Our Summary

The research conducted a retrospective review to determine the impact of using specialized spine surgical nurses and scrub technicians on the outcomes of spinal fusion surgeries for adolescents with idiopathic scoliosis (a condition where the spine curves abnormally). The study looked at surgeries carried out in a pediatric hospital between 2006 and 2013.

The findings showed that when less than 60% of the team was composed of dedicated spine nurses and scrub technicians, there was a significant increase in the total operation time, the surgical time, the non-surgical operation time, the estimated blood loss, and the need for blood transfusion. However, the length of the hospital stay, the need for additional unplanned procedures, surgical site infections, reoperations, or major medical complications were not significantly affected.

In simpler terms, having a team of specialized spine nurses and technicians for these spinal surgeries resulted in less time in the operating room, less blood loss, and fewer blood transfusions. However, it did not significantly change the length of hospital stay or the rate of complications. Therefore, employing such specialized teams could improve the efficiency and safety of these surgeries.

FAQs

  1. How does the use of specialized spine surgical nurses and scrub technicians impact the outcomes of spinal fusion surgeries for adolescents with idiopathic scoliosis?
  2. What improvements were observed when a team of specialized spine nurses and technicians were used for spinal surgeries?
  3. Did the use of specialized spine nurses and technicians significantly change the length of hospital stay or the rate of complications following scoliosis surgery?

Doctor’s Tip

One helpful tip a doctor might give a patient about scoliosis surgery is to inquire about the experience and expertise of the surgical team. Ask if there are specialized spine nurses and scrub technicians who are experienced in performing spinal fusion surgeries for scoliosis. Having a dedicated team with expertise in this area can potentially lead to a smoother and more successful surgery with fewer complications.

Suitable For

Patients who are typically recommended for scoliosis surgery are those with severe curvature of the spine (typically greater than 40-50 degrees), progressive curvature that is worsening despite conservative treatments, significant pain or discomfort, difficulty breathing due to spinal curvature, or cosmetic concerns. Additionally, younger patients with growing spines may be recommended for surgery to prevent further progression of the curvature. Ultimately, the decision to undergo scoliosis surgery is made on a case-by-case basis by a team of spine specialists.

Timeline

Before scoliosis surgery:

  1. Patient is diagnosed with scoliosis through physical examination and imaging tests.
  2. Patient undergoes conservative treatments such as physical therapy, bracing, or monitoring the curve progression.
  3. If the curve continues to worsen or causes pain or other symptoms, surgery may be recommended by the orthopedic surgeon specialized in spinal conditions.
  4. Patient undergoes pre-operative assessments, which may include blood tests, imaging studies, and consultations with the surgical team.
  5. Patient receives education on the surgery procedure, risks, benefits, and post-operative care.

After scoliosis surgery:

  1. Patient is admitted to the hospital on the day of surgery.
  2. Surgery is performed to correct the spinal curvature using techniques such as spinal fusion and instrumentation.
  3. Patient is monitored closely in the recovery room and then transferred to the hospital room.
  4. Patient begins physical therapy and pain management under the guidance of the medical team.
  5. Patient may stay in the hospital for a few days to a week, depending on the extent of the surgery and recovery progress.
  6. Patient is discharged with instructions on post-operative care, including restrictions on physical activities and follow-up appointments.
  7. Patient continues with outpatient physical therapy and follow-up visits to monitor progress and ensure proper healing of the spine.

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 of scoliosis surgery?
  2. What is the expected outcome of the surgery in terms of pain relief and improvement in spinal alignment?
  3. How long will the recovery process take, and what can I expect during the recovery period?
  4. What type of scoliosis surgery will be recommended for my specific case?
  5. How many scoliosis surgeries have you performed, and what is your success rate?
  6. Will I need physical therapy or rehabilitation after the surgery?
  7. Are there any alternative treatments or non-surgical options for my scoliosis?
  8. Will I need to wear a brace after the surgery, and for how long?
  9. What are the long-term implications of scoliosis surgery, and will I need additional surgeries in the future?
  10. Will I have a specialized spine surgical team, including dedicated spine nurses and scrub technicians, during my surgery?

Reference

Authors: Murgai RR, Andras LM, Nielsen E, Scott G, Gould H, Skaggs DL. Journal: Spine Deform. 2020 Apr;8(2):171-176. doi: 10.1007/s43390-020-00037-0. Epub 2020 Feb 24. PMID: 32096134