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Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency
Author(s) -
Jonathan Bourget-Murray,
Fábio Ferri-de-Barros
Publication year - 2019
Publication title -
canadian journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.609
H-Index - 64
eISSN - 1488-2310
pISSN - 0008-428X
DOI - 10.1503/cjs.019317
Subject(s) - medicine , idiopathic scoliosis , scoliosis , traction (geology) , spinal fusion , surgery , geomorphology , geology
Posterior spinal instrumentation and fusion (PSIF) has been the standard operative treatment for adolescent idiopathic scoliosis (AIS) and is one of the most frequently performed elective pediatric surgeries in North America, incurring an expenditure of more than $1.1 billion annually in the United States alone. This commentary reflects on the outcomes of systematically implementing intraoperative skull femoral traction (IOSFT) combined with navigated sequential drilling (NSD) during PSIF for AIS as strategies for quality improvement at our tertiary children’s hospital.

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