ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Feasibility of initial telemedicine follow-up after spinal fusion for AIS.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
purposeTelemedicine is a convenient and preferable method of healthcare delivery for many patients. Our aim is to determine the feasibility of initial telemedicine follow-up after spinal fusion for adolescent idiopathic scoliosis (AIS).
methods68 consecutive patients from a single institution who underwent spinal fusion for AIS and had the first follow-up appointment via telemedicine were retrospectively reviewed and compared to a previously collected in-person follow-up cohort of 548 patients. The groups were compared based on their demographics and pathology and all 90-day complications were collected.
resultsThe cohorts had no difference in demographics, curve magnitude or levels fused. In the telemedicine group there was 1 superficial infection treated with oral antibiotics and 2 dressing reactions, one requiring treatment with topical steroids. Among the in-person group there were 5 deep infections requiring operative debridement. There were also 8 patients with peripheral nerve complications likely due to positioning, 3 misplaced screws, and 4 other complications. 11 patients in the in-person group and none of the telemedicine group required a secondary surgery within 90 days. There was no difference in overall 90-day complication rate between the two groups.
conclusionIn this early telemedicine cohort of spinal fusion patients there were no complications requiring return to the operating room. There was a similar number of total 90-day complications among both groups. This small study suggests it is reasonable to continue to use telemedicine for patient and family convenience while continuing clinical investigations.
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