Benefits of a spine team for the surgical management of paediatric scoliosis

For many years, blood-saving techniques and the enhanced recovery after surgery approach have been used to optimise the quality of care and shorten hospital stays. The creation of dedicated spine teams combining surgeons and anaesthesiologists specialised in spine surgery has been proven beneficial...

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Bibliographic Details
Published in:Orthopaedics & traumatology, surgery & research surgery & research, 2024-08, p.103976, Article 103976
Main Authors: Julien-Marsollier, Florence, Pardessus, Pierre, Brouns, Kelly, Happiette, Adèle, Dahmani, Souhayl, Ilharreborde, Brice
Format: Article
Language:English
Subjects:
Adolescent
Anaesthesiologist
Dedicated team
Enhanced recovery after surgery
Scoliosis
Spine
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Summary:For many years, blood-saving techniques and the enhanced recovery after surgery approach have been used to optimise the quality of care and shorten hospital stays. The creation of dedicated spine teams combining surgeons and anaesthesiologists specialised in spine surgery has been proven beneficial in adults. The objective of this study was to determine whether involving a spine team in the management of paediatric patients with scoliosis treated by posterior spinal fusion was associated with shorter hospital stays. The hospital stay would be shorter in patients managed by a spine team. This single-centre, non-randomised, comparative study was initiated after approval by the local ethics committee. One group of patients was managed by a spine team composed of an anaesthesiologist and a surgeon with over 10 years of experience and the control group by an anaesthesiologist and a surgeon with less than 5 years of experience. The primary outcome was hospital stay length (median [interquartile range]). The study included 157 paediatric patients who underwent spinal fusion in 2021 for adolescent idiopathic scoliosis (AIS, n = 106) or secondary scoliosis (n = 51). The spinal team was involved for 48 (45%) AIS procedures and 38 (74.5%) secondary-scoliosis procedures. Both operative time and anaesthesia time were significantly shorter in the spinal-team group, by 10% and 15% (p 
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2024.103976