@article{3e7f8fceb972457db91ce1bfc7be6110,
title = "Adult Spinal Deformity Knowledge in Orthopedic Spine Surgeons: Impact of Fellowship Training, Experience, and Practice Characteristics",
abstract = "Study Design Survey study. Objective The purpose of this paper was to assess the level of adult spine deformity (ASD) knowledge among orthopedic spine surgeons and identify areas for improvement in spine surgery training. Summary of Background Data ASD is increasingly encountered in spine surgery practice. While ASD knowledge among neurosurgeons has been evaluated, ASD knowledge among orthopedic spine surgeons has not previously been reported. Methods A survey of orthopedic spine surgeon members of North American Spine Society (NASS) was conducted to assess level of spine surgery training, practice experience, and spinal deformity knowledge base. The survey used was previously completed by a group of neurologic surgeons with published results. The survey used 11 questions developed and agreed upon by experienced spinal deformity surgeons. Results Complete responses were received from 413 orthopedic spine surgeons. The overall correct-answer rate was 69.0%. Surgeons in practice for less than 10 years had a higher correct-answer rate compared to those who have practiced for 10 years or more (74% vs. 67%; p =.000003). Surgeons with 75% or more of their practice dedicated to spine had a higher overall correct rate compared to surgeons whose practice is less than 75% spine (71% vs. 63%; p =.000029). Completion of spine fellowship was associated with a higher overall correct-answer rate compared to respondents who did not complete a spine fellowship (71% vs. 59%; p <.00001). Conclusions Completion of spine fellowship and having a dedicated spine surgery practice were significantly associated with improved performance on this ASD knowledge survey. Unlike neurosurgeons, orthopedic spine surgeons who have practiced for less than 10 years performed better than those who have practiced for more than 10 years. Ongoing emphasis on spine deformity education should be emphasized to improve adult spinal deformity knowledge base.",
keywords = "Knowledge base, Sducation, Spine deformity",
author = "Grabel, {Zachary J.} and Hart, {Robert A.} and Clark, {Aaron P.} and Park, {Sara Heejung} and Shaffrey, {Christopher I.} and Scheer, {Justin K.} and Smith, {Justin S.} and Kelly, {Michael P.} and DePasse, {J. Mason} and Gupta, {Munish C.} and Ames, {Christopher P.} and Daniels, {Alan H.}",
note = "Funding Information: Author disclosures: ZJG (none); RAH (royalties from Seaspine and DePuy Synthes; stock ownership in Spine Connect; consulting fees from DePuy Synthes, Globus, Medtronic; payment for speaking and/or teaching arrangements from DePuy Synthes; is among the board of directors of Cervical Spine Research Society [CSRS], International Society for Study of the Lumbar Spine [ISSLS], International Spine Study Group [ISSG]; and institutional grants from Medtronic and International Spine Study Group Foundation [ISSGF]); APC (none); SHP (none); CIS (royalties from Medtronic, Biomet, Nuvasive; stock ownership from Nuvasive; consulting fees from Biomet, Medtronic, Nuvasive, and Stryker; is among the board of directors of American Association of Neurological Surgeons [AANS], American Board of Neurological Surgery [ABNS], Neurosurgery Research and Education Foundation [NREF], CSRS; and institutional grants from the National Institutes of Health [NIH], Department of Defense, AOSpine North America [AO], NREF, and North American Clinical Trials Network [NACTN]; fellowship support from NREF, AO, and University of Virginia); JKS (none); JSS (fees for speaking and/or teaching arrangements from Globus and DePuy; grants from DePuy [study group funding]; fellowship support from NREF and AO; royalties to self and to institution from Biomet; consulting fees from Biomet, Nuvasive, and Cerapedics; fees for speaking and/or teaching arrangements from K2M); MPK (consulting fees from Gerson Lehrman Group [GLG]; institutional grants from AO, Orthopaedic Research and Education Foundation [OREF], and Barnes Jewish Foundation; fellowship support from AO and OREF); JMD (other from Stryker, outside the submitted work); MCG (grant from Medicrea and consulting fee or honorarium from DePuy and Orthofix, both related to this study; royalties from DePuy; stock ownership in Johnson & Johnson and Pfizer; consulting fees from Medtronic; and is among the board of directors of the Scoliosis Research Society [SRS]); CPA (royalties from Biomet Spine and Stryker; stock ownership in Doctors Research Group; consulting fees from DePuy, Medtronic, and Stryker; and research support from University of California, San Francisco); AHD (consulting fees from Stryker, Globus, and DePuy; trips/travel allowances from Medtronic, DePuy, Stryker, and Globus; scientific advisory board/ other office in Osseus; and research support from Orthofix). Publisher Copyright: {\textcopyright} 2017",
year = "2018",
month = jan,
doi = "10.1016/j.jspd.2017.06.003",
language = "English",
volume = "6",
pages = "60--66",
journal = "Spine Deformity",
issn = "2212-134X",
number = "1",
}