Waiting times for scoliosis surgery

Clark, Stephanie

doi:10.1016/s0140-6736(08)60047-1

Cited by 20 publications

(17 citation statements)

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“…Delaying surgery in patients with scoliosis who qualified for surgical treatment is associated with increased operative time, longer fusion levels, need for combined procedures, and potential for complications [6,7,17]. Our study concurs with previous reports that waiting time of more than 6 months is associated with significant curve progression.…”

Section: Discussionsupporting

confidence: 89%

“…Additional surgery such as anterior release, longer fusion, or increased risk of complications might be associated with this prolonged waiting time for surgery due to curve progression in addition to the anxiety experienced by the patients and parents during this waiting period. Ahn et al Suggested that 3 months could be the maximum acceptable waiting time for surgery in scoliosis to eliminate the need for additional surgery by reducing curve progression [6,7]. This potential increased risk of complication with increased waiting time has been well documented in other subspecialties [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Waiting for Surgery on Patients with Adolescent Idiopathic Scoliosis

Fallatah¹,

Sait²,

Almutairi³

2015

J Spine

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The waiting time for surgical procedures is becoming longer in most specialties. This may have adverse effect on patients with Adolescent Idiopathic Scoliosis (AIS) with additional procedures being required or more complex surgery being performed. This retrospective study was performed in the period between December 2007-January 2010 looking on the surgical waiting time on patients with AIS and its effect on curve progression and the type of surgery performed and the final outcome.215 patients met the inclusion criteria and have complete medical records to be included in the study. Mean age was 13.6 years, 184 patients (86%) were females, 172 were treat in public hospitals and 43 in a private hospital, mean cobb angle of the main curve was 71º. During the study period, 55 patients underwent surgery for scoliosis correction, with a statistical difference in the waiting time between public and private hospitals (36 and 9 weeks respectively), average curve progression was 24º during the waiting period with additional fusion levels being required in 15 cases. Patients with underlying intra spinal pathology and young patients showed the most significant curve progression.Our study support the previous report of the optimal waiting time for surgical correction of scoliosis being less than 6 months and it suggest those younger patients and those with intra spinal pathology and the ones at higher risk for progression.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

The Effect of Waiting for Surgery on Patients with Adolescent Idiopathic Scoliosis

Fallatah¹,

Sait²,

Almutairi³

2015

J Spine

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“…4 During the waiting period, patient conditions may continue to worsen, leading to aggravated symptoms, and, therefore, leading to a negative impact on the mental health and quality of life of the patients. [5][6] The long wait times for scoliosis surgery can lead to serious consequences if the vertebral deformity progresses, such as increased curvature, rigid deformities, and thus, require more aggressive surgery to achieve an effective correction.…”

Section: Introductionmentioning

confidence: 99%

Radiographic Implications of the Surgical Waiting List for the Treatment of Spinal Deformity

et al. 2018

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Objective: The aim of this study was to evaluate the implications of long waiting times on surgery lists for the treatment of patients with scoliosis. Methods: Radiographs of 87 patients with scoliosis who had been on the waiting list for surgery for more than six months were selected. Two surgeons answered questionnaires analyzing the radiographs when entering the waiting list and the current images of each patient. Results: Data from 87 patients were analyzed. The mean waiting time for surgery was 21.7 months (ranging from seven to 32 months). The average progression of the Cobb angle in the curvature was 21.1 degrees. Delayed surgery implied changes in surgical planning, such as greater need of instrumentation, osteotomies, and double approach. Conclusions: Long waiting lists have a significant negative impact on surgical morbidity of patients with scoliosis, since they increase the complexity of the surgery.

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“…Previous studies have shown that longer waiting times for scoliosis surgery are associated with a greater level of adverse events and further curve progression . Extended waiting times for other orthopaedic surgeries have been shown to lead to lower patient‐derived quality of life scores .…”

Section: Introductionmentioning

confidence: 99%

Impact of surgical waiting time on paediatric spinal deformity patients

2013

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Background: Scoliosis has been shown to affect quality of life of young people. There can be a lengthy wait for surgery. We aim to assess whether the length of time waiting for surgery has an impact on quality of life and surgical outcomes. Methods: Patients who were waiting for or had completed surgery for paediatric spinal deformity in the last 3 years were contacted and asked to complete the Scoliosis Research Society-30 (SRS-30) questionnaire as well as a questionnaire designed to specifically assess the impact of waiting for surgery. Hospital records and X-rays were reviewed to determine surgical outcomes. Results: Longer waiting time was associated with both lower SRS scores (0.13 points per 6 months, P = 0.01) and lower wait time questionnaire values (0.12 points per 6 months, P < 0.01). Within the SRS-30 questionnaire, pain, satisfaction with management and self-image domains showed a statistically significant decrease with increasing wait time (P = 0.02, 0.05, >0.01 respectively). Cobb angles progressed with increased waiting time, but progression was not statistically significant. No correlation was found between waiting times and the other surgical outcomes measured (surgical duration, hospital stay, blood transfusion, return to theatre or other complications). Conclusion: Increased waiting time for surgery has a negative impact on quality of life of patients with scoliosis.

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Waiting times for scoliosis surgery

Cited by 20 publications

References 0 publications

The Effect of Waiting for Surgery on Patients with Adolescent Idiopathic Scoliosis

The Effect of Waiting for Surgery on Patients with Adolescent Idiopathic Scoliosis

Radiographic Implications of the Surgical Waiting List for the Treatment of Spinal Deformity

Impact of surgical waiting time on paediatric spinal deformity patients

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