Organization of a Pediatric Scoliosis Surgery Task Force and Analysis of Clinical and Radiographic Outcomes

TL;DR

This study shows how a surgical task force helped many Brazilian patients on a waiting list receive scoliosis surgery and achieve good outcomes.

Contribution

Demonstrates the effectiveness of a task force in improving surgical access and outcomes for pediatric scoliosis patients in Brazil.

Findings

Postoperative curve correction outcomes were consistent with existing literature.

Complication rates, such as infections and surgical wounds, were comparable to published data.

The task force model successfully facilitated access to surgery for patients on the SUS waiting list.

Abstract

Objective
 To demonstrate how a surgical task force can help provide access to surgical procedures for many patients waiting for surgery in the Brazilian Unified Health System (Sistema Único de Saúde - SUS, in Portuguese) waiting list.

Methods
 This is a retrospective cohort study involving 28 patients on the SUS waiting list included in a pediatric scoliosis surgery task force. We analyzed medical records, epidemiological data, and clinical and radiographic outcomes.

Results
 The data showed that the postoperative outcomes of curve correction and complications, such as infections, surgical wounds, pain, or other events, were consistent with the literature on the subject.

Conclusion
 Therefore, we believe a task force is critical for facilitating access to surgical procedures and restoring the quality of life of hundreds of patients.

Objetivo
 Mostrar como o mutirão de cirurgias pode auxiliar no acesso ao procedimento cirúrgico para muitos pacientes que aguardam para realizar cirurgia na fila de espera do Sistema Único de Saúde (SUS).

Métodos
 Trata-se de um estudo retrospectivo de coorte que contou com 28 pacientes da lista de espera do SUS, incluídos em um mutirão de cirurgia de escoliose pediátrica, no qual foram realizadas revisão de prontuário, análise epidemiológica e de resultados clínicos e radiográficos.

Resultados
 Os dados mostraram que os resultados pós-cirúrgicos de correção das curvas e o nível de complicações observadas nos pacientes, tais como o acometimento de infecções, feridas cirúrgicas, dor ou outros tipos de eventos, são compatíveis com a literatura sobre tema.

Conclusão
 Sendo assim, entende-se que o mutirão é importante para facilitar o acesso ao procedimento cirúrgico e devolver a qualidade de vida a centenas de pacientes.

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