Our Summary

This research paper discusses the results of a study conducted on a group of 63 patients who had undergone surgery for adolescent idiopathic scoliosis (AIS), a type of spine disorder in young people, from 2015 to 2018. The patients were divided into two groups: one that had a closed suction drain inserted after surgery (group A) and one that did not (group B).

The researchers found that the patients who had the drain inserted (group A) had lower levels of hemoglobin after their operations and required more blood transfusions than the patients who did not have the drain (group B). Additionally, the patients in group A had to stay in the hospital longer than those in group B. However, there was no significant difference in infection rates between the two groups.

The study concluded that using a drain after surgery for AIS could lead to longer hospital stays and more blood transfusions, and could cause anxiety in patients about having the drain removed. Therefore, it may be better not to use a closed suction drain after this type of surgery.

FAQs

  1. What were the main findings of the study comparing the use of a closed suction drain after adolescent idiopathic scoliosis (AIS) surgery?
  2. Did the use of a closed suction drain after AIS surgery affect the infection rates?
  3. What are the potential downsides of using a closed suction drain after AIS surgery according to this study?

Doctor’s Tip

A helpful tip a doctor might tell a patient about scoliosis surgery is to discuss the potential risks and benefits of using a closed suction drain after surgery. It is important for patients to understand that while a drain may help reduce the risk of infection, it could also lead to longer hospital stays and increased need for blood transfusions. Ultimately, the decision to use a drain should be made on a case-by-case basis, taking into consideration the individual patient’s needs and preferences.

Suitable For

Patients who are typically recommended scoliosis surgery include those with severe curvature of the spine that is causing pain, difficulty breathing, or affecting the function of internal organs. Surgery may also be recommended for patients with progressive scoliosis that is worsening over time despite conservative treatment methods such as bracing or physical therapy. Additionally, surgery may be recommended for patients with adolescent idiopathic scoliosis who have a curvature greater than 45-50 degrees and are still growing, as this can prevent further progression of the curve and improve long-term outcomes. Overall, the decision to undergo scoliosis surgery is typically made on a case-by-case basis, taking into consideration the severity of the curve, the patient’s age and overall health, and the potential risks and benefits of surgery.

Timeline

Before scoliosis surgery:

  • Patient is diagnosed with scoliosis through physical examination and imaging tests
  • Patient undergoes non-surgical treatments such as bracing, physical therapy, or observation
  • If non-surgical treatments are unsuccessful or if scoliosis is severe, patient is recommended for surgery
  • Patient undergoes pre-operative tests and evaluations to ensure they are a good candidate for surgery
  • Patient meets with their surgeon to discuss the procedure, risks, and expectations

After scoliosis surgery:

  • Patient undergoes surgery to correct the curvature of the spine
  • Patient is monitored closely in the hospital for complications and pain management
  • Patient may require a closed suction drain to remove excess fluid from the surgical site
  • Patient begins physical therapy to regain strength and mobility
  • Patient is discharged from the hospital and continues physical therapy at home
  • Patient follows up with their surgeon for post-operative appointments and monitoring
  • Patient gradually returns to normal activities and may experience improvements in pain and function
  • Long-term follow-up is important to monitor the progression of scoliosis and address any complications or recurrence.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with scoliosis surgery?
  2. What is the expected recovery time and rehabilitation process after surgery?
  3. Will I need to wear a brace or use any assistive devices after surgery?
  4. How long will I need to stay in the hospital after surgery?
  5. Will I need physical therapy or other forms of rehabilitation after surgery?
  6. What is the success rate of scoliosis surgery for patients with my specific condition?
  7. Are there any alternative treatment options to consider before deciding on surgery?
  8. Will I need to take any medications after surgery, and if so, for how long?
  9. How often will I need follow-up appointments after surgery, and what will they entail?
  10. Are there any lifestyle changes I should make to support my recovery after surgery?

Reference

Authors: Kochai A, Erkorkmaz Ü. Journal: Medicine (Baltimore). 2019 Dec;98(51):e18061. doi: 10.1097/MD.0000000000018061. PMID: 31860955