Spine surgery—even when it’s performed minimally invasively—is a major medical operation that poses potential risks and complications. If you have a comorbidity, such as diabetes, that can increase the risks of the procedure.
Medical clearance is important because if your spine surgeon and PCP/other doctors (s) believe the surgery poses a risk for you, they will work together to adjust aspects of anesthesia and/or surgical approach (before, during, and after surgery) to minimize your risk. This could include changes in your medication regimen before and/or after surgery, starting a weight loss or smoking cessation program before surgery, or ensuring you are up and moving shortly after surgery to reduce respiratory complications.