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dc.contributor.authorde Kleuver, Marinus
dc.contributor.authorLewis, Stephen J.
dc.contributor.authorGermscheid, Niccole M.
dc.contributor.authorKamper, Steven J.
dc.contributor.authorAlanay, Ahmet
dc.contributor.authorBerven, Sigurd H.
dc.contributor.authorShaffrey, Christopher
dc.date.accessioned2019-08-13T12:10:23Z
dc.date.accessioned2019-08-13T16:02:25Z
dc.date.available2019-08-13T12:10:23Z
dc.date.available2019-08-13T16:02:25Z
dc.date.issued2014
dc.identifier.issn0940-6719
dc.identifier.issn1432-0932
dc.identifier.urihttps://dx.doi.org/10.1007/s00586-014-3356-1
dc.identifier.urihttp://hdl.handle.net/11446/2804
dc.descriptionWOS: 000345333500005en_US
dc.descriptionPubMed ID: 24957258en_US
dc.description.abstractThe surgical management of adolescent idiopathic scoliosis (AIS) has seen many developments in the last two decades. Little high-level evidence is available to support these changes and guide treatment. This study aimed to identify optimal operative care for adolescents with AIS curves between 40A degrees and 90A degrees Cobb angle. From July 2012 to April 2013, the AOSpine Knowledge Forum Deformity performed a modified Delphi survey where current expert opinion from 48 experienced deformity surgeons, representing 29 diverse countries, was gathered. Four rounds were performed: three web-based surveys and a final face-to-face meeting. Consensus was achieved with a parts per thousand yen70 % agreement. Data were analyzed qualitatively and quantitatively. Consensus of what constitutes optimal care was reached on greater than 60 aspects including: preoperative radiographs; posterior as opposed to anterior (endoscopic) surgical approaches; use of intraoperative spinal cord monitoring; use of local autologous bone (not iliac crest) for grafts; use of thoracic and lumbar pedicle screws; use of titanium anchor points; implant density of < 80 % for 40A degrees-70A degrees curves; and aspects of postoperative care. Variability in practice patterns was found where there was no consensus. In addition, there was consensus on what does not constitute optimal care, including: routine pre- and intraoperative traction; routine anterior release; use of bone morphogenetic proteins; and routine postoperative CT scanning. International consensus was found on many aspects of what does and does not constitute optimal operative care for adolescents with AIS. In the absence of current high-level evidence, at present, these expert opinion findings will aid health care providers worldwide define appropriate care in their regions. Areas with no consensus provide excellent insight and priorities for future research.en_US
dc.description.sponsorshipAOSpine International through the AOSpine Knowledge Forum Deformity; AOSpine Internationalen_US
dc.description.sponsorshipThis study received financial support from AOSpine International through the AOSpine Knowledge Forum Deformity. All co-authors and invited panelists, disclose that they were provided with only necessary travel funds from the study sponsor (AOSpine International) to participate in the final consensus meeting which was integral to the study design. No other funding was received by any of the authors.en_US
dc.language.isoengen_US
dc.publisherSPRINGERen_US
dc.identifier.doi10.1007/s00586-014-3356-1en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdolescent idiopathic scoliosisen_US
dc.subjectSurgeryen_US
dc.subjectOptimal careen_US
dc.subjectDelphien_US
dc.subjectConsensusen_US
dc.titleOptimal surgical care for adolescent idiopathic scoliosis: an international consensusen_US
dc.typereviewen_US
dc.relation.journalEUROPEAN SPINE JOURNALen_US
dc.departmentDBÜen_US
dc.identifier.issue12en_US
dc.identifier.volume23en_US
dc.identifier.startpage2603en_US
dc.identifier.endpage2618en_US
dc.contributor.authorID0000-0002-3506-1212en_US
dc.contributor.authorID0000-0001-8304-0419en_US
dc.contributor.authorID0000-0001-7572-6584en_US
dc.contributor.authorID0000-0003-3012-5499en_US
dc.contributor.authorID0000-0002-7589-8471en_US
dc.relation.publicationcategoryDiğeren_US
dc.department-temp[de Kleuver, Marinus] Vrije Univ Amsterdam, Med Ctr, Dept Orthopaed Surg, NL-1081 HZ Amsterdam, Netherlands -- [Lewis, Stephen J.] Toronto Western Hosp, Dept Surg, Toronto, ON M5T 2S8, Canada -- [Germscheid, Niccole M.] AOSpine Int, Res Dept, Davos, Switzerland -- [Kamper, Steven J.] Univ Sydney, George Inst, Musculoskeletal Div, Sydney, NSW 2006, Australia -- [Alanay, Ahmet] Istanbul Bilim Univ, Sch Med, Dept Orthopaed & Traumatol, Istanbul, Turkey -- [Berven, Sigurd H.] Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA USA -- [Cheung, Kenneth M.] Univ Hong Kong, Dept Orthopaed & Traumatol, Hong Kong, Hong Kong, Peoples R China -- [Ito, Manabu] Hokkaido Univ, Grad Sch Med, Dept Orthopaed Surg, Sapporo, Hokkaido, Japan -- [Lenke, Lawrence G.] Washington Univ, Dept Orthopaed Surg, St Louis, MO USA -- [Polly, David W.] Univ Minnesota, Dept Orthopaed Surg, Minneapolis, MN 55455 USA -- [Qiu, Yong] Nanjing Univ, Sch Med, Affiliated Drum Tower Hosp, Dept Spine Surg, Nanjing 210008, Jiangsu, Peoples R China -- [van Tulder, Maurits] Vrije Univ Amsterdam, Dept Hlth Sci, Amsterdam, Netherlands -- [Shaffrey, Christopher] Univ Virginia, Dept Neurol Surg, Charlottesville, VA USAen_US


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