Abstract：
BACKGROUND: To lessen surgical times for patients with adolescent idiopathic scoliosis (AIS) undergoing posterior spinal instrumentation and fusion (PSIF), our department developed a quality improvement initiative where 2 AIS cases were completed in 1 day by the same 2 surgeons operating together in 1 operating room (OR). We describe the results of this initiative, comparing operative times and outcomes to cases of these surgeons operating individually.
METHODS: From 2017 to 2023, patients aged 10 to 18 years with AIS undergoing PSIF were prospectively enrolled for \"Two Spine Tuesday.\" Patients were matched by age, sex, curve severity, and number of levels fused to historical AIS controls. Outcomes included surgery time, total OR time, estimated blood loss (EBL), volume of cell saver transfused, allogenic blood transfusion, length of stay, 90-day readmissions, Clavien-Dindo-Sink Complication Classification System complication rates, and percentage who achieved the minimal clinically important difference (MCID) for SRS-22.
RESULTS: Fifty-five patients composing the 2-spine group (group 2) were compared with 55 historical sex-matched and age-matched controls (group 1). Major coronal curve and average number of levels fused were similar between groups. Overall surgery time (203 vs. 296 min, P <0.001), total OR time ( P <0.001), and EBL (400 vs. 550 mL, P <0.001) were lower for group 2. Group 2 had fewer complications [n=17 (31%) vs. n=28 (51%), P =0.03].
CONCLUSIONS: Performing 2 AIS cases in 1 OR by 2 surgeons the same day resulted in shorter surgery times, less total time in the operating room, lower complication rates, and less blood loss compared with single-surgeon matched controls.
METHODS: Level III-retrospective comparative study.
METHODS: From 2017 to 2023, patients aged 10 to 18 years with AIS undergoing PSIF were prospectively enrolled for \"Two Spine Tuesday.\" Patients were matched by age, sex, curve severity, and number of levels fused to historical AIS controls. Outcomes included surgery time, total OR time, estimated blood loss (EBL), volume of cell saver transfused, allogenic blood transfusion, length of stay, 90-day readmissions, Clavien-Dindo-Sink Complication Classification System complication rates, and percentage who achieved the minimal clinically important difference (MCID) for SRS-22.
RESULTS: Fifty-five patients composing the 2-spine group (group 2) were compared with 55 historical sex-matched and age-matched controls (group 1). Major coronal curve and average number of levels fused were similar between groups. Overall surgery time (203 vs. 296 min, P <0.001), total OR time ( P <0.001), and EBL (400 vs. 550 mL, P <0.001) were lower for group 2. Group 2 had fewer complications [n=17 (31%) vs. n=28 (51%), P =0.03].
CONCLUSIONS: Performing 2 AIS cases in 1 OR by 2 surgeons the same day resulted in shorter surgery times, less total time in the operating room, lower complication rates, and less blood loss compared with single-surgeon matched controls.
METHODS: Level III-retrospective comparative study.
摘要：
背景：为了减少青少年特发性脊柱侧凸（AIS）患者接受后路脊柱内固定和融合术（PSIF）的手术时间，我们部门制定了一项质量改进计划,其中2例AIS病例由在1个手术室(OR)共同手术的同两名外科医生在1天内完成.我们描述了这项倡议的结果，将手术时间和结果与这些外科医生单独手术的病例进行比较。
方法：从2017年至2023年，年龄在10至18岁的AIS患者接受PSIF前瞻性招募“两个脊柱星期二”。“患者按年龄匹配，性别,曲线严重性,以及与历史AIS控件融合的级别数量。结果包括手术时间，总OR时间，估计失血量（EBL），转染的细胞保存者的体积，异体输血,逗留时间,90天再入院,Clavien-Dindo-Sink并发症分类系统并发症发生率，以及SRS-22达到最小临床重要差异（MCID）的百分比。
结果：将组成2脊柱组（第2组）的55名患者与55名历史性别匹配和年龄匹配的对照组（第1组）进行了比较。两组之间的主要冠状曲线和平均融合水平数相似。总体手术时间（203vs.296分钟,P<0.001)，总OR时间（P<0.001），和EBL(400vs.550mL,第2组的P<0.001）较低。第2组的并发症较少[n=17（31％）与n=28（51%），P=0.03]。
结论：同一天由2名外科医生在1个OR中进行2例AIS病例可缩短手术时间，减少手术室的总时间，并发症发生率较低,与单外科医生匹配的对照组相比，失血更少。
方法：III级回顾性比较研究。
方法：从2017年至2023年，年龄在10至18岁的AIS患者接受PSIF前瞻性招募“两个脊柱星期二”。“患者按年龄匹配，性别,曲线严重性,以及与历史AIS控件融合的级别数量。结果包括手术时间，总OR时间，估计失血量（EBL），转染的细胞保存者的体积，异体输血,逗留时间,90天再入院,Clavien-Dindo-Sink并发症分类系统并发症发生率，以及SRS-22达到最小临床重要差异（MCID）的百分比。
结果：将组成2脊柱组（第2组）的55名患者与55名历史性别匹配和年龄匹配的对照组（第1组）进行了比较。两组之间的主要冠状曲线和平均融合水平数相似。总体手术时间（203vs.296分钟,P<0.001)，总OR时间（P<0.001），和EBL(400vs.550mL,第2组的P<0.001）较低。第2组的并发症较少[n=17（31％）与n=28（51%），P=0.03]。
结论：同一天由2名外科医生在1个OR中进行2例AIS病例可缩短手术时间，减少手术室的总时间，并发症发生率较低,与单外科医生匹配的对照组相比，失血更少。
方法：III级回顾性比较研究。
