Schaumburg, Illinois, September 7, 2021—The Congress of Neurological Surgeons (CNS) and the Joint Section on Spine and Peripheral Nerves have developed a guideline for preoperative optimization before spine surgery. Led by Daniel Hoh, MD; Sanjay Dhall, MD; and Praveen Mummaneni, MD, MBA; this publication is the first part of a comprehensive guidelines series on perioperative spine management. This guideline series is supported by a generous donation from the Joint Section on Spine and Peripheral Nerves to the CNS Foundation. The Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Perioperative Spine: Preoperative published today in Neurosurgery. Other relevant information can also be found on the CNS website.
This clinical guideline was created to improve patient care by outlining the appropriate information-gathering and decision-making processes involved in the perioperative treatment of patients with spinal disease. This guideline was created as an educational tool to guide physicians through a series of diagnostic and treatment decisions to improve the quality and efficiency of care.
Guideline Task Force leads, Praveen V. Mummaneni, MD, MBA; Daniel J. Hoh, MD; and Sanjay Dhall, MD; state, “as spine surgeons, we frequently face dilemmas regarding how to best care for our patients, particularly when it comes to optimizing individuals prior to surgery. These guidelines are a valuable resource, and the straightforward, evidence-based recommendations have led to significant improvements in our everyday practice.”
This guideline was developed by the CNS and the Joint Section on Spine and Peripheral Nerves, was reviewed for evidence-based integrity, and endorsed by CNS and the American Association of Neurological Surgeons.

Daniel J. Hoh, MD
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Sanjay Dhall, MD
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Praveen V. Mummaneni, MD,MBA
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Erica F. Bisson, MD, MPH
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John Dimar, MD
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James S. Harrop, MD, MSHQS
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Basma Mohamed, MBChB
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Marjorie C. Wang, MD, MPH
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