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Zach Pennington, Ethan Cottrill, Daniel Lubelski, Jeff Ehresman, Kurt Lehner, Mari L. Groves, Paul Sponseller, and Daniel M. Sciubba

. Enhanced recovery after surgery (ERAS) pathways are now being applied to both adult 9 , 10 and pediatric spine surgery populations. 11–17 Despite the growing body of evidence, no quantitative review exists summarizing the existing literature on outcomes of pediatric spinal deformity ERAS protocols. To address this, we report a systematic review of the literature on ERAS for pediatric scoliosis to 1) identify the components of previously described pediatric spine ERAS protocols; 2) determine whether ERAS protocols reduce LOS, complication rates, and costs in pediatric

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Camilo Molina, Daniel M. Sciubba, Christopher Chaput, P. Justin Tortolani, George I. Jallo, and Ryan M. Kretzer

. Given the increased use of TLSs, several authors have recently reported the anatomical characteristics of the cervical and thoracic laminae in the adult population. 6 , 11 , 21 In addition, anatomical characteristics of the cervical laminae of the pediatric spine have been described. 5 However, no such data exist to guide safe TLS placement in the thoracic spine of the pediatric population. Because this technique may be especially applicable as an alternative to PS fixation and as a bailout procedure following failed PS placement in cases of pediatric spinal

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Nancy Abu-Bonsrah, C. Rory Goodwin, Gezzer Ortega, Fizan Abdullah, Edward Cornwell, Rafael De la Garza-Ramos, Mari L. Groves, Michael Ain, Paul D. Sponseller, and Daniel M. Sciubba

found that the unplanned readmission and reoperation rates were 3.96% and 3.6%, respectively. Pugely et al. 16 recently reported similar readmission (3.94%) and reoperation (3.74%) rates in patients undergoing arthrodesis for pediatric spinal deformities, and Minhas et al. 15 reported a 30-day readmission rate of 3.4% in pediatric patients in the NSQIP database who underwent surgical treatment of pediatric scoliosis. Li et al. 12 also reported a 30-day reoperation rate of 2.1% in a single institution of patients undergoing fusion for spinal deformity. Jain et al

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Rafael De la Garza Ramos, C. Rory Goodwin, Nancy Abu-Bonsrah, Amit Jain, Emily K. Miller, Nicole Huang, Khaled M. Kebaish, Paul D. Sponseller, and Daniel M. Sciubba

: Pulmonary complications in anterior-posterior thoracic lumbar fusions . Spine J 4 : 312 – 316 , 2004 16 Kepler CK , Meredith DS , Green DW , Widmann RF : Long-term outcomes after posterior spine fusion for adolescent idiopathic scoliosis . Curr Opin Pediatr 24 : 68 – 75 , 2012 17 Lenke LG , Newton PO , Sucato DJ , Shufflebarger HL , Emans JB , Sponseller PD , : Complications after 147 consecutive vertebral column resections for severe pediatric spinal deformity: a multicenter analysis . Spine (Phila Pa 1976) 38 : 119 – 132

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Patrick C. Hsieh, Tyler R. Koski, Daniel M. Sciubba, Dave J. Moller, Brian A. O'shaughnessy, Khan W. Li, Ziya L. Gokaslan, Stephen L. Ondra, Richard G. Fessler, , and John C. Liu

diseases of the spine . Ann Thorac Surg 56 : 736 – 738 , 1993 24 Magerl F , Aebi M , Gertzbein SD , Harms J , Nazarian S : A comprehensive classification of thoracic and lumbar injuries . Eur Spine J 3 : 184 – 201 , 1994 25 Newton PO , White KK , Faro F , Gaynor T : The success of thoracoscopic anterior fusion in a consecutive series of 112 pediatric spinal deformity cases . Spine 30 : 392 – 398 , 2005 26 Norton RP , Patel D , Kurd MF , Picetti GD , Vaccaro AR : The use of thoracoscopy in the management of

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Justin K. Scheer, Justin S. Smith, Frank Schwab, Virginie Lafage, Christopher I. Shaffrey, Shay Bess, Alan H. Daniels, Robert A. Hart, Themistocles S. Protopsaltis, Gregory M. Mundis Jr., Daniel M. Sciubba, Tamir Ailon, Douglas C. Burton, Eric Klineberg, Christopher P. Ames, and The International Spine Study Group

Schwab F , Ungar B , Blondel B , Buchowski J , Coe J , Deinlein D , : Scoliosis Research Society–Schwab adult spinal deformity classification: a validation study . Spine (Phila Pa 1976) 37 : 1077 – 1082 , 2012 22045006 10.1097/BRS.0b013e31823e15e2 36 Smith JS , Kasliwal MK , Crawford A , Shaffrey CI : Outcomes, expectations, and complications overview for the surgical treatment of adult and pediatric spinal deformity. . Spine Deform [epub ahead of print] 2012 10.1016/j.jspd.2012.04.011 37 Smith JS , Klineberg E , Schwab F

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Justin K. Scheer, Taemin Oh, Justin S. Smith, Christopher I. Shaffrey, Alan H. Daniels, Daniel M. Sciubba, D. Kojo Hamilton, Themistocles S. Protopsaltis, Peter G. Passias, Robert A. Hart, Douglas C. Burton, Shay Bess, Renaud Lafage, Virginie Lafage, Frank Schwab, Eric O. Klineberg, Christopher P. Ames, and the International Spine Study Group

and assessment of symptomatic pseudarthrosis after lumbar pedicle subtraction osteotomy in adult spinal deformity . Spine (Phila Pa 1976) 39 : 1190 – 1195 , 2014 10.1097/BRS.0000000000000380 25171067 6 How NE , Street JT , Dvorak MF , Fisher CG , Kwon BK , Paquette S , : Pseudarthrosis in adult and pediatric spinal deformity surgery: a systematic review of the literature and meta-analysis of incidence, characteristics, and risk factors. Neurosurg Rev [epub ahead of print], 2018 29411177 7 Ialenti MN , Lonner BS , Verma K , Dean L