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Recovery

Bone HealthOptimization.

Navigating spine surgery involves a comprehensive approach. Our guidelines cover optimizing health, bone quality, nutrition, and mobility to enhance healing and recovery outcomes.

A Bone-First Approach

A lasting, successful surgical outcome.

As an orthopedic spine surgeon, my ultimate goal is to provide you with a lasting, successful surgical outcome. However, performing a spinal fusion or hardware placement on weakened bone is like trying to anchor a heavy screw into crumbling drywall.

Poor bone health in patients undergoing elective spine procedures is incredibly common — with up to 20% of patients having osteoporosis and 30% to 50% having osteopenia. This underlying bone disease often goes unrecognized and untreated until a devastating surgical complication occurs.

Up to 20%

of elective spine patients have osteoporosis.

30–50%

have osteopenia — and most don't know it.

Up to 65%

have Vitamin D deficiency at the time of surgery.

01The Risks of Unoptimized Bone

Operating on weak bonehas consequences.

Operating on osteoporotic bone significantly increases the risk of severe surgical complications. Patients with untreated osteoporosis face a 50% complication rate following spinal fusion, compared to just 23% for those with normal bone quality.

Untreated Osteoporosis

50%

complication rate following spinal fusion.

Normal Bone Quality

23%

complication rate by comparison.

03What Is BHO?

A proactive, "bone-first"approach.

Bone Health Optimization is the process of comprehensively assessing your bone status, identifying and correcting nutritional and metabolic deficits, and initiating medical treatment to rebuild your skeletal foundation 
— before we ever enter the operating room.

The protocol that follows is the pre-surgical foundation we build with every patient considering elective spine surgery.

Next Steps

Start with a bone assessment.

Begin your personalized recovery plan. Contact us to schedule an appointment and bring your i
maging records for expert guidance.

Bone Health Optimization · Dr. Rivka Lomedico