Improving perioperative care for adolescent idiopathic scoliosis patients: The impact of a multidisciplinary care approach

• Type of Material: Article
• Authors: Timothy C. Borden, Emory University; Laura L. Bellaire, Emory University; Nicholas Fletcher, Emory University
• Language: English
• Date: 2016-09-14
• Publisher: Dove Medical Press
• Publication Version: Final Published Version
• Copyright Statement: © 2016 Borden et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
• License: Creative Commons Attribution-Noncommercial 3.0 Unported
• Final Published Version (URL): http://dx.doi.org/10.2147/JMDH.S95319
• Title of Journal or Parent Work: Journal of Multidisciplinary Healthcare
• ISSN: 1178-2390
• Volume: 9
• Start Page: 435
• End Page: 445
• Grant/Funding Information: Harrison Foundation is acknowledged for the grant support.
• Keywords: multidisciplinary health care; orthopaedics; guidelines; adolescent idiopathic scoliosis; complications; outcomes
• Research Categories: Health Sciences, General; Health Sciences, Medicine and Surgery

Abstract

The complex nature of the surgical treatment of adolescent idiopathic scoliosis (AIS) requires a wide variety of health care providers. A well-coordinated, multidisciplinary team approach to the care of these patients is essential for providing high-quality care. This review offers an up-to-date overview of the numerous interventions and safety measures for improving outcomes after AIS surgery throughout the perioperative phases of care. Reducing the risk of potentially devastating and costly complications after AIS surgery is the responsibility of every single member of the health care team. Specifically, this review will focus on the perioperative measures for preventing surgical site infections, reducing the risk of neurologic injury, minimizing surgical blood loss, and preventing postoperative complications. Also, the review will highlight the postoperative protocols that emphasize early mobilization and accelerated discharge.