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

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....

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Bibliographic Details
Published in:Spine deformity 2024-07, Vol.12 (4), p.903-908
Main Authors: Gouzoulis, Michael J., Joo, Peter Y., Jeong, Seongho, Jabbouri, Sahir S., Moran, Jay, Zhu, Justin R., Grauer, Jonathan N.
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Orthopedics
Review Article
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Summary: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  
ISSN:2212-134X
2212-1358
2212-1358
DOI:10.1007/s43390-024-00858-3