Re-evaluating consensus and uncertainty among treatment options for early onset scoliosis: a 10-year update.

Child Humans Scoliosis / surgery Uncertainty Consensus Spine Surveys and Questionnaires
10 years Consensus Early onset scoliosis Treatment options Uncertainty

Journal

Spine deformity
ISSN: 2212-1358
Titre abrégé: Spine Deform
Pays: England
ID NLM: 101603979

Informations de publication

Date de publication:
01 2023
Historique:
received: 11 04 2022
accepted: 23 07 2022
pubmed: 11 8 2022
medline: 23 12 2022
entrez: 10 8 2022
Statut: ppublish

Résumé

Consensus and uncertainty in early onset scoliosis (EOS) treatment were evaluated in 2010. It is currently unknown how treatment preferences have evolved over the past decade. The purpose of this study was to re-evaluate consensus and uncertainty among treatment options for EOS patients to understand how they compare to 10 years ago. 11 pediatric spinal surgeons (similar participants as in 2010) were invited to complete a survey of 315 idiopathic and neuromuscular EOS cases (same cases as in 2010). Treatment options included the following: conservative management, distraction-based methods, growth guidance/modulation, and arthrodesis. Consensus was defined as ≥ 70% agreement, and uncertainty was < 70%. Associations between case characteristics and consensus for treatments were assessed via chi-squared and multiple regression analyses. Case characteristics associated with uncertainty were described. Eleven surgeons [31.7 ± 7.8 years of experience] in the original 2010 cohort completed the survey. Consensus for conservative management was found in idiopathic patients aged ≤ 3, whereas in 2010, some of these cases were selected for surgery. There is currently consensus for casting idiopathic patients aged 1 or 2 with moderate curves, whereas in 2010, there was uncertainty between casting and bracing. Among neuromuscular cases with consensus for surgery, arthrodesis was chosen for patients aged 9 with larger curves. Presently, preferences for conservative management have increased in comparison to 2010, and casting appears to be preferred over bracing in select infantile cases. Future research efforts with higher levels-of-evidence should be devoted to elucidate the areas of uncertainty to improve care in the EOS population. Level V.

Identifiants

DOI: 10.1007/s43390-022-00561-1 PMID: 35947359
pubmed: 35947359
doi: 10.1007/s43390-022-00561-1
pii: 10.1007/s43390-022-00561-1
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

11-25

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2022. The Author(s), under exclusive licence to Scoliosis Research Society.

Références

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Auteurs

Hiroko Matsumoto (H)

Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA, 02115, USA. hiroko.matsumoto@childrens.harvard.edu.
Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, 02115, USA. hiroko.matsumoto@childrens.harvard.edu.
ORCID: 0000-0002-2270-7651

Adam N Fano (AN)

Department of Orthopedic Surgery, Morgan Stanley Children's Hospital of New York Presbyterian, Columbia University Irving Medical Center, 3959 Broadway, CHONY 8-N, New York, NY, 10032, USA.

Theodore Quan (T)

Department of Orthopedic Surgery, Morgan Stanley Children's Hospital of New York Presbyterian, Columbia University Irving Medical Center, 3959 Broadway, CHONY 8-N, New York, NY, 10032, USA.

Behrooz A Akbarnia (BA)

Department of Orthopaedic Surgery, University of California San Diego, San Diego, CA, 92037, USA.

Laurel C Blakemore (LC)

Pediatric Specialists of Virginia, Fairfax, VA, 22031, USA.

John M Flynn (JM)

Division of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.

David L Skaggs (DL)

Department of Orthopaedics, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.

John T Smith (JT)

Department of Orthopaedics, University of Utah, Salt Lake City, UT, 84113, USA.

Brian D Snyder (BD)

Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA, 02115, USA.
Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, 02115, USA.

Paul D Sponseller (PD)

Division of Pediatric Orthopaedics, Johns Hopkins University, Baltimore, MD, 21287, USA.

Richard E McCarthy (RE)

Department of Orthopaedics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, AR, 72205, USA.

Peter F Sturm (PF)

Department of Orthopedic Surgery, Cincinnati Children's Hospital, Cincinnati, OH, 45229, USA.

David P Roye (DP)

Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA, 02115, USA.
Division of Pediatric Orthopaedic Surgery, New York-Presbyterian Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, New York, NY, 10032, USA.

John B Emans (JB)

Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA, 02115, USA.
Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, 02115, USA.

Michael G Vitale (MG)

Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA, 02115, USA.
Division of Pediatric Orthopaedic Surgery, New York-Presbyterian Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, New York, NY, 10032, USA.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Re-evaluating consensus and uncertainty among...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Re-evaluating consensus and uncertainty among...
questionsmedicales.fr › Maladies ostéomusculaires › Maladies osseuses › Maladies du rachis › Déviations du rachis › Scoliose › Re-evaluating consensus and uncertainty among...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Incertitude › Re-evaluating consensus and uncertainty among...
questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Consensus › Re-evaluating consensus and uncertainty among...
questionsmedicales.fr › Appareil locomoteur › Squelette › Rachis › Re-evaluating consensus and uncertainty among...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Re-evaluating consensus and uncertainty among...