The Role of Potentially Modifiable Factors in a Standard Work Protocol to Decrease Complications in Adult Spinal Deformity Surgery: A Systematic Review, Part 2.

Study Design: Structured literature review.

Objectives: To review the current literature for potentially modifiable patient and surgical factors that could be incorporated into a Standard Work protocol to decrease complications in adult spinal deformity (ASD) surgery.

Summary Of Background Data: Application of lean methodology to health care involves standardization of work flow.

Seeing the spine in 3D: how will it change what we do?

Background: The Scoliosis Research Society (SRS) has appointed a committee to evaluate the clinical relevance and impact of 3D analysis on scoliotic deformities and to develop a 3D classification of adolescent idiopathic scoliosis (AIS). The goal of this article is to summarize and present the work done in recent years within this committee and show how 3D analysis of AIS has the potential to change our current methods to analyse and treat scoliosis.

Methods: A database of 600 3D reconstructions of the spine of patients with AIS has been established using calibrated PA and lateral radiographs obtained from either digital radiographs or the EOS system.

Outcomes of surgical treatment in male versus female adolescent idiopathic scoliosis patients.

Study Design: This research was part of a multicenter study of the surgical treatment of adolescent idiopathic scoliosis (AIS).

Objective: To compare the radiographic and perioperative surgical treatment outcomes of male AIS patients with female AIS patients.

Summary Of Background Data: The results of treatment in male patients with idiopathic scoliosis have not been widely reported.

Use of video-assisted thoracoscopic surgery to reduce perioperative morbidity in scoliosis surgery.

Study Design: A case series of idiopathic scoliosis patients treated with thoracoscopic anterior instrumentation was compared to a similar group of patients treated by open anterior instrumentation.

Objectives: To evaluate the morbidity associated with thoracoscopic instrumentation compared to the open approach for thoracic scoliosis.

Methods: A consecutive group of thoracoscopically treated patients with Lenke 1 adolescent idiopathic scoliosis was compared to similar patients gathered from the DePuy-AcroMed Harms Study Group database.

Analysis of patient and parent assessment of deformity in idiopathic scoliosis using the Walter Reed Visual Assessment Scale.

Objectives: This study evaluates the Walter Reed Visual Assessment Scale (WRVAS) compared with clinical parameters and written descriptions of the deformity from idiopathic scoliosis patients and their parents.

Summary Of Background Data: The WRVAS demonstrates seven visible aspects of spinal deformity in an analogue scale. Higher scores reflect worsening deformity.

A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic scoliosis using the Scoliosis Research Society (SRS) outcome instrument.

Study Design: A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic scoliosis using the Scoliosis Research Society Questionnaire (SRS 24).

Objective: To evaluate the patient based outcome of the surgical treatment of adolescent idiopathic scoliosis.

Summary Of Background Data: A paucity of information exists with respect to patient measures of outcome regarding the surgical treatment of adolescent idiopathic scoliosis.

A multicenter study analyzing the relationship of a standardized radiographic scoring system of adolescent idiopathic scoliosis and the Scoliosis Research Society outcomes instrument.

Study Design: A multicenter study examining the association between radiographic and outcomes measures in adolescent idiopathic scoliosis.

Objectives: To evaluate the association between an objective radiographic scoring system and patient quality of life measures as determined by the Scoliosis Research Society outcomes instrument.

Summary Of Background Data: Although surgical correction of scoliosis has been reported to be positively correlated with patient outcomes, studies to date have been unable to demonstrate an association between radiographic measures of deformity and outcomes measures in patients with adolescent idiopathic scoliosis.