PT  - JOURNAL ARTICLE
AU  - Bourget-Murray, Jonathan
AU  - Ferri-de-Barros, Fabio
TI  - Reinventing the wheel in scoliosis surgery: effective strategies for safely improving efficiency
AID  - 10.1503/cjs.019317
DP  - 2019 Feb 01
TA  - Canadian Journal of Surgery
PG  - 7--8
VI  - 62
IP  - 1
4099  - http://canjsurg.ca/content/62/1/7.short
4100  - http://canjsurg.ca/content/62/1/7.full
SO  - CAN J SURG2019 Feb 01; 62
AB  - Posterior spinal instrumentation and fusion (PSIF) has been the standard operative treatment for adolescent idiopathic scoliosis (AIS) and is one of the most frequently performed elective pediatric surgeries in North America, incurring an expenditure of more than $1.1 billion annually in the United States alone. This commentary reflects on the outcomes of systematically implementing intraoperative skull femoral traction (IOSFT) combined with navigated sequential drilling (NSD) during PSIF for AIS as strategies for quality improvement at our tertiary children’s hospital.