Interdisciplinary Scoliosis Correction Program.

Study Overview
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Brief Summary
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The aim of this study is to compare the outcomes after scoliosis surgery before and after the implementation of an interdisciplinary juvenile scoliosis correction program in teenager based on ERAS (enhanced recovery after surgery) principles.

Detailed Description
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Creating an optimal protocol for interdisciplinary care in the perioperative period in terms of therapeutic management (anesthesia and surgery schedule), as well as care, rehabilitation and ensuring mental well-being determines the real impact on the reduction of the risk of complications in the perioperative period. Enhanced recovery after surgery (ERAS) protocol has been found to result in reduced lenght of stay and complications in adult patients. Data in pediatric population remains modest. In addition to ERAS principles our terapeutic team has created a special educational application for better patient preparation for surgery. The purpose of the application is to explain the general rules of conduct in the process of preparing and carrying out surgery, anesthesia, prehabilitation and physiotherapy in children undergoing orthopedics surgery (e.g. spine surgery for adolescent idiopathic scoliosis). Hypothesis: Implementing an interdisciplinary juvenile scoliosis correction program based on ERAS principles and special educational app. will improve patient outcomes leading to a statistically significant reduction in post-operative pain and opioids demand, complication rate, length of stay without increasing readmissions and cost.

Official Title
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Strategies for the Implementation of an Interdisciplinary Juvenile Scoliosis Correction Program Based on ERAS Principles. Before-after Study.

Conditions
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ERAS, Scoliosis Idiopathic, Scoliosis; Juvenile, Scoliosis, Complication,Postoperative, Complication of Surgical Procedure

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patient with age < 18 years patient scheduled for idiopatic scoliosis surgery Exclusion Criteria: patient with age > 18years others type of scoliosis

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| the before group<br>40 teenagers after scoliosis surgery before interdisciplinary program implementation | |
| the after group 1<br>40 teenagers after scoliosis surgery after ERAS program implementation | |
| the after group 2<br>40 teenagers after scoliosis surgery after ERAS and educational program implementation | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| type of complications | surgery and anaesthesia complications | up to 4 weeks after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative length of hospital stay | Postoperative length of hospital stay | up to 4 weeks after surgery | 
| Number of Analgetics consumption | consumption including opioids and non-opioids drug | up to 6 days after surgery | 
| Time to first bowel motion | Able to eat without abdominal discomfort, nausea, or vomiting | up to 6 days after surgery | 
| Time to first verticalization |  | up to 6 days after surgery |