Improving spine care by critically examining outcomes
The Palmetto Health-USC Orthopedic Center Spine and Interventional Medicine team is widely recognized for their contributions to education and leadership in the field.
As a group, we have more than 50 publications and presentations for audiences in South Carolina and around the U.S. Our providers are active members of numerous professional societies including the South Carolina Orthopedic Association, AO Spine, American Academy of Physical Medicine and Rehabilitation, Association of Academic Physiatrists, and North American Spine Society.
Dr. Michael Peelle has taught physicians around the country the minimally invasive, cervical disc arthroplasty procedure. Drs. P. Douglas deHoll and Michael Peelle are on the Board of the South Carolina Spine Society, serving as president and treasurer, respectively. Dr. Gregory Grabowski serves as Residency Program Director for the Palmetto Health Orthopedic Residency program. He also is a faculty member for AOSpine North America, the premier spine education group in the world. In this capacity, he has served as a teacher of spinal surgery techniques to surgeons at various courses throughout the U.S. and Canada.
First and foremost, the Spine and Interventional Medicine team is committed to achieving the best outcomes for our patients. In conjunction with our Division of Research, we have been collecting patient-reported outcome (PRO) metrics on surgical patients for four years and will be transitioning to an electronic data collection system later this year. By collecting and critically evaluating these data, the Spine team is able to alter decision making to maximize patient outcomes.
Through the observation of the data from the PROs, Dr. Grabowski knows that some of his most challenging patients in spine are those 70 and older. These patients often present with complex spinal pathology and have limited physiologic reserve, increasing their peri-operative risk profile. As a pilot project, Dr. Grabowski has partnered with the providers at Palmetto Health Senior Primary Care to provide innovative and specialized care for this group. These patients are seen and evaluated pre-operatively by geriatricians and then post-operatively medically co-managed by a multidisciplinary team on the Acute Care for the Elderly (ACE) Unit of Palmetto Health Richland. This novel approach to geriatric spine care will be evaluated for its effectiveness and may be expanded to the Palmetto Health system.
The goal of the Palmetto Health-USC Medical Spine and Interventional Medicine team is to provide patients and referring providers in South Carolina with unparalleled access to truly comprehensive and seamless spine care. Regardless of the cause, duration, or complexity of the problem, the providers will be able to manage any spinal condition. We will continue to evolve with trends in spine to minimize patient costs while maximizing patient outcomes. We are continually looking to improve the care of our patients, evaluate our outcomes by critically examining PROs and shaping the future of spine care that is delivered locally, regionally and nationally.