Critical issues underlying expenditures for adolescent idiopathic scoliosis surgery: questioning the surgical treatment motivation

We read with interest the study from Workman et al.1 They presented the representative hospital expenditures of adolescent idiopathic scoliosis (AIS) surgery, based on a national database. Analyzing 16 992 cases, they noted that the primary contribution for hospital cost was derived from spinal implants. Because AIS surgery carries a heavy burden to limited health resources, critical issues exist before deciding whether to treat surgically children and adolescents with a benign spinal deformity such as AIS.

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