Radiographic and Clinical Outcomes in Patients with Adolescent Idiopathic Scoliosis Undergoing Posterior Spinal Fusion and Rib Resection
Author Type(s)
Student
Document Type
Abstract
Publication Date
11-2023
DOI
10.1097/XCS.0000000000000835
Journal Title
Journal of the American College of Surgeons
Abstract
Introduction: Rib resection in patients with AIS undergoing PSF has been utilized to improve aesthetics of rib hump deformities resultant from the rotational nature of scoliosis. However, radiographic outcomes among patients undergoing rib resection compared to those not undergoing rib resection has not been explored extensively. The present study explores the impact of rib resection on radiographic outcomes and associated clinical outcomes on AIS patients undergoing PSF.
Methods: AIS patients undergoing primary instrumentation and fusion by one senior attending between 2018-2021 were included in our study. Cases were stratified by rib resection status. Outcomes include estimated blood loss (EBL), surgery time, ambulation outcomes, complications, and length of stay (LOS). Pain scores were only calculated from POD 0 to POD 2. Matched sub-analysis was conducted on patients with 13 or more levels fused in both groups.
Results: 62 patients were included in the rib resection group after matching; the control group consisted of 61 patients. EBL in rib resected patients (500.6 [446.0-555.2] mL) was similar to controls (p=0.13). Surgery time was greater in rib resected patients (277.3 [262.7-291.8] minutes) than controls (242.1 [232.4 - 251.8] minutes) (p=0.002). Maximum pain score at activity for rib resected patients (5.6 [4.9-6.3]) was greater than controls (4.5 [3.7-5.4]) (p=0.008).
Conclusion: AIS patients reported increased pain during activities in the immediate three-day postoperative period. No in changes in EBL or LOS were found in the matched sub-analysis. Rib resection is a viable option for improved corrective outcomes in patients undergoing posterior spinal fusion for AIS.
Recommended Citation
Grunfeld, M., Sarwahi, V., Visahan, K., Patil, A., Dimauro, J. P., Amaral, T., & Hasan, S. (2023). Radiographic and Clinical Outcomes in Patients with Adolescent Idiopathic Scoliosis Undergoing Posterior Spinal Fusion and Rib Resection. Journal of the American College of Surgeons, 237 (5 Suppl.1), S339-S340. https://doi.org/10.1097/XCS.0000000000000835
