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A 10-year perspective on the question of whether surgeries for adolescent idiopathic scoliosis are “one and done”? – Lumbar Fusion

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The article discusses the long-term outcomes of posterior scoliosis fusion (PSF) surgery for adolescent idiopathic scoliosis (AIS). A study conducted on a large national AIS PSF population found that 9.6% of patients underwent reoperation within 10 years following their initial surgery. The primary reason for reoperation was infection, with the majority of reoperations occurring within the first three months. Risk factors for needing reoperation included male sex, asthma, and greater than thirteen segments of instrumentation. These findings are important for patient counseling and highlight the need for monitoring long-term outcomes of AIS PSF surgeries

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised spine hospital on Harley Street UK

Published article

S: The current study of a large national AIS PSF population found 9.6% to undergo reoperation in the 10 years following their index operation. Although specifics about the curve pattern could not be determined, the reoperation incidence and correlation with specific risk factors are notable and important for patient counselling.

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Spine Deform. 2024 Mar 31. doi: 10.1007/s43390-024-00858-3. Online ahead of print. ABSTRACT PURPOSE: Posterior scoliosis fusion (PSF) for adolescent idiopathic scoliosis (AIS) is considered a highly successful surgery with excellent outcomes. However, especially as many patients “graduate” from their pediatric surgeons, there is the need to quantify the long-term outcomes of such surgeries. METHODS: The,

Spine Deform. 2024 Mar 31. doi: 10.1007/s43390-024-00858-3. Online ahead of print.

ABSTRACT

PURPOSE: Posterior scoliosis fusion (PSF) for adolescent idiopathic scoliosis (AIS) is considered a highly successful surgery with excellent outcomes. However, especially as many patients “graduate” from their pediatric surgeons, there is the need to quantify the long-term outcomes of such surgeries.

METHODS: The 2010-2022 Pearldiver M161 dataset was queried for those who were 10 to 18 years old with AIS undergoing PSF with at least 10 years follow-up. Patient characteristics were abstracted. Reoperations were identified based on coding for any subsequent thoracic/lumbar surgery/revision. The 10-year reoperation rate and reasons for reoperation were determined, and multivariate regression was performed to determine risk factors.

RESULTS: In total, 3,373 AIS PSF patients were identified. Of the study cohort, 324 (9.6%) underwent reoperation within 10-years with an interquartile range for timing of surgery of 81-658 days, of which 29.6% were done for infection. Reoperations were done within the first three months for 152 (46.9% of reoperations), three months to 2 years for 97 (29.9%), and 2 years to 10 years for 74 (22.8%). Based on multivariate regression, need for reoperation was associated with male sex (OR: 1.70), asthma (OR: 1.36) and greater than thirteen segments of instrumentation (OR: 1.48) (p < 0.05 for each) but not age, other comorbidities, or insurance.

S: The current study of a large national AIS PSF population found 9.6% to undergo reoperation in the 10 years following their index operation. Although specifics about the curve pattern could not be determined, the reoperation incidence and correlation with specific risk factors are notable and important for patient counselling.

PMID:38555557 | DOI:10.1007/s43390-024-00858-3

The London Spine Unit : best recognised spine hospital on Harley Street UK

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A 10-year perspective on the question of whether surgeries for adolescent idiopathic scoliosis are “one and done”?

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Spine Deform. 2024 Mar 31. doi: 10.1007/s43390-024-00858-3. Online ahead of print. ABSTRACT PURPOSE: Posterior scoliosis fusion (PSF) for adolescent idiopathic scoliosis (AIS) is considered a highly successful surgery with excellent outcomes. However, especially as many patients "graduate" from their pediatric surgeons, there is the need to quantify the long-term outcomes of such surgeries. METHODS: The

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