Abstract
Surgical treatment for adolescent idiopathic scoliosis (AIS) has evolved over the past decades to the point where instrumented arthrodesis with all pedicle screw and rod constructs is commonplace. Although these constructs provide superb correction and fixation, their financial burden is substantial. Here, we present a more costeffective technique using a combination of pedicle screws (serving as the construct base), a sagittal precontoured unit rod, and sublaminar wires to provide segmental correction for the surgical treatment of AIS. Retrospective analyses of 42 patients treated with this construct were reviewed with a minimum 2-year follow-up. Correction in both coronal and sagittal planes was assessed radiographically and blood loss, operative time, complications, and cost were reviewed from hospital records. We conclude that this technique provides comparable correction to all pedicle screw constructs with similar blood loss and operative time, but with substantially decreased implant cost. The mean implant cost was $8910.83 ± $184.26.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 143-149 |
| Number of pages | 7 |
| Journal | Journal of Long-Term Effects of Medical Implants |
| Volume | 26 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jan 1 2016 |
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Keywords
- Idiopathic scoliosis
- Instrumented arthrodesis
- Sublaminar wire fixation
ASJC Scopus subject areas
- Biomedical Engineering
- Dentistry(all)
Cite this
A cost-effective technique for spinal instrumentation in the treatment of adolescent idiopathic scoliosis. / Clark, Michael A.; Cowart, Steven J.; Pellet, Jonathan; Cearley, David M; Bertrand, Styles L.
In: Journal of Long-Term Effects of Medical Implants, Vol. 26, No. 2, 01.01.2016, p. 143-149.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A cost-effective technique for spinal instrumentation in the treatment of adolescent idiopathic scoliosis
AU - Clark, Michael A.
AU - Cowart, Steven J.
AU - Pellet, Jonathan
AU - Cearley, David M
AU - Bertrand, Styles L
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Surgical treatment for adolescent idiopathic scoliosis (AIS) has evolved over the past decades to the point where instrumented arthrodesis with all pedicle screw and rod constructs is commonplace. Although these constructs provide superb correction and fixation, their financial burden is substantial. Here, we present a more costeffective technique using a combination of pedicle screws (serving as the construct base), a sagittal precontoured unit rod, and sublaminar wires to provide segmental correction for the surgical treatment of AIS. Retrospective analyses of 42 patients treated with this construct were reviewed with a minimum 2-year follow-up. Correction in both coronal and sagittal planes was assessed radiographically and blood loss, operative time, complications, and cost were reviewed from hospital records. We conclude that this technique provides comparable correction to all pedicle screw constructs with similar blood loss and operative time, but with substantially decreased implant cost. The mean implant cost was $8910.83 ± $184.26.
AB - Surgical treatment for adolescent idiopathic scoliosis (AIS) has evolved over the past decades to the point where instrumented arthrodesis with all pedicle screw and rod constructs is commonplace. Although these constructs provide superb correction and fixation, their financial burden is substantial. Here, we present a more costeffective technique using a combination of pedicle screws (serving as the construct base), a sagittal precontoured unit rod, and sublaminar wires to provide segmental correction for the surgical treatment of AIS. Retrospective analyses of 42 patients treated with this construct were reviewed with a minimum 2-year follow-up. Correction in both coronal and sagittal planes was assessed radiographically and blood loss, operative time, complications, and cost were reviewed from hospital records. We conclude that this technique provides comparable correction to all pedicle screw constructs with similar blood loss and operative time, but with substantially decreased implant cost. The mean implant cost was $8910.83 ± $184.26.
KW - Idiopathic scoliosis
KW - Instrumented arthrodesis
KW - Sublaminar wire fixation
UR - http://www.scopus.com/inward/record.url?scp=85009451930&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85009451930&partnerID=8YFLogxK
U2 - 10.1615/JLongTermEffMedImplants.2016010150
DO - 10.1615/JLongTermEffMedImplants.2016010150
M3 - Article
C2 - 28094738
AN - SCOPUS:85009451930
VL - 26
SP - 143
EP - 149
JO - Journal of Long-Term Effects of Medical Implants
JF - Journal of Long-Term Effects of Medical Implants
SN - 1050-6934
IS - 2
ER -