SC Portland Outcomes Report 2023

SHRINERS CHILDREN’S PORTLAND PEDIATRIC SPINE PROGRAM At Shriners Children’s Portland, we have a dedicated multidisciplinary team approach when it comes to the care of pediatric spinal disorders. We have four pediatric fellowship-trained surgeons dedicated to treating patients with pediatric spinal disorders, making it one of the largest groups on the west coast. Additionally, to create a holistic care model for children, we have a pediatric psychologist as an integral part of the team, as well as in-house physical therapists and orthotists, dedicated radiology technicians, advanced practice providers, dedicated inpatient and outpatient nurses, medical assistants and care managers to complete the team. We offer a wide array of both nonsurgical and surgical treatments for pediatric spinal disorders, including innovative surgical treatments such as vertebral body tethering (VBT) and magnetically controlled growing rods (MCGR or MAGEC rods). We scrutinize and analyze patient-reported outcomes with all of our treatments to improve our care delivery, efficiency and efficacy. Additionally, every single surgical case, no matter how big or small, is presented at a weekly conference for discussion amongst the spine surgeons to ensure the optimal treatment is being performed for every child and for continued quality improvement. Through all of this, safety remains our top priority. Certain technological advancements have allowed us to better achieve this goal. We are one of the only centers in the Pacific Northwest with the EOS imaging system, which allows for low-radiation x-rays of the spine to be obtained in growing children. In surgery, spinal cord monitoring allows us to monitor the health and function of the spinal cord in real-time during surgery and has become the standard of care at our institution. Finally, we are the only pediatric center in Oregon with an imaging device known as the O-arm specifically only using it for children, allowing us to obtain real-time 3D imaging of the spine in surgery. Combined with a technology known as navigation, this allows us to safely place our implants into the spine in a reproducible manner with accuracy down to the millimeter. The combination of our multidisciplinary team, ongoing analysis and scrutiny of patient reported outcomes and enabling technologies such as the O-arm, EOS and spinal cord monitoring allows us to provide the best and safest care for children with spinal disorders.

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