دورية أكاديمية
Development of Consensus-Based Best Practice Guidelines for the Peri- and Post-operative Care of Pediatric Patients with Spinal Deformity and Programmable Implanted Devices.
| العنوان: | Development of Consensus-Based Best Practice Guidelines for the Peri- and Post-operative Care of Pediatric Patients with Spinal Deformity and Programmable Implanted Devices. |
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| المؤلفون: | Truong WH; Department of Orthopedics-Spine, Gillette Children's.; Department of Orthopaedic Surgery, University of Minnesota., Matsumoto H; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital.; Department of Orthopaedic Surgery, Harvard Medical School., Brooks JT; Department of Orthopaedics, Scottish Rite for Children.; University of Texas-Southwestern., Guillaume TJ; Department of Orthopedics-Spine, Gillette Children's., Andras LM; Jackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles., Cahill PJ; Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA., Fitzgerald RE; Children's Orthopedic and Scoliosis Surgery Associates.; Johns Hopkins All Children's Hospital., Li Y; Department of Orthopaedic Surgery, C.S. Mott Children's Hospital, Ann Arbor, MI, USA., Ramo BA; Department of Orthopaedics, Scottish Rite for Children.; University of Texas-Southwestern., Soumekh B; ENT Specialty Care of Minnesota., Blakemore LC; Pediatric Specialists of Virginia.; Orthopedic Surgery and Pediatrics, George Washington University School of Medicine., Carter C; Children's Heart Clinic, Children's Minnesota., Christie MR; Department of Neurology and Neurophysiology, Scottish Rite for Children., Cortez D; Division of Pediatric Cardiology, University of California at Davis., Dimas VV; Department of Pediatrics, Medical City Childrens Hospital.; Department of Pediatrics, Burnett School of Medicine at Texas Christian University., Hardesty CK; Rainbow Babies and Children's Hospital.; Case Western Reserve University., Javia LR; Children's Hospital of Philadelphia.; Perelman School of Medicine at the University of Pennsylvania., Kennedy BC; Division of Neurosurgery, Children's Hospital of Philadelphia.; Department of Neurosurgery, University of Pennsylvania., Kim PD; Department of Pediatric Neurosurgery, Gillette Children's., Murphy RF; Department of Orthopaedics and Physical Medicine, Medical University of South Carolina., Perra JH; Department of Orthopedics-Spine, Gillette Children's.; Twin Cities Spine Center, Minneapolis, MN., Polly DW Jr; Department of Orthopaedic Surgery, University of Minnesota.; Department of Neurosurgery, University of Minnesota., Sawyer JR; Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic., Snyder B; Department of Orthopaedic Surgery, Harvard Medical School.; Cerebral Palsy Center, Boston Children's Hospital., Sponseller PD; Pediatric Orthopaedics, Johns Hopkins Medical Institutions., Sturm PF; Department Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center., Yaszay B; Orthopaedics and Sports Medicine, Seattle Children's Hospital., Feyma T; Department of Neurology, Gillette Children's., Morgan SJ; Department of Research, Gillette Children's.; Division of Rehabilitation Science, University of Minnesota. |
| المصدر: | Spine [Spine (Phila Pa 1976)] 2024 Jun 11. Date of Electronic Publication: 2024 Jun 11. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7610646 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-1159 (Electronic) Linking ISSN: 03622436 NLM ISO Abbreviation: Spine (Phila Pa 1976) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Hagerstown, Md., Medical Dept., Harper & Row. |
| مستخلص: | Study Design: Modified Delphi consensus study. Objective: To develop consensus-based best practices for the care of pediatric patients who have implanted programmable devices (IPDs) and require spinal deformity surgery. Summary of Background Data: Implanted programmable devices (IPDs) are often present in patients with neuromuscular or syndromic scoliosis who require spine surgery. Guidelines for monitoring and interrogating these devices during the peri-operative period are not available. Methods: A panel was assembled consisting of 25 experts (i.e., spinal deformity surgeons, neurosurgeons, neuro-electrophysiologists, cardiologists, and otolaryngologists). Initial postulates were based on literature review and results from a prior survey. Postulates addressed the following IPDs: vagal nerve stimulators (VNS), programmable ventriculo-peritoneal shunts (VPS), intrathecal baclofen pumps (ITBP), cardiac pacemakers and implantable cardioverter-defibrillators (ICD), deep brain stimulators (DBS), and cochlear implants. Cardiologist and otolaryngologists participants responded only to postulates on cardiac pacemakers or cochlear implants, respectively. Consensus was defined as ≥80% agreement, items that did not reach consensus were revised and included in subsequent rounds. A total of three survey rounds and one virtual meeting were conducted. Results: Consensus was reached on 39 total postulates across six IPD types. Postulates addressed general spine surgery considerations, use of intraoperative monitoring and cautery, use of magnetically-controlled growing rods (MCGRs), and use of an external remote controller to lengthen MCGRs. Across IPD types, consensus for the final postulates ranged from 94.4-100%. Overall, experts agreed that MCGRs can be surgically inserted and lengthened in patients with a variety of IPDs and provided guidance for the use of intraoperative monitoring and cautery, which varied between IPD types. Conclusion: Spinal deformity correction surgery often benefits from the use of intraoperative monitoring, monopolar and bipolar cautery, and MCGRs. Final postulates from this study can inform the peri- and post-operative practices of spinal deformity surgeons who treat patients with both scoliosis and IPDs. Level of Evidence: V- Expert opinion. Competing Interests: Conflict of interest disclosures: None of the authors report conflicts of interest related to the content of this manuscript. Dr. Jaysson Brooks has consulted for Orthopediatrics Corporation, Medtronic, Inc., and Medical Devices Business Services, Inc. Dr. Tenner Guillaume has consulted for NuVasive. Dr. Lindsay Andras has consulted/served as a speaker for Medtronic, Inc. and NuVasive. Dr. Ryan Fitzgerald has consulted for Medical Devices Business Services, Inc. Dr. Ling Yi has consulted for Medtronic, Inc. Dr. Laurel Blakemore has consulted for Stryker Corp., Medtronic, Inc., and SeaSpine Orthopedics Corp. Dr. Christina Hardesty has consulted/served as a speaker for Medtronic, Inc. Dr. V. Vivian Dimas is a proctor and consultant for the following companies: Medtronic, Inc., Edwards Lifesciences, B. Braun and Abbott Vascular. Dr. Joseph Perra received royalties/license fees and is a consultant for Medtronic, Inc. Dr. David Polly received royalties/license fees and has consulted for SI-BONE. He has also consulted for Globus Medical, Inc. Dr. Jeffrey Sawyer has consulted for Orthopediatrics and Medtronic, Inc. Dr. Paul Sponseller received royalties/license fees from Globus Medical and has served as a consultant for the following companies: Medical Devices Business Services, Inc., Orthopediatrics, and NuVasive. Dr. Peter Sturm has consulted for NuVasive.Dr. Burt Yaszay received royalties/license fees from NuVasive, Stryker Corp, and Globus Medical. He has also consulted for Stryker, Pacira Pharmaceuticals Inc., Medical Device Business Services, Inc., and Orthopediatrics Corp. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20240610 Latest Revision: 20240610 |
| رمز التحديث: | 20240611 |
| DOI: | 10.1097/BRS.0000000000005061 |
| PMID: | 38857373 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1528-1159 |
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| DOI: | 10.1097/BRS.0000000000005061 |