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Set Up for Success in Spine
Top surgeons work in specialized facilities designed to capitalize on one of outpatient surgery’s hottest specialties.
Dan Cook | Editor-in-Chief
Microscope
FLOOR PLAN Operating rooms outfitted for minimally invasive spine procedures must be big enough to accommodate needed equipment and large trays of instrumentation.

The patient underwent a revision decompression with a two-level front-back fusion first thing in the morning and was up and moving about by evening. “That was definitely an adult swim case,” says Richard Kube, MD, FACSS, FAAOS, CIME, who performed the grueling surgery at the Prairie Spine & Pain Institute in Peoria, Ill. “Generally, there aren’t many procedures I don’t feel comfortable performing in the ambulatory setting on appropriately selected patients.”

This month marks the 10th anniversary of the Prairie Spine & Pain Institute, which Dr. Kube founded and now runs as its CEO. He decided to strike out on his own and build the center when his former orthopedic partners weren’t interested in letting him focus exclusively on spine. The facility’s single OR is 484 square feet, large enough to accommodate multilevel instrument trays, a spine table, an anesthesia workstation and a C-arm for intraoperative imaging. “It’s outfitted with the same equipment that’s in the hospital across town,” says Dr. Kube.

He also built a room adjacent to the pre- and post-op bays where patients can remain for up to 23 hours, which is in accordance with Illinois state laws. Incorporating an overnight observation room into the design of the facility allows Dr. Kube to assess patients multiple times before they’re discharged. He checks on them between cases, before he leaves at the end of the day and again first thing the next morning before they’re discharged. “I see them three or four times before they go home,” says Dr. Kube. “I’m able to get a strong sense of how they’re recovering. They receive one-to-one care, which they couldn’t get at the local hospital.”

The extended stay space is filled with luxurious amenities, including a cushy reclining chair, a pullout Tempur-Pedic bed for loved ones of patients who want to spend the night and a high-quality set of table and chairs. Patients can watch a full line-up of cable channels on a 65-inch ultra-high-def television while relaxing by the room’s fireplace. The private bathroom features a granite-topped vanity, high-end fixtures and a walk-in shower with a 15-inch rainfall shower head.

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