Evidence map›Paper›PMID 40583097›Full record

ArticleSpine deformity2025

Navigation is associated with lower risk of neurological injury and transfusion in pediatric idiopathic scoliosis surgery.

Vivien Chan, Suhas Etigunta, Adeesya Gausper, Andy M Liu, Kenneth D Illingworth, Grant D Hogue, Daniel J Hedequist, David L Skaggs

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Article in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Vivien ChanCedars Sinai Spine, Cedars Sinai Medical Center, 444 S San Vicente Blvd, Ste 900, Los Angeles, CA, 90048, USA. Vivien.Chan@cshs.org.ORCID http://orcid.org/0000-0002-4757-4939
Suhas EtiguntaCedars Sinai Spine, Cedars Sinai Medical Center, 444 S San Vicente Blvd, Ste 900, Los Angeles, CA, 90048, USA.
Adeesya GausperCedars Sinai Spine, Cedars Sinai Medical Center, 444 S San Vicente Blvd, Ste 900, Los Angeles, CA, 90048, USA.
Andy M LiuCedars Sinai Spine, Cedars Sinai Medical Center, 444 S San Vicente Blvd, Ste 900, Los Angeles, CA, 90048, USA.
Kenneth D IllingworthCedars Sinai Spine, Cedars Sinai Medical Center, 444 S San Vicente Blvd, Ste 900, Los Angeles, CA, 90048, USA.
Grant D HogueBoston Children's Hospital, Harvard University, Boston, MA, USA.
Daniel J HedequistBoston Children's Hospital, Harvard University, Boston, MA, USA.
David L SkaggsCedars Sinai Spine, Cedars Sinai Medical Center, 444 S San Vicente Blvd, Ste 900, Los Angeles, CA, 90048, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal navigation has been shown to improve accuracy with pedicle screw placement and reduce complications in adult spine patients. It remains understudied in the pediatric spine population. PURPOSE: The purpose of this study was to assess the impact of spinal navigation on rates of neurological injury, allogeneic transfusion, and reoperation in pediatric idiopathic scoliosis.

methodsThis was a retrospective cohort study using the NSQIP pediatric database, years 2016-2022. Patients were included in this study if they were under 18 years of age and received posterior spinal fusion with seven or more surgical levels for idiopathic scoliosis. Anterior approaches were excluded from the study. The study cohort was divided into (1) no navigation cohort and (2) navigation cohort. The primary outcome was rate of postoperative neurological injury. Secondary outcomes were 30 day reoperation, allogeneic blood transfusion, and operative time. Rates of neurological injury, reoperation, and allogeneic transfusion were compared using Chi-square test. Operative time was compared using Student's T test. Logistic regression analyses were performed to determine the association between use of spinal navigation and the outcomes of interest.

resultsThere were 22,384 patients included in this study. Mean age was 14.4 years. Spinal navigation was used in 1879 (8.4%). Spinal navigation was associated with a reduced rate of postoperative neurological injury (no navigation: 1.2% vs. navigation: 0.6%, p = 0.02). The navigation cohort had a lower rate of allogeneic transfusion (no navigation: 12.2% vs. navigation: 8.4%, p < 0.001). There was no difference in 30 day reoperation rate (no navigation: 1.4% vs. navigation: 1.5%, p = 0.56). The navigation cohort had longer operative time (no navigation: 4.6 h vs. navigation: 5.0 h, p < 0.001). In the multivariable regression analysis, use of spinal navigation was associated with reduced odds of postoperative neurological injury (OR = 0.51, p = 0.03) and allogeneic transfusion (OR = 0.68, p < 0.001).

conclusionSpinal navigation was associated with significantly decreased rates of postoperative neurological injury and allogeneic transfusion in pediatric idiopathic scoliosis surgery, with an average of 0.4 h longer operative time.

Indexed as

Blood TransfusionPostoperative ComplicationsScoliosisSpinal FusionAdolescentChildFemaleHumansMaleOperative TimeReoperationRetrospective StudiesIdiopathic scoliosisNeurological injuryOperative timePediatricReoperationSpinal navigationTransfusion

Identifiers

PMID40583097
PMCPMC12634737

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