Preoperative Assessment of Spinal Patients

This spine surgery lecture describes the principles and up-to-date trends in the preoperative assessment of spinal patients.

Preoperative Assessment of Spinal Patients - Lecture Thumbnail

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Lecturer: José Aguirre, MD, MSc


  • Online Lecture Presentation
  • Pre- and Post- Learning Assessments
  • Additional Learning Materials (Standard Package only)
  • Up to 3 CME Credits

Ref.ID: 1_17_aguirre

DOI: 10.28962/01.3.017

What you will cover in this lecture

This spine surgery lecture covers preoperative assessment of spine surgery patients. Core messages: The patient needs the preoperative assessment to reduce anxiety and fear; the anaesthesiologist to correctly evaluate the risks and anticipate possible complications. The aging population leads to an increasing number of elective spinal surgery in elderly patients. Spinal cord injury can also affect other organ systems. Scoliosis might cause restrictive pulmonary disease leading to a reduced PaO2 with normal PaCO2. This can further progress and lead to irreversible pulmonary hypertension and cor pulmonale. Duchenne muscular dystropy requires particular attention to cardiac and pulmonary complications and proper evaluation and monitoring are mandatory. Tumour surgery often requires thorough blood management and even transfusions. Spinal shock starts immediately after injury lasting up to 3 weeks. Post-traumatic autonomic dysreflexia may be present after 3-6 weeks following the spinal cord injury. Pre-existing drug therapy has to be adapted to the individual perioperative situation.

Learning Objectives

  1. To correctly evaluate the anaesthetic risks of a patient for spine surgery
  2. To implement the information obtained from the clinical assessment in the monitoring needed for the perioperative period
  3. To correctly evaluate the continuation or cessation of patient’s own medication
  4. To correctly evaluate special cases in major spine surgery

Target Groups

Practicing Spine Surgeons

in Orthopaedic or Neurosurgical services for Continuing Education or recertification

Logos of Endorsed by European Spine Journal, CME Accredited by EACCME, Supported by Spine and Open Operating Theatre
Dr Jose Aguirre - Spine Surgery Faculty - eccElearning

José Aguirre, MD, MSc

  • Balgrist University Hospital, Zürich, Switzerland

eccElearning Participation


Lecture Presentation

Preoperative Assessment


  • Online Lecture Presentation
  • Pre- and Post- Learning Assessments
  • Additional Learning Materials (Standard Package only)
  • Up to 3 CME Credits

Enrol to View This Lecture

Access to all 180 Spine Lectures for a low monthly fee - cancel any time.

Enrol Now

Frequently Asked Questions

Q: What is an eccElearning Lecture like?

A: Each Lecture includes the Lecture Presentation, Additional Learning Resources, Pre-Learning Quiz and Lecture Assessment.

Each Spine Surgery Lecture is viewed online in video format and lasts from 20-45 minutes. The Lectures contain relevant additional learning resources (book chapters, research papers, surgical videos, master lecture videos, case reports, review articles, etc.), which are presented in context and viewable immediately for your convenience.

Lecture 5.1 is an invited Master Lecture and does not include the Quiz and Assessment components.

Q: How much time will a Lecture take?

A: Lecture presentations typically take 20-45 minutes to run. However, candidates are required to review the compulsory and recommended additional learning resources contained within the Lecture. The time taken to view the Lecture and review the additional resources is in the range 3-4 hours per Lecture.

Q: What kind of credits do I get from the Lecture?

A: Each Spine Surgery Lecture can confer up to 3 Continuing Medical Education (CME) credits, certified by European Accreditation Council for Continuing Medical Education (EACCME). The CME credits are awarded to the candidate on successful completion of the online Lecture. The number awarded depend on the number of additional learning materials available in a Lecture - premium versions of the Diploma and Modules include more material for each lecture, so confer more CME Credits.

Q: Can I try Lectures before Subscribing?

A: All lecture subscriptions currently have a one-month trial period, which can be cancelled at any time.


Q: What payment methods are accepted?

A: All major credit and debit cards.

Q: What is your cancellation policy?

A: Lecture subscriptions can be cancelled at any time. You will have access to the Lectures for as long as you have paid for them. For example, if you cancel your subscription 12 days before the next payment is due, you will keep access to all Lectures for those 12 days.

Q: What are CME Credits?

A: CME stands for Continuing Medical Education. You are awarded CME Credits for undertaking an approved course of medical education. Each Lecture that you complete successfully adds to your CME Credits total. All Lectures provided by eccElearning are accredited by the European Accreditation Council for Continuing Medical Education (EACCME), of the Union Européenne des Médecins Spécialistes (UEMS). You can print out your Certificate of CME Credits after the completion of any Course or Lecture.

Q: What do I do if I fail a Lecture Assessment?

A: You are permitted to retake a Lecture Assessment up to two times. The Lecture Assessment will be made available to you again 14 days after a failed attempt. If you’ve failed the Lecture Assessment three times, please get in contact with us to discuss your options.

Q: What courses does eccElearning provide?

A: As well as our Spine Lectures, eccElearning provides Spine Surgery Courses - all taken from our Spine Surgery Education Programme. We have the Diploma in Spine Surgery with Modules individually purchasable, Spine Surgery Specialist Certificates, Spine Surgery Knowledge Packages.