Surgical treatment of early-onset idiopathic scoliosis in the United States: a trend analysis of 15 years (1997–2012)

Early-onset scoliosis is a challenging problem that is defined as a curvature of the spine of more than 10 degrees identified in a child less than 10 years. Early-onset idiopathic scoliosis (EOIS) can cause substantial morbidity and may require surgical intervention. The aim of the present study was...

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Bibliographic Details
Published in:The spine journal 2019-02, Vol.19 (2), p.314-320
Main Authors: Rustagi, Tarush, Kurra, Swamy, Sullivan, Katherine, Dhawan, Ravi, Lavelle, William F.
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Costs and Cost Analysis
Early-onset idiopathic scoliosis
Facilities and Services Utilization - economics
Facilities and Services Utilization - statistics & numerical data
Female
Hospital charges
Hospital Charges - statistics & numerical data
Hospitalization - economics
Hospitalization - statistics & numerical data
Humans
In-hospital complications
Infant, Newborn
Inpatients - statistics & numerical data
Length of hospital stay
Length of Stay - economics
Length of Stay - statistics & numerical data
Male
Posterior-based surgery, anterior-based surgery, combined surgery
Scoliosis - surgery
Spinal Fusion - economics
Spinal Fusion - methods
Spinal Fusion - statistics & numerical data
Trend analysis
United States
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Summary:Early-onset scoliosis is a challenging problem that is defined as a curvature of the spine of more than 10 degrees identified in a child less than 10 years. Early-onset idiopathic scoliosis (EOIS) can cause substantial morbidity and may require surgical intervention. The aim of the present study was to identify the trends of EOIS type of surgeries, length of hospital stay, in-hospital complications, and total inpatient admission charges over a 15-year study period in the United States from 1997 to 2012. This retrospective study used the ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification) codes from the Healthcare Cost and Utilization Project (HCUP) Kids Inpatient's Database (KID) for a 15-year period (1997–2012). We identified a total of 897 patients with EOIS over the 15-year study period. The present study determines the current trends for EOIS surgeries. The present study had no funding sources or any potential conflicts of interest associated biases. Idiopathic scoliosis patients with ages between 0 and
ISSN:1529-9430
1878-1632
DOI:10.1016/j.spinee.2018.05.033