Evidence map›Paper›PMID 41389251›Full record

ReviewSpine deformity2026

Recent national improvements in length of stay and complications after posterior spinal fusion for adolescent idiopathic scoliosis: a database analysis and review of literature.

Utsav Kapoor, Jennifer M Bauer, Burt Yaszay, Scott Yang

Abstract readReview
PubMed Publisher
In one paragraph

Review in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Utsav KapoorUniversity of South Florida, Morsani College of Medicine, Tampa, FL, USA.
Jennifer M BauerSeattle Children's Hospital, 4800 Sand Point Way NE, OA.6.248, Seattle, WA, 98105, USA.
Burt YaszaySeattle Children's Hospital, 4800 Sand Point Way NE, OA.6.248, Seattle, WA, 98105, USA.
Scott YangSeattle Children's Hospital, 4800 Sand Point Way NE, OA.6.248, Seattle, WA, 98105, USA. Scott.Yang@seattlechildrens.org.ORCID http://orcid.org/0000-0001-9947-2822

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdvances in operative and recovery protocols such as the rapid recovery pathway (RRP) in the last decade have shortened inpatient stays for adolescent idiopathic scoliosis (AIS). This study aimed to evaluate the impact of these national trends on length of stay (LOS), complication rates, and costs in patients with AIS undergoing posterior spinal fusion (PSF) using a large, nationally representative dataset.

methodsA retrospective review of 10,081 patients requiring PSF for AIS was conducted using the Healthcare Cost and Utilization Project's (HCUP) Kids' Inpatient Database (KID) in the latest available year prior to the popularity of protocols like RRP (2012) and most recently (2019). Patients and complications were identified via ICD-9 and ICD-10 codes. Multivariate linear and logistic regression analyses were performed to assess the impact of year of surgery while adjusting for demographic variables.

resultsAverage LOS decreased in 2019 vs. 2012 (3.9 days vs. 5.4 days, p < 0.001), year of surgery (β = -1.4 days, p < 0.001), and absence of complications (β = -2.8 days, p < 0.001) were the largest predictors of LOS. Overall complication rates declined from 12.8% to 6.5% (p < 0.001). Year of surgery showed significantly increased charges after inflation adjustment (β = $12,452.6, p < 0.001), though other demographic variables demonstrated larger impact on cost.

conclusionsMore recent surgical year resulted in reduced hospital stays with fewer complications and without substantial increases in cost. These findings support continued adoption and refinement of operative and recovery protocols in pediatric spine surgery.

Indexed as

Length of StayPostoperative ComplicationsScoliosisSpinal FusionAdolescentDatabases, FactualHumansRetrospective StudiesUnited StatesAdolescent idopathic scoliosisLength of stayPosterior spinal fusionScoliosis

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.