D. Multivariate analysis of airway obstruction and reintubation after anterior cervical surgery: a Retrospective Cohort Study of 774 patients. Int J Surg. 2017;41:28–33.

    Article  PubMed  Google Scholar 

  41. Sagi HC, Beutler W, Carroll E, Connolly PJ. Airway complications associated with surgery on the anterior cervical spine. Spine (Phila Pa 1976). 2002;27(9):949–53.

    Article  Google Scholar 

  42. Jules-Elysee K, Urban MK, Urquhart BL, Susman MH, Brown AC, Kelsey WT. Pulmonary complications in anterior-posterior thoracic lumbar fusions. Spine J. 2004;4(3):312–6.

    Article  PubMed  Google Scholar 

  43. Murgai R, D'Oro A, Heindel P, Schoell K, Barkoh K, Buser Z, et al. Incidence of respiratory complications following lumbar spine surgery. Int J Spine Surg. 2018;12(6):718–24.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Gabel BC, Schnell EC, Dettori JR, Jeyamohan S, Oskouian R. Pulmonary complications following thoracic spinal surgery: a systematic review. Global Spine J. 2016;6(3):296–303.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Chughtai M, Gwam CU, Mohamed N, Khlopas A, Newman JM, Khan R, et al. The epidemiology and risk factors for postoperative pneumonia. J Clin Med Res. 2017;9(6):466–75.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Daniels AH, Ritterman SA, Rubin LE. Paralytic ileus in the orthopaedic patient. J Am Acad Orthop Surg. 2015;23(6):365–72.

    Article  PubMed  Google Scholar 

  47. Adogwa O, Elsamadicy AA, Fialkoff J, Cheng J, Karikari IO, Bagley C. Early ambulation decreases length of hospital stay, perioperative complications and improves functional outcomes in elderly patients undergoing surgery for correction of adult degenerative scoliosis. Spine (Phila Pa 1976). 2017;42(18):1420–5.

    Article  Google Scholar 

  48. Epstein NE. A review article on the benefits of early mobilization following spinal surgery and other medical/surgical procedures. Surg Neurol Int. 2014;5(Suppl 3):S66–73.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Como JJ, Sutton ER, McCunn M, Dutton RP, Johnson SB, Aarabi B, et al. Characterizing the need for mechanical ventilation following cervical spinal cord injury with neurologic deficit. J Trauma. 2005;59(4):912–6. discussion 6

    PubMed  Google Scholar 

  50. Petrucci N, De Feo C. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database Syst Rev. 2013;2013(2):Cd003844.

    Google Scholar 

  51. Nathens AB, Johnson JL, Minei JP, Moore EE, Shapiro M, Bankey P, et al. Inflammation and the Host Response to Injury, a large-scale collaborative project: Patient-Oriented Research Core--standard operating procedures for clinical care. I. Guidelines for mechanical ventilation of the trauma patient. J Trauma. 2005;59(3):764–9.

    PubMed  Google Scholar 

  52. Berlowitz DJ, Wadsworth B, Ross J. Respiratory problems and management in people with spinal cord injury. Breathe (Sheff). 2016;12(4):328–40.

    Article  Google Scholar 

  53. Metnitz PG, Krenn CG, Steltzer H, Lang T, Ploder J, Lenz K, et al. Effect of acute renal failure requiring renal replacement therapy on outcome in critically ill patients. Crit Care Med. 2002;30(9):2051–8.

    Article  PubMed  Google Scholar 

  54. Liu KD, Matthay MA, Chertow GM. Evolving practices in critical care and potential implications for management of acute kidney injury. Clin J Am Soc Nephrol. 2006;1(4):869–73.

    Article  PubMed  Google Scholar 

  55. Nolan CR, Anderson RJ. Hospital-acquired acute renal failure. J Am Soc Nephrol. 1998;9(4):710–8.

    Article  CAS  PubMed  Google Scholar 

  56. Liaño F, Pascual J. Outcomes in acute renal failure. Semin Nephrol. 1998;18(5):541–50.

    PubMed  Google Scholar 

  57. Brivet FG, Kleinknecht DJ, Loirat P, Landais PJ. Acute renal failure in intensive care units--causes, outcome, and prognostic factors of hospital mortality; a prospective, multicenter study. French Study Group on Acute Renal Failure. Crit Care Med. 1996;24(2):192–8.

    Article  CAS  PubMed  Google Scholar 

  58. Uchino S, Kellum JA, Bellomo R, Doig GS, Morimatsu H, Morgera S, et al. Acute renal failure in critically ill patients: a multinational, multicenter study. JAMA. 2005;294(7):813–8.

    Article  CAS  PubMed  Google Scholar 

  59. Ympa YP, Sakr Y, Reinhart K, Vincent JL. Has mortality from acute renal failure decreased? A systematic review of the literature. Am J Med. 2005;118(8):827–32.

    Article  PubMed  Google Scholar 

  60. Mehta RL, Pascual MT, Soroko S, Savage BR, Himmelfarb J, Ikizler TA, et al. Spectrum of acute renal failure in the intensive care unit: the PICARD experience. Kidney Int. 2004;66(4):1613–21.

    Article  PubMed  Google Scholar 

  61. Jin K, Murugan R, Sileanu FE, Foldes E, Priyanka P, Clermont G, et al. Intensive monitoring of urine output is associated with increased detection of acute kidney injury and improved outcomes. Chest. 2017;152(5):972–9.

    Article  PubMed  Google Scholar 

  62. Naik BI, Colquhoun DA, McKinney WE, Smith AB, Titus B, McMurry TL, et al. Incidence and risk factors for acute kidney injury after spine surgery using the RIFLE classification. J Neurosurg Spine. 2014;20(5):505–11.

    Article  PubMed  Google Scholar 

  63. Lee JW. Fluid and electrolyte disturbances in critically ill patients. Electrolyte Blood Press. 2010;8(2):72–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Kraft MD, Btaiche IF, Sacks GS, Kudsk KA. Treatment of electrolyte disorders in adult patients in the intensive care unit. Am J Health Syst Pharm. 2005;62(16):1663–82.

    Article  CAS  PubMed  Google Scholar 

  65. Wang LH, Xu DJ, Wei XJ, Chang HT, Xu GH. Electrolyte disorders and aging: risk factors for delirium in patients undergoing orthopedic surgeries. BMC Psychiatry. 2016;16(1):418.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  66. Romito B, Dhillon A. Hyperkalemia and hypokalemia. In: Vincent JL, Abraham EMF, Kochanek PM, Fink MP, editors. Textbook of critical care. Philadelphia: Elsevier Inc.; 2017. p. 52–5.

    Google Scholar 

  67. Golubovsky JL, Ilyas H, Chen J, Tanenbaum JE, Mroz TE, Steinmetz MP. Risk factors and associated complications for postoperative urinary retention after lumbar surgery for lumbar spinal stenosis. Spine J. 2018;18(9):1533–9.

    Article  PubMed  Google Scholar 

  68. Bladder management for adults with spinal cord injury: a clinical practice guideline for health-care providers. J Spinal Cord Med. 2006;29(5):527–73.

    Google Scholar 

  69. Chaw E, Shem K, Castillo K, Wong SL, Chang J. Dysphagia and associated respiratory considerations in cervical spinal cord injury. Top Spinal Cord Inj Rehabil. 2012;18(4):291–9.

    Article  PubMed  Google Scholar 

  70. Anderson KK, Arnold PM. Oropharyngeal Dysphagia after anterior cervical spine surgery: a review. Global Spine J. 2013;3(4):273–86.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Fineberg SJ, Nandyala SV, Kurd MF, Marquez-Lara A, Noureldin M, Sankaranarayanan S, et al. Incidence and risk factors for postoperative ileus following anterior, posterior, and circumferential lumbar fusion. Spine J. 2014;14(8):1680–5.

    Article  PubMed  Google Scholar 

  72. Artinyan A, Nunoo-Mensah JW, Balasubramaniam S, Gauderman J, Essani R, Gonzalez-Ruiz C, et al. Prolonged postoperative ileus-definition, risk factors, and predictors after surgery. World J Surg. 2008;32(7):1495–500.

    Article  PubMed  Google Scholar 

  73. Ogilvy AJ, Smith G. The gastrointestinal tract after anaesthesia. Eur J Anaesthesiol Suppl. 1995;10:35–42.

    CAS  PubMed  Google Scholar 

  74. Luckey A, Livingston E, Taché Y. Mechanisms and treatment of postoperative ileus. Arch Surg. 2003;138(2):206–14.

    Article  PubMed  Google Scholar 

  75. Vazquez-Sandoval A, Ghamande S, Surani S. Critically ill patients and gut motility: are we addressing it? World J Gastrointest Pharmacol Ther. 2017;8(3):174–9.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Waldhausen JH, Schirmer BD. The effect of ambulation on recovery from postoperative ileus. Ann Surg. 1990;212(6):671–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  77. Emmanuel A. Neurogenic bowel dysfunction. F1000Res. 2019;8:F1000 Faculty-Rev1800.

    Article  Google Scholar 

  78. Chaudhary SB, Vives MJ, Basra SK, Reiter MF. Postoperative spinal wound infections and postprocedural diskitis. J Spinal Cord Med. 2007;30(5):441–51.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Olsen MA, Mayfield J, Lauryssen C, Polish LB, Jones M, Vest J, et al. Risk factors for surgical site infection in spinal surgery. J Neurosurg. 2003;98(2 Suppl):149–55.

    PubMed  Google Scholar 

  80. Nasser R, Kosty JA, Shah S, Wang J, Cheng J. Risk factors and prevention of surgical site infections following spinal procedures. Global Spine J. 2018;8(4 Suppl):44s–8s.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Klein JD, Hey LA, Yu CS, Klein BB, Coufal FJ, Young EP, et al. Perioperative nutrition and postoperative complications in patients undergoing spinal surgery. Spine (Phila Pa 1976). 1996;21(22):2676–82.

    Article  CAS  Google Scholar 

  82. Wainwright TW, Immins T, Middleton RG. Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery. Best Pract Res Clin Anaesthesiol. 2016;30(1):91–102.

    Article  PubMed  Google Scholar 

  83. Qureshi R, Rasool M, Puvanesarajah V, Hassanzadeh H. Perioperative nutritional optimization in spine surgery. Clin Spine Surg. 2018;31(3):103–7.

    Article  PubMed  Google Scholar 

  84. Thibault-Halman G, Casha S, Singer S, Christie S. Acute management of nutritional demands after spinal cord injury. J Neurotrauma. 2011;28(8):1497–507.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Cox JB, Weaver KJ, Neal DW, Jacob RP, Hoh DJ. Decreased incidence of venous thromboembolism after spine surgery with early multimodal prophylaxis: clinical article. J Neurosurg Spine. 2014;21(4):677–84.

    Article  PubMed  Google Scholar 

  86. Inoue H, Watanabe H, Okami H, Kimura A, Takeshita K. The rate of venous thromboembolism before and after spine surgery as determined with indirect multidetector CT. JB JS Open Access. 2018;3(3):e0015.

    Article  PubMed  PubMed Central  Google Scholar 

  87. Mosenthal WP, Landy DC, Boyajian HH, Idowu OA, Shi LL, Ramos E, et al. Thromboprophylaxis in spinal surgery. Spine (Phila Pa 1976). 2018;43(8):E474–e81.

    Article  Google Scholar 

  88. Buchanan IA, Lin M, Donoho DA, Ding L, Giannotta SL, Attenello F, et al. Venous thromboembolism after degenerative spine surgery: a Nationwide Readmissions Database Analysis. World Neurosurg. 2019;125:e165–e74.

    Article  PubMed  PubMed Central  Google Scholar 

  89. Schoenfeld AJ, Herzog JP, Dunn JC, Bader JO, Belmont PJ Jr. Patient-based and surgical characteristics associated with the acute development of deep venous thrombosis and pulmonary embolism after spine surgery. Spine (Phila Pa 1976). 2013;38(21):1892–8.

    Article  Google Scholar 

  90. Piper K, Algattas H, DeAndrea-Lazarus IA, Kimmell KT, Li YM, Walter KA, et al. Risk factors associated with venous thromboembolism in patients undergoing spine surgery. J Neurosurg Spine. 2017;26(1):90–6.

    Article  PubMed  Google Scholar 

  91. Kelly M, Speciale A, Patton C, Turcotte J. A predictive model of preoperative risk factors for venous thromboembolism after fusion for degenerative conditions of the thoracolumbar spine. J Orthop. 2020;22:598–601.

    Article  PubMed  PubMed Central  Google Scholar 

  92. McLynn RP, Diaz-Collado PJ, Ottesen TD, Ondeck NT, Cui JJ, Bovonratwet P, et al. Risk factors and pharmacologic prophylaxis for venous thromboembolism in elective spine surgery. Spine J. 2018;18(6):970–8.

    Article  PubMed  Google Scholar 

  93. Alvarado AM, Porto GBF, Wessell J, Buchholz AL, Arnold PM. Venous Thromboprophylaxis in spine surgery. Global Spine J. 2020;10(1 Suppl):65s–70s.

    Article  PubMed  Google Scholar 

  94. Bhimraj A. Postoperative Neurosurgical Infections. 2018. p. 509–517.

    Google Scholar 

  95. Epstein NE. How much medicine do spine surgeons need to know to better select and care for patients? Surg Neurol Int. 2012;3(Suppl 5):S329–49.

    Article  PubMed  PubMed Central  Google Scholar 

  96. Di Martino A, Papalia R, Albo E, Diaz L, Denaro L, Denaro V. Infection after spinal surgery and procedures. Eur Rev Med Pharmacol Sci. 2019;23(2 Suppl):173–8.

    PubMed  Google Scholar 

  97. Kalfas F, Severi P, Scudieri C. Infection with spinal instrumentation: a 20-year, single-institution experience with review of pathogenesis, diagnosis, prevention, and management. Asian J Neurosurg. 2019;14(4):1181–9.

    Article  PubMed  PubMed Central  Google Scholar 

  98. Kasliwal MK, Tan LA, Traynelis VC. Infection with spinal instrumentation: review of pathogenesis, diagnosis, prevention, and management. Surg Neurol Int. 2013;4(Suppl 5):S392–403.

    PubMed  PubMed Central  Google Scholar 

  99. Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med. 2017;43(3):304–77.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Departments of Anesthesiology & Pain Management, Neurological Surgery, and Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA

    Jia W. Romito

  2. Department of Anesthesiology & Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA

    Bryan T. Romito

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Correspondence to Jia W. Romito .

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  1. Medical Center, Anesthesiology, The University of Texas Southwestern Med, Dallas, TX, USA

    Carl E. Noe

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Romito, J.W., Romito, B.T. (2022). ICU Care for the Spine Patient. In: Noe, C.E. (eds) Multidisciplinary Spine Care. Springer, Cham. https://doi.org/10.1007/978-3-031-04990-3_16

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