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

Abstract

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

Keywords

• adolescent idiopathic scoliosis
• multidisciplinary team
• quality improvement