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Neuromuscular Scoliosis: A Dual-Surgeon Approach
César Carballo Cuello1, Gabriel Flores-Milan1, Elliot Pressman1
1Department of Neurosurgery and Brain Repair, University of South Florida, Morsani College of Medicine, Tampa, Florida, USA.
World Neurosurgery
|September 4, 2022
Summary
For patients with neuromuscular scoliosis (NMS), a dual-surgeon (DS) approach to posterior fusion surgery significantly reduces operative time, blood loss, and complication rates compared to a single-surgeon (SS) approach.
Area of Science:
- Orthopedic Surgery
- Spinal Deformity Correction
Background:
- Neuromuscular scoliosis (NMS) presents significant challenges due to severe spinal deformities.
- Operative correction of NMS is associated with high complication rates.
Purpose of the Study:
- To compare the outcomes of posterior spinal fusion for NMS using a single-surgeon (SS) versus a dual-surgeon (DS) approach.
- To evaluate the impact of surgical approach on operative time, blood loss, length of stay, and complication rates.
Main Methods:
- Retrospective analysis of consecutive NMS patients undergoing posterior fusion.
- Comparison between patients treated by a SS approach and those treated by a DS approach.
Main Results:
- The DS group demonstrated significantly lower average estimated blood loss (400 mL vs. 675 mL), operative time (4.75 hours vs. 6.5 hours), and length of stay (4.8 days vs. 6.3 days) compared to the SS group.
- The complication rate was lower in the DS group (20%) than in the SS group (30%).
Conclusions:
- The dual-surgeon approach for posterior spinal fusion in NMS patients is associated with reduced operative time, estimated blood loss, length of stay, and complication rates.
- This approach may offer improved outcomes for patients with neuromuscular scoliosis.
