Management of Adult Scoliosis-Tyler R. Koski, MD, FAANS Video

Video Transcription

Video Summary

In this video, Dr. Tyler Koski, an associate professor and director of the Neurological Spine Surgery Program at Northwestern University, discusses complications, avoidance, and adult deformity surgery. He mentions that adult spinal deformity can include scoliosis, degenerative scoliosis, adult idiopathic scoliosis, iatrogenic deformities, kyphosis, and sagittal plane imbalance. Dr. Koski highlights the high complication rates associated with these surgeries, citing studies that have reported complication rates ranging from 47% to 72%. He then discusses various factors that can contribute to complications, including poor positioning of the patient, inadequate assessment and planning, inadequate medical optimization, poor bone health, and technical errors during surgery. Dr. Koski emphasizes the importance of patient selection, modifiable risk factors, and appropriate surgical planning to reduce complications. He also mentions the Northwestern high-risk spine protocol, which aims to optimize patient health preoperatively to minimize complications. Dr. Koski concludes by discussing the importance of proper alignment and the need for a comprehensive approach to reducing complications and improving patient outcomes in adult deformity surgery.

Keywords

complications

adult deformity surgery

complication rates

patient selection

surgical planning

patient outcomes