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Thread: Choosing a Surgeon Based on Experience

  1. #1
    Join Date
    Sep 2003
    Northern California

    Choosing a Surgeon Based on Experience

    High vs. low volume surgeons for scoliosis procedures: 5 key notes Featured
    Written by Laura Dyrda | Tuesday, 06 October 2015 00:00

    A new study published in Spinal Deformity examines the outcomes variation between high volume and low volume surgeons performing scoliosis correction.
    The researchers conducted a retrospective analysis of adolescent idiopathic scoliosis patients from the New York State Inpatient Database for cases between 2008 and 2011. The researchers also took hospital and surgeon volumes into account. There were 3,928 primary fusion operations included in the study.

    The researchers found:

    1. There was a 7.1 percent reoperation rate after the initial spinal fusion for adolescent idiopathic scoliosis.

    2. The surgeons who performed less than six AIS fusions per year were considered low volume and had a 14.1 percent reoperation rate.

    3. The high volume surgeons — those who performed 43 to 228 cases per year — had a 5.1 percent reoperation rate.

    4. The study authors concluded, "Early reoperation after spine fusion for idiopathic scoliosis is seen more frequently in lower volume institutions and surgeons."

    5. Limiting scoliosis correction to high-volume surgeons could prevent future reoperations and associated risks for the patients as well as high costs for procedures and hospital stays in the future.
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

  2. #2
    Join Date
    Mar 2008
    Makes complete sense to me.
    XLIF/Posterior Surgery 6/16/08. Fused T10-L5 in CA by Dr. Michael Kropf (don't go there unless it's simple, I hear he's at Cedar's now). Very deformed, had revision w/5 PSO's, rods from T-3 to sacrum including iliac screws, all posterior, 5/23/16 with Dr. Purnendu Gupta of Chicago.

    Owner of Chachi the Chihuahua, So Cal born and bred, now a resident of 'Chicagoland' Illinois. Uh, dislike it here....thank God there was ONE excellent spine surgeon in this area.

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