Clinical Decision Making in Early Wound Drainage Following Posterior Spine Surgery in Pediatric Patients

2014 ◽  
Vol 2 (2) ◽  
pp. 104-109 ◽  
Author(s):  
Ozgur Dede ◽  
Patrick Bosch ◽  
Austin J. Bowles ◽  
William Timothy Ward ◽  
James W. Roach
Neurosurgery ◽  
2008 ◽  
Vol 63 (suppl_3) ◽  
pp. A54-A68 ◽  
Author(s):  
Justin S. Smith ◽  
Christopher I. Shaffrey ◽  
Mark F. Abel ◽  
Christopher P. Ames

ABSTRACT OBJECTIVE To review the concepts involved in the decision-making process for management of pediatric patients with spinal deformity. METHODS The literature was reviewed in reference to pediatric deformity evaluation and management. RESULTS Pediatric spinal deformity includes a broad range of disorders with differing causes, natural histories, and treatments. Appropriate categorization of pediatric deformities is an important first step in the clinical decision-making process. An understanding of both nonoperative and operative treatment modalities and their indications is requisite to providing treatment for pediatric patients with spinal deformity. The primary nonoperative treatment modalities include bracing and casting, and the primary operative treatments include nonfusion instrumentation and fusion with or without instrumentation. In this article, we provide a review of pediatric spinal deformity classification and an overview of general treatment principles. CONCLUSION The decision-making process in pediatric deformity begins with appropriate diagnosis and classification of the deformity. Treatment decisions, both nonoperative and operative, are often predicated on the basis of the age of the patient and the natural history of the disorder.


2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
David Jacobs ◽  
Maya Holsen ◽  
Shirley Chen ◽  
Nicholas Fusco ◽  
Amanda Hassinger

2019 ◽  
Vol 36 (5) ◽  
pp. 938-943
Author(s):  
Soham Dasgupta ◽  
Heather Friedman ◽  
Nicole Allen ◽  
Megan Stark ◽  
Eric Ferguson ◽  
...  

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.


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