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Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency
Jonathan Bourget-Murray1, Fabio Ferri-de-Barros1
1From the Cumming School of Medicine, University of Calgary, Calgary, Alta; and the Department of Surgery, Division of Pediatric Orthopedic Surgery, Alberta Children’s Hospital, Calgary, Alta.
Abstract:
Posterior spinal instrumentation and fusion (PSIF) has been the standard operative treatment for adolescent idiopathic scoliosis (AIS) and is one of the most frequently performed elective pediatric surgeries in North America, incurring an expenditure of more than $1.1 billion annually in the United States alone. This commentary reflects on the outcomes of systematically implementing intraoperative skull femoral traction (IOSFT) combined with navigated sequential drilling (NSD) during PSIF for AIS as strategies for quality improvement at our tertiary children’s hospital.
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