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European Spine Journal

, Volume 28, Issue 6, pp 1296–1300 | Cite as

Long-term follow-up after surgical treatment of adolescent idiopathic scoliosis using high-density pedicle screw constructs: Is 5-year routine visit required?

  • Jean-Marc Mac-ThiongEmail author
  • Rodrigo Remondino
  • J. Joncas
  • Stefan Parent
  • Hubert Labelle
Original Article

Abstract

Purpose

The objective of this study is to determine whether routine follow-up 5 years after adolescent idiopathic scoliosis (AIS) surgery is likely to affect postoperative care for patients treated with high-density pedicle screw constructs, when routine 2-year follow-up has been performed.

Methods

We reviewed 80 patients undergoing surgery for AIS using high-density pedicle screw constructs and followed routinely 2 and 5 years after surgery. Quality of life (QOL) was assessed using the SRS-30 outcome questionnaire. Reoperations occurring between 2 and 5 years after surgery were identified.

Results

Curve correction and QOL were similar between 2- and 5-year visits. Two patients required revision surgery after presenting during unplanned visits between the 2- and 5-year follow-ups. One patient presented at the routine 5-year visit with an asymptomatic undisplaced rod fracture without loss of correction, and it was decided to follow-up only as needed.

Conclusions

In AIS patients for whom routine follow-up 2 years after surgery using high-density pedicle screw constructs was uneventful, additional routine 5-year follow-up is not likely to affect postoperative care and revision rate. Patients developing complications and needing reoperation between 2 and 5 years after surgery will most likely present during unplanned visits rather than during routine follow-up appointments. Easy access to emergent visits on an as-needed basis is therefore important for this population if routine 5-year follow-up is not planned.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.

Keywords

Adolescent idiopathic scoliosis Quality of life Scoliosis Spinal deformity Spine 

Notes

Compliance with ethical standards

Conflict of interest

No funding was received for this research. There is no conflict of interest directly related to this research. JMMT, SP and HL are co-founders and board members of Spinologics Inc. RR and JJ have no competing interests associated with this work.

Supplementary material

586_2019_5887_MOESM1_ESM.pptx (275 kb)
Supplementary material 1 (PPTX 275 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.University of MontrealMontrealCanada
  2. 2.Department of SurgeryCHU Sainte-JustineMontrealCanada
  3. 3.Hôpital du Sacré-CoeurMontrealCanada
  4. 4.Hospital de Pediatra Prof. Dr. Juan P. GarrahanBuenos AiresArgentina

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