Inpatient Clinical Pathway for Adolescent Idiopathic Scoliosis (AIS) Spinal Fusion Rapid Recovery — Inpatient

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Goals and Metrics

Quality Story
A Dedicated Team for Scoliosis Surgery

Additional Considerations

Target AIS Patient Population

Surgical Day

GOALS FOR DAY 0
PCA Initiation
Analgesia regimen
Early mobilization

Goals for POD #1
Analgesia – begin PO regimen
Advance mobility
DC Foley as clinically appropriate

Post-Operative Day 1

Goals for POD #2
Maintain PO pain regimen
Advance mobility
Discharge preparation

Post-Operative Day 2

Post-Operative Day 3
To Discharge

Goals for POD #3
Analgesia
Discharge Preparation

Discharge Home

Discharge Criteria
Tolerating oral analgesia PT/OT clearance
Tolerating diet

Pager Contact Info

Ortho Resident: 11014
Inpatient Ortho APP on Call: See Extend Pager System
Pain Service: 10444, 70444
Boston Orthotics & Prosthetics (O&P): 215-634-9399

Posted: December 2014
Revised: December 2016 (Reviewed), February 2019, July 2021
Authors: W. Muhly, MD; A. Norton, CRNP; K. Ryan, CRNP; W. Sankar, MD; J. Flynn, MD; L. Maxwell, MD;
R. Rojas, RN; K. Mason, CNS; A. Grachen PharmD; C. Strawley, CRNP

Evidence

CHOP Program

Spine Program: Idiopathic Scoliosis

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.