{"id":15330,"date":"2018-04-16T11:13:44","date_gmt":"2018-04-16T17:13:44","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=15330"},"modified":"2022-11-16T10:53:07","modified_gmt":"2022-11-16T17:53:07","slug":"predicting-success-of-spine-surgery","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/predicting-success-of-spine-surgery\/","title":{"rendered":"Predicting success of spine surgery"},"content":{"rendered":"
<\/div>

\"This<\/p>\n

For people dealing with severe back and neck pain or arm and leg pain, spine surgery can be very effective.<\/p>\n

But there\u2019s a catch: while a patient\u2019s symptoms and imaging findings may suggest surgery will improve the condition, some patients have preoperative conditions that can affect the outcome.<\/p>\n

Now doctors have another tool to help in the decision-making process: predictive analytics. Scores of data on patients who have undergone spine surgery are used to make connections between characteristics of patients, such as whether they smoke, use opioids or are overweight, and surgery outcomes.<\/p>\n

\u201cWith elective spine surgery, typically 80 percent of patients do well, while 20 percent don\u2019t respond,\u201d said Dr. Clint Devin<\/a>, an orthopedic spine surgeon in Steamboat Springs<\/a>. \u201cThe question is why are these 20 percent not responding, and are there modifications we can make so these people become responders?\u201d<\/p>\n

Through the use of predictive analytics, doctors can estimate the likelihood that surgery will help a patient meet goals such as getting relief from pain, returning to work and recovering at home instead of in a facility.<\/p>\n

\"This
Dr. Clint Devin performs spine surgery at UCHealth Yampa Valley Medical Center in Steamboat Springs.<\/figcaption><\/figure>\n

\u201cYou can have more individualized discussions with a patient,\u201d Devin said. \u201cOnce you understand what they expect from surgery, you can then say, \u2018Here\u2019s the likelihood that we will be able to deliver that to you.\u2019 It creates a sophisticated way of delivering care.\u201d<\/p>\n

Through predictive analytics, doctors have identified characteristics such as opioid use, diabetes and depression that may prevent surgery from relieving a patient of pain. Patients dealing with those issues are not precluded from surgery, but steps should be taken before surgery to optimize for those conditions.<\/p>\n

For instance, patients using opioids should greatly reduce or discontinue opioid use before surgery, otherwise surgery may worsen pain instead of relieving it.<\/p>\n

\u201cPatients need to come significantly down or off opioids before surgery, as it resets their thermostat for pain,\u201d Devin said. \u201cIf a patient is too dependent on opioids, surgery isn\u2019t going to help. Even small things that wouldn\u2019t usually hurt are extremely painful to someone on opioids. If I operate on them, they won\u2019t get results \u2013 they\u2019ll just get exaggerated pain.\u201d<\/p>\n

Patients with diabetes should be managing blood sugars well, and patients with depression should consider participating in cognitive behavioral therapy to prevent fear of moving after surgery and to foster a positive outlook on their recovery period.<\/p>\n

Using predictive analytics also helps set the right expectations for surgery.<\/p>\n

\u201cThe way I like to practice is to help people be as informed about a decision as possible,\u201d Devin said. \u201cWhen expectations are understood mutually between a patient and doctor, patients are extremely satisfied.\u201d<\/p>\n

The numbers are never a substitute for understanding a patient\u2019s whole health picture: spine care isn\u2019t just up to a spine surgeon but involves a team that may include a physiatrist, a pain management doctor, a primary care doctor, physical therapists, chiropractors and others.<\/p>\n

\u201cYou need a true comprehensive approach for operative and non-operative spine issues,\u201d Devin said. \u201cThere are often four or five people taking care of every single spine problem. It takes a team.\u201d<\/p>\n

Together, that team can help relieve patients from what can be life-altering, excruciating pain.<\/p>\n

\u201cWhen people are in the throes of misery, if you\u2019re able to meet expectations and deliver results, the impact you can have is tremendous,\u201d Devin said.<\/p>\n

This story first appeared in the Steamboat Pilot & Today on April 9, 2018.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

For people dealing with severe back and neck pain or arm and leg pain, spine surgery can be very effective. But there\u2019s a catch: while a patient\u2019s symptoms and imaging findings may suggest surgery will improve the condition, some patients have preoperative conditions that can affect the outcome. Now doctors have another tool to help […]<\/p>\n","protected":false},"author":2163,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[574,65,9167,442,2518],"class_list":["post-15330","post","type-post","status-publish","format-standard","hentry","category-innovative-care","tag-back-neck-and-spine-care","tag-pain-care-and-management","tag-specialized-services","tag-spine-surgery","tag-uchealth-yampa-valley-medical-center"],"acf":[],"yoast_head":"\nPredicting success of spine surgery - UCHealth Today<\/title>\n<meta name=\"description\" content=\"For people with severe back and neck pain or arm and leg pain, spine surgery can be very effective. 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