Changes in Pediatric Spine Surgery Patterns Over the Last 10 Years Among ABOS Part II Candidates

STUDY DESIGN.A retrospective review of prospectively collected data. OBJECTIVE.Our purpose was to evaluate the volume of pediatric spine cases being done by surgeons applying for American Board of Orthopaedic Surgeons (ABOS) certification. SUMMARY OF BACKGROUND DATA.Pediatric orthopedic surgery has...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2019-09, Vol.44 (18), p.E1103-E1107
Main Authors: Nielsen, Ena, Andras, Lindsay M., Hosseinzadeh, Pooya, Mignemi, Megan, Sawyer, Jeffrey R., Flynn, John M., Albanese, Stephen, Skaggs, David L.
Format: Article
Language:English
Subjects:
Accidental Falls
Adolescent
Certification
Child
Data Collection
Databases, Factual
Female
Humans
Orthopedic Surgeons - statistics & numerical data
Orthopedic Surgeons - trends
Pediatrics - statistics & numerical data
Retrospective Studies
Spine - surgery
United States
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Summary:STUDY DESIGN.A retrospective review of prospectively collected data. OBJECTIVE.Our purpose was to evaluate the volume of pediatric spine cases being done by surgeons applying for American Board of Orthopaedic Surgeons (ABOS) certification. SUMMARY OF BACKGROUND DATA.Pediatric orthopedic surgery has become increasingly subspecialized over the past decade. METHODS.Data were reviewed from the ABOS for surgeons undergoing part II of ABOS certification between 2004 and 2014. Applicants were divided into pediatric orthopedic surgeons and spine surgeons based on their self-declared subspecialty for the ABOS Part II examination. A total of 102,424 cases were reviewed to identify spine cases performed on patients 20 spine cases during their candidate year has increased from 0% to 7% (r = 0.31, P = 0.04). CONCLUSION.The share of pediatric spine surgeries performed by pediatric candidates has increased from 54% in 2004 to 83%, with a corresponding fall in the share surgeries performed by spine candidates (47% to >17%). The percentage of pediatric candidates performing more than 20 spine cases/year increased from 0% to 7%, reflecting a trend of spine subspecialization within pediatric surgery.Level of Evidence3
ISSN:0362-2436
1528-1159
DOI:10.1097/BRS.0000000000003072