Our Summary

This research paper discusses the use of evidence-based medicine (EBM) in pediatric spine surgery. EBM is a method of making medical decisions that are based on the best and most current scientific evidence available. In pediatric spine surgery, the use of EBM varies according to the quality of data available.

For example, in the treatment of idiopathic scoliosis (a curvature of the spine with unknown cause), the use of EBM is limited due to insufficient high-quality data. On the other hand, EBM has been used in the treatment of pediatric spondylolysis (a condition that causes lower back pain).

The paper also mentions that the studies on early onset scoliosis (a type of scoliosis that appears before 10 years of age) are of poor quality, making it difficult to apply EBM.

The authors emphasize that in the future, there needs to be a greater focus on improving the quality of studies in pediatric spinal surgery. This would increase the use of EBM and potentially improve treatment outcomes.

FAQs

  1. What is the current use of Evidence-based medicine (EBM) in pediatric spine surgery?
  2. Why is the use of Evidence-based medicine limited in idiopathic scoliosis?
  3. How has Evidence-based medicine been used to investigate the treatment of pediatric spondylolysis?

Doctor’s Tip

One helpful tip a doctor might tell a patient about pediatric scoliosis surgery is to follow the post-operative care instructions carefully to ensure optimal healing and recovery. This may include wearing a brace, attending physical therapy sessions, avoiding certain activities, and taking prescribed medications as directed. It is important for the patient to communicate any concerns or discomfort to their doctor to ensure the best possible outcome.

Suitable For

Pediatric scoliosis surgery is typically recommended for patients who have a severe curvature of the spine that is causing pain, discomfort, or difficulty breathing. Patients who have not seen improvement with non-surgical treatments such as bracing or physical therapy may also be recommended for surgery. Additionally, patients with progressive scoliosis that is likely to worsen over time may be candidates for surgery to prevent further complications. Ultimately, the decision to undergo pediatric scoliosis surgery is made on a case-by-case basis by a team of specialists, including orthopedic surgeons, pediatricians, and physical therapists.

Timeline

Before pediatric scoliosis surgery, a patient may experience symptoms such as back pain, uneven shoulders or hips, and noticeable curvature of the spine. They may undergo physical exams, imaging tests, and possibly non-surgical treatments such as bracing or physical therapy.

After pediatric scoliosis surgery, the patient will typically spend several days in the hospital recovering. They will work with physical therapists to regain strength and mobility in the spine. Follow-up appointments will be scheduled to monitor the healing process and check for any complications. Over time, the patient will gradually return to normal activities and may require ongoing monitoring to ensure the surgery was successful in correcting the spinal curvature.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with pediatric scoliosis surgery?
  2. What is the success rate of pediatric scoliosis surgery in terms of correcting the curvature of the spine?
  3. What is the recovery process like after pediatric scoliosis surgery?
  4. Are there any long-term effects or limitations to consider after pediatric scoliosis surgery?
  5. Are there alternative treatment options to consider before opting for surgery?
  6. What is the experience and success rate of the surgical team in performing pediatric scoliosis surgery?
  7. How will ongoing monitoring and follow-up care be managed after pediatric scoliosis surgery?
  8. Are there any specific lifestyle changes or precautions that need to be taken after pediatric scoliosis surgery?
  9. What is the expected outcome and prognosis for a child undergoing pediatric scoliosis surgery?
  10. Are there any specific questions or concerns that the child and their family should discuss before proceeding with pediatric scoliosis surgery?

Reference

Authors: Oetgen ME. Journal: Orthop Clin North Am. 2018 Apr;49(2):191-194. doi: 10.1016/j.ocl.2017.11.007. Epub 2018 Jan 11. PMID: 29499820