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Improving perioperative care for adolescent idiopathic scoliosis patients: the impact of a multidisciplinary care approach

Authors Borden T, Bellaire L, Fletcher ND

Received 26 March 2016

Accepted for publication 11 July 2016

Published 14 September 2016 Volume 2016:9 Pages 435—445

DOI https://doi.org/10.2147/JMDH.S95319

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Devang Sanghavi

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Timothy C Borden, Laura L Bellaire, Nicholas D Fletcher

Department of Orthopaedic Surgery, Emory University, Atlanta, GA, USA

Abstract: The complex nature of the surgical treatment of adolescent idiopathic scoliosis (AIS) requires a wide variety of health care providers. A well-coordinated, multidisciplinary team approach to the care of these patients is essential for providing high-quality care. This review offers an up-to-date overview of the numerous interventions and safety measures for improving outcomes after AIS surgery throughout the perioperative phases of care. Reducing the risk of potentially devastating and costly complications after AIS surgery is the responsibility of every single member of the health care team. Specifically, this review will focus on the perioperative measures for preventing surgical site infections, reducing the risk of neurologic injury, minimizing surgical blood loss, and preventing postoperative complications. Also, the review will highlight the postoperative protocols that emphasize early mobilization and accelerated discharge.

Keywords: adolescent idiopathic scoliosis, multidisciplinary health care, outcomes, guidelines, complications

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