The impacts of waiting for surgical correction of Adolescent Idiopathic Scoliosis and its repercussions for publicly funded health systems: systematic review

Pontes, Mariana Demétrio de Sousa; Soeira, Thabata Pasquini; Sampaio, Mariangela Louzada; Pratali, Raphael de Rezende; Pompeu, Yuri; Herrero, Carlos Fernando Pereira da Silva

doi:10.1007/s00586-022-07487-2

Eur Spine J

2022

DOI: 10.1007/s00586-022-07487-2

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The impacts of waiting for surgical correction of Adolescent Idiopathic Scoliosis and its repercussions for publicly funded health systems: systematic review

Mariana Demétrio de Sousa Pontes

Thabata Pasquini Soeira

Mariangela Louzada Sampaio

et al.

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2023

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Cited by 3 publications

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“…With the objective of improving resource allocation, the Brazilian Spine Society ( i.e. SBC) launched a national multicenter survey to establish the causes of delay in treatment for patients with pediatric scoliosis 1,2 …”

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confidence: 99%

“…T he negative impact of delayed treatment in adolescent idiopathic scoliosis (AIS) is common in countries with limited financial resources [1][2][3][4][5] , such as Brazil. Despite having the largest tax-funded health system in the world [i.e.…”

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confidence: 99%

“…SBC) launched a national multicenter survey to establish the causes of delay in treatment for patients with pediatric scoliosis. 1,2…”

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confidence: 99%

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Causes of Delays in Treatment of Patients With Pediatric Scoliosis in the Brazilian Health System

Meves

2023

Spine

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confidence: 99%

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confidence: 99%

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Causes of Delays in Treatment of Patients With Pediatric Scoliosis in the Brazilian Health System

Meves

2023

Spine

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Queue Profile for Pediatric Scoliosis Surgery in a Reference Hospital in the Brazil’s Midwest

DORNELES FILHO,

DAHER,

LOMAZ

et al. 2023

Coluna/Columna

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Objective: To describe the epidemiological profile of the list of patients with pediatric scoliosis (0 to 18 years old) treated at a tertiary public hospital in the Midwest Region. Methods: A cross-sectional analytical study of patients with scoliosis from the orthopedic service of a reference center was carried out, and data collected on age, sex, date of menarche, weight, height, etiology, curve classification, form of referral, treatment performed before and after care and waiting time for surgery after indication. The sample consisted of 60 patients randomly selected among those treated. Results: 60 patients were evaluated, 44 (73.3%) were female, and 16 (26.7%) were male, with a mean age of 13.4 years. Until the moment of the study, six patients underwent surgery after being treated at the reference center. Idiopathic scoliosis was the most frequent in 38 (63%) patients. No conduct had been performed in 47 (78.3%) patients before referral to the reference center. Aftercare at the reference center, surgical treatment was indicated in 44 (73.3%) patients. The mean waiting time for surgery after the indication was 22 months, ranging from 6 to 40 months. Conclusions: The list of patients with pediatric scoliosis treated at the reference center in the Midwest region is composed of young girls with idiopathic scoliosis who, for the most part, did not have the indication of using a brace before being referred to the reference center, and most of them had an indication for surgery for adequate treatment. Level of Evidence IV; Descriptive Study.

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An Examination of the Number of Adolescent Scoliotic Curves That Are Braceable at First Presentation to a Scoliosis Service

et al. 2023

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Adolescent idiopathic scoliosis (AIS) affects between 0.5% and 5.2% of adolescents and is progressive in two-thirds of cases. Bracing is an effective non-operative treatment for AIS and has been shown to prevent up to 72% of curves from requiring surgery. This paper explores the presentation of AIS in the UK and identifies who would be suitable for bracing, as per guidelines published by the Scoliosis Research Society (SRS) and British Scoliosis Society (BSS), through curve severity and skeletal maturity at presentation. There were 526 patients with AIS eligible for inclusion across three tertiary referral centres in the UK. The study period was individualised to each centre, between January 2012 and December 2021. Only 10% were appropriate for bracing via either SRS or BSS criteria. The rest were either too old, skeletally mature or had a curve size too large to benefit. By the end of data collection, 38% had undergone surgery for their scoliosis. In the UK, bracing for AIS is only suitable for a small number at presentation. Future efforts to minimise delays in specialist review and intervention will increase the number of those with AIS suitable for bracing and reduce the number and burden of operative interventions for AIS in the UK.

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The impacts of waiting for surgical correction of Adolescent Idiopathic Scoliosis and its repercussions for publicly funded health systems: systematic review

Cited by 3 publications

References 34 publications

Causes of Delays in Treatment of Patients With Pediatric Scoliosis in the Brazilian Health System

Causes of Delays in Treatment of Patients With Pediatric Scoliosis in the Brazilian Health System

Queue Profile for Pediatric Scoliosis Surgery in a Reference Hospital in the Brazil’s Midwest

An Examination of the Number of Adolescent Scoliotic Curves That Are Braceable at First Presentation to a Scoliosis Service

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