Out-Patient Spine Surgeries Are we already there? Rafael Cruz Bundoc, MD Dept. of Orthopedics Philippine General Hospital All spine surgeries are major cases • General anesthesia • Prone position • Delicate approaches • Bloody • Specialized instruments • Specialized set-up • Meticulous attention • Damn long procedures Spine surgeries are very varied Is there a role for an ambulatory spine surgery? PATHOLOGY TREATMENT • COMPRESSION DECOMPRESS • INSTABILITY STABILIZE • DEFORMITY CORRECT • COMBINATION COMBINATION Hemilaminotomy Laminotomy Hemilaminectomy Laminectomy Open Technique