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Elective Surgery is Essential - August 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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patient's primary physician, or I'll engage an endocrinologist or a rheumatologist with expertise in osteoporosis management. It's important patients are treated holistically for many reasons, not the least of which is that in a very small subset of patients, these fractures can be the result of some- thing pathologic such as lymphoma, myeloma or an undiagnosed metastatic disease. Treatment of the underlying osteoporosis is as important as fixing the fracture because it's a sys- temic disease. If the patient has a single compres- sion fracture, there's a high correlation of develop- ing subsequent fractures from both the underlying osteoporosis as well as the change in the spine alignment from the initial fracture. The disease puts pressure on the vertebral bodies above and below the location of the first break. Not treating the underlying osteoporosis increases the probability of developing more fractures. I defer to the anesthesiologist as to whether the A U G U S T 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 7 3 Dr. Rhyne (alfred.rhyne@orthocarolina.com) is a spine surgeon at OrthoCarolina. patient should have the procedure performed in a hospital, an ambulatory setting or my office. In gen- eral, candidates for an office-based procedure are those who don't have significant underlying comor- bidities, and whose heart and lung statuses are good. Because patients are older, they're at risk even though the procedure itself isn't risky. A broken spine sounds devastating, but because the blood loss during a balloon kyphoplasty is mini- mal and the anesthesia is light, the procedure isn't traumatic. I've performed about 2,000 balloon kyphoplasties over two decades — including one on a 103-year-old man who was able to resume his life of light yard work and regular walks. The procedure helped him and many others continue to enjoy the lives they've worked hard for and deserve. OSM PRACTICAL EDUCATION Attend live programming October 22-23 and every Friday, plus on demand content all month, for OR leaders in hospital and ambulatory settings. VIRTUAL EXHIBITS Learn about cutting-edge surgical products and services and connect with company reps during live exhibit hall hours. PEER NETWORKING Connect virtually with fellow OR leaders to share challenges and new ideas. Pre-Register Today at: www.orexcellence.com PRESENTED BY

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