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Paper #45: Development of a Risk Severity Score (RSS) Predicting Surgical Site Infection in Early Onset Scoliosis:
Spine Deformity
|January 31, 2020
Summary
This study introduces the Risk of Spinal Surgery (RSS) score to predict surgical site infections in early-onset scoliosis. The RSS tool aids in patient counseling and outcome measure development.
Area of Science:
- Pediatric Orthopedics
- Spinal Surgery
- Medical Risk Assessment
Background:
- Early onset scoliosis requires operative intervention, carrying a risk of surgical site infections (SSI).
- Accurate risk stratification is crucial for patient management and outcome assessment.
Purpose of the Study:
- To introduce and describe the Risk of Spinal Surgery (RSS) score.
- To identify predictive variables for quantifying SSI risk in pediatric spinal surgery.
Main Methods:
- Development of the RSS tool incorporating multiple predictive variables.
- Variables include neuromuscular etiology, comorbidities (endocrine, GI, pulmonary), developmental delay, incontinence, and shunts.
Main Results:
- The RSS quantifies the risk of SSI in early onset scoliosis patients.
- Identified predictive variables offer insights into multifactorial SSI risk.
Conclusions:
- The RSS enhances shared decision-making for patients and families regarding spinal surgery.
- The tool supports policymakers in establishing valid risk-adjusted outcome measures.
