[Current Status of Spine Surgery in Germany: Results of a Survey of Members of the German Spine Society].

Mono- (MSS) and bisegmental spinal fusion (BSS) are frequently performed surgical interventions in German hospitals. Despite the high number of cases, only few data on treatment procedures and concepts for pre-, peri-, and postoperative care are available. The aim of the survey was to gain detailed insights into treatment procedures and medical approaches in elective MSS and BSS care in Germany in order to extract recommendations for improving patient care. Members of the German Spine Society (DWG) were sent a newsletter, inviting them to participate in a survey; 209 senior physicians agreed to do so. They were asked about length of stay (LOS), care concepts and outcome measurement. The data from 142 completed questionnaires were used in the analysis. In some aspects, there was a consistency in practice: preoperative patient information about the care process and discharge on the basis of qualitative criteria. However, there was also considerable variability in practice: in rehabilitation, restrictions, radiological control, pre- and postoperative outcome measurement and interdisciplinary coordination. More than half of the surveyed physicians declared that they followed a structured care plan. However, the treatment procedures in MSS and BSS care are very heterogeneous in German hospitals. It also became clear that this is particularly pronounced in aspects of treatment for which evidence is lacking. The results give important indications regarding aspects of treatment procedures and organizational structures that can be optimized for better patient care.