Creation of a pediatric robotic spine surgery registry will allow for data collection and analysis on the coupled use of robotics and navigation, as well as patient-specific rods in pediatric spine deformity surgery across participating study institutions. Eventually, an educational and informative framework for this technology will be established.
Study Type
OBSERVATIONAL
Enrollment
700
Cedars-Sinai Medical Center
Los Angeles, California, United States
NOT_YET_RECRUITINGChildren's Hospital Colorado
Aurora, Colorado, United States
RECRUITINGChildren's Healthcare of Atlanta
Atlanta, Georgia, United States
RECRUITINGBoston Children's Hospital
Boston, Massachusetts, United States
RECRUITINGSt. Louis Children's Hospital
St Louis, Missouri, United States
NOT_YET_RECRUITINGHospital for Special Surgery
New York, New York, United States
RECRUITINGRainbow Babies & Children's Hospital
Cleveland, Ohio, United States
NOT_YET_RECRUITINGSt. Luke's University Health Network
Bethlehem, Pennsylvania, United States
RECRUITINGMedical University of South Carolina Shawn Jenkins Children's Hospital
Charleston, South Carolina, United States
RECRUITINGDell Children's Medical Center
Austin, Texas, United States
RECRUITINGproportion of pedicle screws within 2 mm of cortical breach
The proportion of pedicle screws within 2 mm of cortical breach when assessed on intraoperative O-arm scans and postoperative CT scans (when applicable).
Time frame: Time of surgery
radiation dose to patient and surgeon per screw
Radiation dose to patient and surgeon per screw based on the following imaging studies when performed: preoperative CT scan, intraoperative O-arm scans, and fluoroscopy.
Time frame: Time of surgery
Scoliosis Research Society (SRS-30) Questionnaire
Questionnaires will be completed by both the patient and caregiver based on their appropriate diagnosis (i.e. idiopathic, congenital, spondylolisthesis, etc.).
Time frame: Baseline, 6 Months, 1 Year, 2 Years, and 5 Years
Early Onset Scoliosis 24-Item Questionnaire (EOSQ-24)
Questionnaires will be completed by both the patient and caregiver based on their appropriate diagnosis (i.e. idiopathic, congenital, spondylolisthesis, etc.).
Time frame: Baseline, 6 Months, 1 Year, 2 Years, and 5 Years
Caregiver Priorities & Child Health Index of Life with Disabilities (CP Child)
Questionnaires will be completed by both the patient and caregiver based on their appropriate diagnosis (i.e. idiopathic, congenital, spondylolisthesis, etc.).
Time frame: Baseline, 6 Months, 1 Year, 2 Years, and 5 Years
Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Activity
"Self-reported capability rather than actual performance of physical activities. This includes the functioning of one's upper extremities (dexterity), lower extremities (walking or mobility), and central regions (neck, back), as well as instrumental activities of daily living."
Time frame: Baseline, 6 Months, 1 Year, 2 Years, and 5 Years
Patient-Reported Outcomes Measurement Information System (PROMIS) Emotional Distress - Anxiety
"Fear (fearfulness, panic), anxious misery (worry, dread), hyperarousal (tension, nervousness, restlessness), and somatic symptoms related to arousal (racing heart, dizziness)."
Time frame: Baseline, 6 Months, 1 Year, 2 Years, and 5 Years
Patient-Reported Outcomes Measurement Information System (PROMIS) Emotional Distress - Depressive Symptoms
"Negative mood (sadness, guilt), views of self (self- criticism, worthlessness), and social cognition (loneliness, interpersonal alienation), as well as decreased positive affect and engagement (loss of interest, meaning, and purpose)."
Time frame: Baseline, 6 Months, 1 Year, 2 Years, and 5 Years
Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function - Mobility
"Activities of physical mobility such as getting out of bed or a chair to activities such as running."
Time frame: Baseline, 6 Months, 1 Year, 2 Years, and 5 Years
Patient-Reported Outcomes Measurement Information System (PROMIS) Pain - Interference
"Consequences of pain on relevant aspects of one's life. This includes the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities."
Time frame: Baseline, 6 Months, 1 Year, 2 Years, and 5 Years
Patient-Reported Outcomes Measurement Information System (PROMIS) Peer Relationships
"Quality of relationships with friends and other acquaintances."
Time frame: Baseline, 6 Months, 1 Year, 2 Years, and 5 Years
Operative time
Data collection on time related to robotics-navigation, including registration, screw planning, screw placement, and total time related to platform use defined as the beginning of registration to last screw placement.
Time frame: Time of surgery
Estimated blood loss (EBL)
EBL during surgery will be reported by the surgeon or extracted from surgical documentation.
Time frame: Time of surgery
Total operative cost
Capital expenses associated with the equipment and software, preoperative planning time, surgical time, and costs for revision surgery caused by screw malposition.
Time frame: Time of surgery
Improvement to spinopelvic alignment with PSR
Spinopelvic alignment parameters including pelvic tilt, pelvic incidence, lumbar lordosis, thoracic kyphosis and sagittal vertical axis
Time frame: Baseline, Predicted plan, 6 months, 1 year, 2 years, 5 years
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