Treatment Algorithms and Protocol Practice in High-Risk Spine Surgery

Patrick A. Sugrue*, Ryan J. Halpin, Tyler R. Koski

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations


The practice of appropriate evidence-based medicine should be a goal for all physicians. By using protocols in areas where strong evidence-based medicine exists, physicians have reliably shown they can improve patient outcomes while reducing complications, cost, and hospital stay. Evidence-based protocols in complex spinal care are rare. At Northwestern University the authors have developed a multidisciplinary protocol for the preoperative, intraoperative, and postoperative workup and care of complex spine patients. The rationale and use of the High-Risk Spine Protocol is discussed.

Original languageEnglish (US)
Pages (from-to)219-230
Number of pages12
JournalNeurosurgery clinics of North America
Issue number2
StatePublished - Apr 2013


  • Evidence-based medicine
  • High-risk spine protocol
  • Spinal deformity
  • Spine surgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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