Journal article
Does the presence of programmable implanted devices in patients with early onset scoliosis alter typical operative and postoperative practices? A survey of spine surgeons
Spine deformity, Vol.10(4), pp.951-964
02/10/2022
DOI: 10.1007/s43390-022-00477-w
PMID: 35143030
Abstract
Purpose Operative and postoperative management of early onset scoliosis (EOS) patients with programmable implanted devices has not been well characterized in the literature. The aim of this study was to describe current practices for pediatric spine surgeons who operate on patients with these devices. Methods An electronic survey was distributed to 167 pediatric spine surgeons between January and March of 2021. The survey queried participants on operative and postoperative management of patients with the following implanted devices: vagal nerve stimulators, ventriculoperitoneal shunts, intrathecal baclofen pumps, pacemakers, and cochlear implants. Descriptive statistics were used to assess survey data. Results Fifty-three respondents (31.7% response rate) with a mean 16.5 (SD 12.0) years in practice completed the survey. Depending on the type of device present, surgeons report changing their operative plan anywhere from 28.6 to 60.1% of the time when inserting magnetically controlled growing rods. Most respondents reported performing transcranial motor evoked potentials (80.0-98.0%) and monopolar cautery (70.0-92.9%) across implanted devices. Only 10% (n = 5) of surgeons reported complications related to operative and/or postoperative management of these patients. No complications were related to cautery, neuromonitoring, or surgical placement of MCGRs. Conclusions This study demonstrates variation in operative and postoperative management of these patients with various programmable implanted devices. Much of this inconsistency in practice is likely due to decades old case reports, constantly changing device manufacturer recommendations, and/or published simulation studies. Reported heterogeneity in management across surgeons necessitates development of published guidelines regarding proper operative and postoperative management of patients with EOS and implanted devices.
Details
- Title: Subtitle
- Does the presence of programmable implanted devices in patients with early onset scoliosis alter typical operative and postoperative practices? A survey of spine surgeons
- Creators
- Ryan McMahon - University of MinnesotaSara J. Morgan - University of MinnesotaJaysson T. Brooks - Texas Scottish Rite Hospital for ChildrenPatrick Cahill - Children's Hospital of PhiladelphiaRyan Fitzgerald - Riley Hospital for ChildrenYing Li - C. S. Mott Children's HospitalWalter H. Truong - University of MinnesotaPediatric Spine Study Group
- Contributors
- Josh Holt (Contributor) - University of Iowa, Orthopedics and RehabilitationStuart Weinstein (Contributor) - University of Iowa, Orthopedics and Rehabilitation
- Resource Type
- Journal article
- Publication Details
- Spine deformity, Vol.10(4), pp.951-964
- Publisher
- Springer Nature
- DOI
- 10.1007/s43390-022-00477-w
- PMID
- 35143030
- ISSN
- 2212-134X
- eISSN
- 2212-1358
- Number of pages
- 14
- Grant note
- Spine Research Fund of Gillette Children's Specialty Healthcare
- Language
- English
- Date published
- 02/10/2022
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984303990302771
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