![]() We included 173 patients with a mean age of 14 (± 2.6) years, most of whom with a Gross Motor Function Classification System (GMFCS) level 5 (81%). We noted a 23.5% complication rate however, there were no readmissions to hospital or reoperations in this cohort. Clinical success was noted in 96.6% of patients at most recent follow-up. Mean length of hospital stay was 5.3 ± 1.0 days, with 84.3% of patients returning to full activity at 3 months. Mean estimated blood loss was 252.8 ± 83.4 cm 3, with no patient requiring allogeneic blood. The mean number of instrumented levels was 6.8 ± 0.9, with a mean operating room time of 348.4 ± 84 min. Thoracic axial rotation significantly improved from 15.0° ± 4.2° to 8.0° ± 4.1° ( p < 0.001) as measured by scoliometer. Significant spontaneous curve correction was also observed in the uninstrumented curves (48.7% ± 24.2%, p < 0.001). Mean major preoperative Cobb angle was 50.6° ± 8.6°, improved to mean of 18.3° ± 9.5° at most recent follow-up (% correction: 64.3%, p < 0.001). Mean Risser grade was 0.77 ± 0.79 with a mean follow-up of 17.8 ± 10.9 months. Mean age at surgery was 13.6 ± 1.4 years, and patients were mostly female (93.8%). Thirty-two patients with 34 procedures were included in the analysis. In group A, 5 patients had postoperative SVA 10, 2 with major hardware failure (66.6%) and none with minor hardware failure. Six patients had preoperative SVA 10 (group C). Twelve patients had major hardware failure (36.4%) and 8 patients had minor hardware failure (24.2%). Thirty-three patients were involved: 22 women (66.6%) and 11 men (33.3%). Previously identified modifiable risk factors such as length of operation, surgical drain use and intrawound vancomycin use were not associated with SSIs. Compliance with antibiotic prophylaxis timing and dosage guidelines was 55% and 74.3%, respectively however, this was not significantly associated with SSIs. Multiple logistic regression analysis showed that FV was the only modifiable independent risk factor associated with SSIs ( p = 0.004). Fluid resuscitation volume (FV) post-surgery was found to be significantly higher ( p = 0.03) in patients who developed SSIs. As expected, non-modifiable risk factors, such diagnosis of neuromuscular disorders ( p = 0.0003) and American Society of Anesthesiologist scores greater than 2 ( p = 0.007) were significantly associated with SSIs. In neuromuscular scoliosis, the infection rate was 12%. The infection rate in idiopathic scoliosis was 1.78%. Three hundred seventy-five patients were included in this study, of whom 15 (4%) developed SSIs. This Annual Scientific Conference is the most important spine meeting in Canada and a must for anyone involved in administering or administrating spine care. ![]() The continuing medical education–approved format will again feature a well-balanced mix of didactic instructional lectures, interactive symposia, hands-on product demonstrations and professional interaction. The conference includes the yearly review of work by the Canadian Spine Outcomes and Research Network (CSORN) and will include both papers arising from the research and an operational meeting for all those interested in participating in its ongoing collaboration. It provides practical instruction for the treatment of specific common clinical challenges but also reports on advances in basic spine research and contemporary philosophies on the patient-centered approach. The program covers both surgical and nonoperative answers to a wide range of spinal pathologies and addresses the more general issues of pain and pain management. The meeting is held in conjunction with the Canadian Paediatric Spine Society and offers current perspectives on the management of both adult and pediatric spinal problems. The Canadian Spine Society is a collaborative organization of spine surgeons advancing excellence in research, education and patient care.Īccreditation: This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, approved by The Canadian Orthopaedic Association.Ĭourse Objectives: The Annual Scientific Conference of the Canadian Spine Society offers a comprehensive review of spine therapy and spine surgery in Canada. ![]()
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