Comparison of complications and surgical outcomes of adolescent idiopathic scoliosis between junior attending surgeons and senior attending surgeons.

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Comparison of complications and surgical outcomes of adolescent idiopathic scoliosis between junior attending surgeons and senior attending surgeons.

World Neurosurg. 2018 Apr 24;:

Authors: Qiao J, Xiao L, Xu L, Shi B, Qian B, Zhu Z, Qiu Y

Abstract
BACKGROUND: To our knowledge, few studies have compared complications and surgical outcomes of adolescent idiopathic scoliosis between junior attending surgeons and senior attending surgeons.
OBJECTIVES: To compare surgical strategies, complications and outcomes of posterior corrective surgery for AIS between junior attending surgeons and senior attending surgeons.
METHODS: According to experience level of operation surgeons, the patients were assigned to two groups. Group A was "junior surgeon" group. Group B was "senior surgeon" group. The following parameters were compared between the two groups: age, gender, diagnosis, hospital of record, surgeon experience level, type of instrumentation, type of screws, EBL, duration of surgery, length of fusion, correction techniques, main curve correction and thoracic kyphosis correction.
RESULTS: A total of 132 AIS patients were included in Group A, while 207 in Group B. Translational technique was more often used in Group A (P<0.05) while derotation technique was more often used in Group B (P<0.05). Senior surgeons used more monoaxial screws than junior surgeons (P<0.05). Junior group had significantly higher EBL than senior group (P<0.05). Senior group had significant better correction rates of severe main curve (>70°) and thoracic kyphosis than junior group (P<0.05).
CONCLUSIONS: Senior attending surgeons outperformed junior surgeons for blood loss controlling, thoracic kyphosis correction and correction of severe curve.

PMID: 29702313 [PubMed - as supplied by publisher]

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