Our Summary

Spinal deformity surgery is a complex procedure with a high risk of complications. This study aimed to create a detailed safety checklist specifically for this type of surgery. The researchers created a survey with 187 potential checklist items and asked members of the Scoliosis Research Society to rate each item’s importance and feasibility. From the responses, the researchers trimmed down the checklist to 74 items that were deemed critical by at least 70% of the respondents. This list was further divided into 9 separate checklists. These checklists include steps like confirming the presence of implantable devices, reviewing the surgical plan with the team, and making sure the patient can move their lower extremities before leaving the operating room. This new checklist aims to make spinal deformity surgery safer and more efficient.

FAQs

  1. What is the purpose of the safety checklist created for spinal deformity surgery?
  2. How was the safety checklist for spinal deformity surgery developed?
  3. What are some of the steps included in the new safety checklist for scoliosis surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about scoliosis surgery is to follow all pre-operative and post-operative instructions carefully to help ensure a successful outcome and minimize the risk of complications. This may include instructions on preparing for surgery, managing pain, caring for the surgical incision, and participating in physical therapy or rehabilitation. It is important for patients to communicate openly with their healthcare team and ask any questions they may have about the surgery and recovery process.

Suitable For

Patients who are typically recommended for scoliosis surgery include those with severe spinal curvature that is causing pain, difficulty breathing, or other complications. Patients who have not responded well to conservative treatments such as bracing or physical therapy may also be recommended for surgery. Additionally, patients who are still growing and have a curvature that is likely to progress may also be candidates for surgery. Ultimately, the decision to undergo surgery is made on a case-by-case basis by a team of medical professionals.

Timeline

Before scoliosis surgery:

  • Patient undergoes various imaging tests to confirm the presence and severity of scoliosis
  • Patient consults with a spine specialist to discuss treatment options
  • Patient undergoes pre-operative testing and evaluation to assess overall health and fitness for surgery
  • Patient receives pre-operative instructions regarding medication, diet, and other preparations

After scoliosis surgery:

  • Patient is closely monitored in the recovery room immediately following surgery
  • Patient may be prescribed pain medication to manage discomfort
  • Patient undergoes physical therapy to regain strength and mobility
  • Patient may need to wear a brace or use assistive devices during the recovery period
  • Patient follows up with the surgeon for post-operative care and monitoring
  • Patient gradually resumes normal activities and may require ongoing follow-up care for long-term management of scoliosis

What to Ask Your Doctor

Some questions a patient should ask their doctor about scoliosis surgery include:

  1. What are the potential risks and complications associated with scoliosis surgery?
  2. What is the success rate of the surgery in terms of correcting the spinal deformity?
  3. What is the recovery process like after scoliosis surgery?
  4. How long will I need to stay in the hospital after the surgery?
  5. Will I need physical therapy after the surgery, and if so, for how long?
  6. What type of anesthesia will be used during the surgery?
  7. How long will the surgery take?
  8. What type of incision will be made for the surgery and how visible will the scar be?
  9. Will I need any special accommodations or equipment at home during my recovery?
  10. Are there any alternative treatments or procedures that could be considered instead of surgery?

Reference

Authors: De la Garza Ramos R, Scheer JK, Matmati N, Hey LA, Burton DC, de Kleuver M, Ames CP, Yanamadala V. Journal: Spine Deform. 2025 Mar;13(2):327-338. doi: 10.1007/s43390-024-00973-1. Epub 2024 Oct 23. PMID: 39441334