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Pre and Post-operative Pathway

1

Pre-operative

  • Record if patient is low or high risk based on age, comorbidities and social circumstances
  • Refer to POA (high risk if needed)
  • Direct patient to spine school online education: www.thespinenetwork.co.uk
2

Post-operative: Rehabilitation Stage

  • Before the person leaves hospital, a referral should be made to physiotherapy to commence in 2–3 weeks time
  • Rehabilitation can include virtual delivery where appropriate, including group-based rehabilitation or supported self-management
3

Post-discharge (target 72 hours or on the day for day-case)

  • Wound review and suture removal at GP 7–10 days if non-absorbable
4

8–12 Weeks

  • Review by surgical team or nurse
  • Wound review
  • X-rays if clinical concerns
  • Ensure patient is reaching their goals and there are no complications
5

PIFU: 12 Months (GIRFT & BSR data PROMS)

  • If no clinical concerns — discharge or use PIFU