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Monday, 14 October 2013

Are Pedicle Screws Best for Scoliosis Surgery?

A study published in the October issue of Spine evaluates whether adolescent idiopathic scoliosis patients treated with pedicle screws have fewer readmissions when compared with patients who receive hybrid constructs.


The study examined 627 patients in a prospective multi-center database that was retrospectively queried to identify consecutive patients who underwent posterior spinal fusion for AIS.  The researchers found:

•    Reoperation rate among pedicle screw patients was 3.5 percent, compared with 12.6 percent in the hybrid group.


•    Early return to the OR was 2 percent among the pedicle screw group versus 9.2 percent among the hybrid group.


•    Longer operating time was an independent risk factor for an unplanned return to the operating room among pedicle screw patients.


•    The majority of returns to the operating room among the pedicle screw group were in less than 60 days, while the hybrid group had most of the returns 60 days after surgery.



Source : Becker's Spine Review , 30th September 2013

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