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Preoperative spinal education for lumbar spinal stenosis: A feasibility study – Lumbar Fusion

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The article discusses a feasibility study on a novel prehabilitation intervention called PreOperative Spinal Education for Lumbar Spinal Stenosis (POSE-LSS) for patients undergoing lumbar decompression surgery. The study aimed to determine the delivery feasibility and participant acceptability of the intervention, which incorporated educational material, in-person physical therapy, and telemedicine visits with a physiatrist. The results showed that all eligible participants completed the intervention, indicating feasibility and acceptability. Additionally, measures such as length of stay and discharge disposition were positively associated with the POSE-LSS intervention, suggesting potential effectiveness in influencing postoperative recovery outcomes. The study concludes that the prehabilitation intervention is feasible, acceptable, and may positively impact short-term measures of postoperative recovery for patients undergoing lumbar decompression surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced treatment facility on Harley Street UK

Published article

S: This study demonstrates that a novel prehabilitation intervention is feasible, acceptable, and appears positively associated with important short-term measures of postoperative recovery that may impact the trajectory of patient care following LSS surgery.

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
PM R. 2024 Apr 5. doi: 10.1002/pmrj.13140. Online ahead of print. ABSTRACT INTRODUCTION: Lumbar spinal stenosis (LSS) is a leading cause of chronic musculoskeletal pain among older adults. A common and costly intervention for the treatment of LSS is lumbar decompression with or without fusion (LSS surgery), which has mixed outcomes among patients. Prehabilitation is,

PM R. 2024 Apr 5. doi: 10.1002/pmrj.13140. Online ahead of print.

ABSTRACT

INTRODUCTION: Lumbar spinal stenosis (LSS) is a leading cause of chronic musculoskeletal pain among older adults. A common and costly intervention for the treatment of LSS is lumbar decompression with or without fusion (LSS surgery), which has mixed outcomes among patients. Prehabilitation is a strategy designed to optimize the consistency of positive surgical outcomes and promote patient self-efficacy, while attempting to mitigate postoperative complications. No efforts have investigated the prehabilitation strategies specifically for patients undergoing LSS surgery.

OBJECTIVE: To determine the feasibility of delivery and acceptability by participants of a novel prehabilitation intervention for patients undergoing LSS surgery.

DESIGN: Feasibility study.

SETTING: Outpatient orthopedic clinic at an academic medical center.

PARTICIPANTS: Patients at least 50 years of age, who were scheduled for LSS surgery between October 2020 and October 2021.

INTERVENTION: PreOperative Spinal Education for Lumbar Spinal Stenosis (POSE-LSS), is a novel multimodal, education-focused, time-efficient prehabilitation program for patients undergoing LSS surgery. Participants received the following: (1) Educational booklet and video; (2) In-person physical therapy (PT) session; and (3) Telemedicine visit with a physiatrist.

MAIN OUTCOME MEASURE(S): The primary outcomes of interest were feasibility and acceptability of intervention by participants. Key potential surgical outcomes were length of stay and discharge disposition.

RESULTS: POSE-LSS was completed by all eligible participants enrolled (n = 15) indicating feasibility and acceptability. Potential effectiveness measures including length of stay and discharge disposition were positively associated with the POSE-LSS intervention.

S: This study demonstrates that a novel prehabilitation intervention is feasible, acceptable, and appears positively associated with important short-term measures of postoperative recovery that may impact the trajectory of patient care following LSS surgery.

PMID:38578142 | DOI:10.1002/pmrj.13140

The London Spine Unit : most advanced treatment facility on Harley Street UK

Read the original publication:

Preoperative spinal education for lumbar spinal stenosis: A feasibility study

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PM R. 2024 Apr 5. doi: 10.1002/pmrj.13140. Online ahead of print. ABSTRACT INTRODUCTION: Lumbar spinal stenosis (LSS) is a leading cause of chronic musculoskeletal pain among older adults. A common and costly intervention for the treatment of LSS is lumbar decompression with or without fusion (LSS surgery), which has mixed outcomes among patients. Prehabilitation is

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