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April 29, 2026Journal of Pediatric Orthopaedics B

Comparison of opioid-free versus traditional opioid-containing postoperative pain management pathways for idiopathic scoliosis

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Authors

MSMichael SchallmoKDKatherine DrexeliusEBElizabeth Benson

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Overview

Prospective case-control study compares opioid-free and opioid-containing pathways in pediatric idiopathic scoliosis, indicating equivalent length of stay and reduced opioids prescribed.

Key Points

  • This research aims to evaluate the efficacy of opioid-free pain management versus traditional opioid pathways in pediatric patients with idiopathic scoliosis.
  • Prospective case-control study design.
  • Participants aged 10-20 years with idiopathic scoliosis undergoing primary instrumented spinal fusion.
  • Collected data on total opioid use and length of stay samples; statistical analysis using Wilcoxon, Chi-square, and Fisher's exact tests.
  • Opioid-free group required fewer opioid prescriptions at discharge (27.8% vs. 98.2%) with P < 0.0001.
  • Length of stay was equivalent between groups (P = 0.917).
  • Patients in the opioid-free group had a greater number of levels fused (P = 0.036).

Cite This Study

Schallmo et al. (2026) studied this question.

synapsesocial.com/papers/69f154a4879cb923c4944e20https://doi.org/10.1097/bpb.0000000000001351
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