Spine Surgery Clinical Trial
Aim: The aim is to evaluate the outcome after spine surgery when using an integrated program
that combined preoperative prevention and early postoperative rehabilitation compared to the
routine procedures.
Outcome measurements: Postoperative hospital stay, complications, function, pain, and
patient satisfaction.
Method: 60 patients scheduled for surgery for degenerative lumbar disease. The control group
followed the routines in the department. The intervention group followed the integrated
program consisting of preoperative prevention.
Introduction: An increasing number of patients undergo surgery for degenerative spine
disease, which is, however, related to a significant development of postoperative
complications. Evidence has been gathered for other surgical procedures about improved
outcome after early rehabilitation programs (fast track surgery), preoperative smoking and
alcohol cessation programs, respectively. Hitherto, no studies have been published
concerning a combined program of the preoperative prevention programs and fast track
surgery.
Aim: The aim is to evaluate the outcome after spine surgery when using an integrated program
that combined preoperative prevention and early postoperative rehabilitation compared to the
routine procedures.
Outcome measurements: Postoperative hospital stay, complications, function, pain, and
patient satisfaction.
Method: 60 patients scheduled for surgery for degenerative lumbar disease were
computer-randomized to intervention. The control group followed the routines in the
department. The intervention group followed the integrated program consisting of
preoperative prevention, which began 2 months prior to the operation: an exercise program
designed to strengthen the muscles of the spine, and optimization of the analgetic
treatment. Smokers and harmful drinkers were offered cessation intervention. The day before
surgery all had enteral protein supplement.
Early postoperative rehabilitation included balanced pain therapy, including
self-administered epidural analgesia, intensified mobilization immediately after surgery and
enteral protein supplement.
;
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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