Is larger scoliosis curve magnitude associated with increased perioperative health-care resource utilization?: a multicenter analysis of 325 adolescent idiopathic scoliosis curves

The Journal of Bone and Joint Surgery. American Volume
Firoz MiyanjiPeter O Newton

Abstract

The treatment of patients with large adolescent idiopathic scoliosis curves has been associated with increased surgical complexity. The purpose of this study was to determine whether surgical correction of larger adolescent idiopathic scoliosis curves increased the utilization of health-care resources and to identify potential predictors associated with increased perioperative health-care resource utilization. A nested cohort of patients with adolescent idiopathic scoliosis with Lenke type 1A and 1B curves were identified from a prospective longitudinal multicenter database. Four perioperative outcomes were selected as the primary health-care resource utilization outcomes of interest: operative time, number of vertebral levels instrumented, duration of hospitalization, and allogeneic blood transfusion. The effect of curve magnitude on these outcomes was assessed with use of univariate and multivariate regression. Three hundred and twenty-five patients with a mean age of 15 ± 2 years were included. The mean main thoracic curve was 54.4° ± 7.8°. Larger curves were associated with longer operative time (p = 0.03), a greater number of vertebral levels instrumented (p = 0.0005), and the need for blood transfusion (with every 10° inc...Continue Reading

References

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Citations

Nov 19, 2015·BMC Musculoskeletal Disorders·Måns Persson-BunkeElisabet Rodby-Bousquet
Oct 15, 2014·BMJ Supportive & Palliative Care·Carolina Casañas i Comabella, Marta Wanat
Jan 3, 2013·Paediatric Anaesthesia·Ibrahim Abu-KishkGideon Eshel
Apr 27, 2018·Journal of Pediatric Orthopedics. Part B·Hassan GhandhariDaniel F Fouladi
Sep 10, 2014·Clinical Orthopaedics and Related Research·Bryce A BasquesJonathan N Grauer
Jun 20, 2020·The Journal of Bone and Joint Surgery. American Volume·Jason B AnariPatrick J Cahill
Feb 26, 2020·Spine Deformity·Fady J BakyA Noelle Larson
Jun 26, 2020·Journal of Children's Orthopaedics·Alejandro Peiro-GarciaCesar G Fontecha
Apr 29, 2014·Journal of Children's Orthopaedics·Nicholas D FletcherRobert W Bruce
Jan 1, 2015·Spine Deformity·J M LaMotheF Ferri-de-Barros
Jun 20, 2020·Journal of Pediatric Orthopedics. Part B·Nyaluma N WagalaRichard M Schwend
Jul 10, 2021·Revista Brasileira De Ortopedia·Mario Bressan-NetoHelton Luiz Aparecido Defino
Jun 14, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jae Hyuk YangSeung Woo Suh
Oct 2, 2021·Spine Deformity·Jennifer A DermottDavid E Lebel

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