Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency

Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency

Can J Surg 2019;62(1):7-8 | PDF

Jonathan Bourget-Murray, MD CM; Fabio Ferri-de-Barros, MD, MSc

Summary

Posterior spinal instrumentation and fusion (PSIF) has been the standard operative treatment for adolescent idiopathic scoliosis (AIS) and is one of the most frequently performed elective pediatric surgeries in North America, incurring an expenditure of more than $1.1 billion annually in the United States alone. This commentary reflects on the outcomes of systematically implementing intraoperative skull femoral traction (IOSFT) combined with navigated sequential drilling (NSD) during PSIF for AIS as strategies for quality improvement at our tertiary children’s hospital.


Accepted June 4, 2018

Affiliations: From the Cumming School of Medicine, University of Calgary, Calgary, Alta; and the Department of Surgery, Division of Pediatric Orthopedic Surgery, Alberta Children’s Hospital, Calgary, Alta.

Competing interests: None declared.

Contributors: Both authors contributed equally to the conception, writing and revision of this article and approved the final version for publication.

DOI: 10.1503/cjs.019317

Correspondence to: F Ferri-de-Barros, Department of Surgery, University of Calgary, 2500 University Dr. NW, Calgary AB T2N 1N4, ferridb@ucalgary.ca