Abstract
Patient-centric decision-making has imbued all aspects of health care, including spine surgery. This review describes how spine surgeons can use evolving technologies and knowledge of disease and pain states to tailor their surgical approach to the individual patient. This includes preoperative screening for and optimization of low bone mineral density, intraoperative selection of implant material and customization of interbody cages and screws, and postoperative personalization of pain regimens and rehabilitation courses. By working in a multidisciplinary fashion, spine surgeons can avail themselves of these advances to provide individualized care.
- personalized medicine
- spine surgery
- biologics
- bone mineral density
- robotics
- surgical planning
- spine implants
- outcomes
- pain
- artificial intelligence
Footnotes
Funding The authors received no financial support for the research, authorship, and/or publication of this article.
Declaration of Conflicting Interests The authors report no conflicts of interest in this work.
Disclosures P.V.M. serves as a consultant for DePuy Spine and Globus, has direct stock ownership in Discgenics, receives royalties from Thieme Publishers and Springer Publishing, has received support from ISSG, NREF, AOSpine, NIH, PCORI, SLIP II, Pacira, and DoD for nonstudy-related clinical or research effort, and receives honoraria from BK Medical, Brainlab, and SI Bone. E.C.H. serves in an unpaid capacity on the Medical Registry Advisory Board of the International Fibrodysplasia Ossificans Progressiva Association; the Fibrous Dysplasia Foundation Medical Advisory Board; and the International Clinical Council on FOP. E.C.H. also receives clinical trials support through his institution from Clementia Pharmaceuticals, an Ipsen Company; Ipsen Pharmaceuticals; Ascendis Bio; and ashibio.
- This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2024 ISASS. To see more or order reprints or permissions, see http://ijssurgery.com.