Our Summary

This research paper investigates the correlation between race and the amount of blood loss and transfusion during pediatric scoliosis surgery. The study examined medical records of patients under 18 who had undergone primary corrective scoliosis surgery at one academic medical center between 2013 and 2015. The results showed that Black patients had 1.61 times higher estimated blood loss than White patients, and they were 6.25 times more likely to receive a blood transfusion. Among those who received a blood transfusion, Black patients had 2.61 times more blood transfused than White patients. This study indicates that Black race is linked to higher blood loss and transfusions during pediatric scoliosis surgery, but the reasons behind this difference are unclear. More research is needed to understand why this is happening and how we can improve patient outcomes.

FAQs

  1. What was the main purpose of this research paper on pediatric scoliosis surgery?
  2. What were the significant findings of the study regarding the correlation between race and blood loss during pediatric scoliosis surgery?
  3. What further research is suggested by the results of this study on pediatric scoliosis surgery?

Doctor’s Tip

A doctor might tell a patient undergoing pediatric scoliosis surgery to make sure to follow all pre-operative instructions, such as fasting before surgery and avoiding certain medications. They may also advise the patient to stay active and maintain a healthy weight to improve recovery outcomes. Additionally, the doctor may recommend physical therapy or other forms of rehabilitation post-surgery to help strengthen the back muscles and improve overall mobility.

Suitable For

Patients who are typically recommended pediatric scoliosis surgery are those who have a curvature of the spine greater than 45 degrees, have not responded to non-surgical treatments such as bracing, and are still growing. Additionally, patients who experience significant pain, difficulty breathing, or other complications related to their scoliosis may also be recommended for surgery. The decision to undergo surgery is typically made by a team of medical professionals, including orthopedic surgeons, pediatricians, and physical therapists, who will assess the patient’s individual case and determine the best course of treatment.

Timeline

Before pediatric scoliosis surgery:

  1. Patient is diagnosed with scoliosis through physical examination and imaging tests.
  2. Patient undergoes pre-operative evaluations such as blood tests, X-rays, and possibly a CT scan or MRI.
  3. Patient meets with a pediatric orthopedic surgeon to discuss treatment options, risks, and benefits of surgery.
  4. Patient and their family members receive education on the surgical procedure and post-operative care.

After pediatric scoliosis surgery:

  1. Patient undergoes the surgical procedure to correct the curvature of the spine.
  2. Patient is monitored closely in the recovery room for any immediate complications.
  3. Patient is transferred to a hospital room for post-operative care and pain management.
  4. Patient may undergo physical therapy to regain strength and mobility.
  5. Patient is discharged from the hospital once they are stable and able to manage pain at home.
  6. Patient follows up with the pediatric orthopedic surgeon for regular check-ups and monitoring of the spine curvature.

Overall, the timeline for a patient before and after pediatric scoliosis surgery involves thorough evaluation, surgical intervention, post-operative care, and follow-up appointments to monitor the success of the surgery and ensure optimal outcomes for the patient.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with pediatric scoliosis surgery?

  2. How will the surgery affect my child’s growth and development?

  3. What is the expected recovery time and rehabilitation process after surgery?

  4. How experienced are you in performing pediatric scoliosis surgery?

  5. Will my child need a blood transfusion during or after surgery?

  6. What measures will be taken to minimize blood loss during surgery?

  7. Are there any alternative treatments or less invasive options for my child’s scoliosis?

  8. How will you monitor and manage my child’s pain after surgery?

  9. What is the long-term outlook for my child’s spinal health after surgery?

  10. Are there any specific considerations or recommendations for Black patients undergoing pediatric scoliosis surgery based on the findings of this study?

Reference

Authors: Maher KM, Owusu-Akyaw K, Zhou J, Cooter M, Ross AK, Lark RK, Taicher BM. Journal: Paediatr Anaesth. 2018 Apr;28(4):352-360. doi: 10.1111/pan.13352. Epub 2018 Mar 9. PMID: 29520878