Coping After Pediatric Scoliosis Surgery

Coping After Pediatric Scoliosis Surgery: How Does it Affect Pain and Function?

This is a prospective, randomized controlled trial evaluating the efficacy of expanded patient education and coping skills on pain management following multilevel pediatric spinal surgery. The intervention will include a smartphone- based platform and a comprehensive library of peri-operative educational and coping skills videos as a means for better addressing the psychosocial elements of a child's individual pain experience. The study evaluated whether this novel intervention will reduce pain, improve outcomes and accelerate functional recovery up to 6 weeks after surgery.

Inclusion criteria:

- All children ages 11 to 18 years old treated with primary multilevel spinal surgery of any approach

Exclusion Criteria:

• Non-English speaking
• Non-idiopathic scoliosis, such as neuromuscular, congenital or syndromic.
• Other comorbidity, including developmental delay.
• Any surgical complication that results in significant divergence from our institution's standard scoliosis pathway.
• Unplanned admission within 6 weeks of index operation.
• Active treatment psychotherapy and/or cognitive behavioral therapy for any reason