Adolescent Idiopathic Scoliosis Roadmap

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Preoperative visit

I will:

  • Have blood tests
  • Have X-rays taken
  • Meet with Anesthesia/CPAP

Meet with nurse who will:

  • Tell me how to get ready for surgery
  • Tell me what to expect while in the hospital
  • Give me written instructions to take home

Meet with surgeon and/or members of the surgery team who will:

  • Explain the operation to me

Two weeks before surgery

I will: 

  • Stop taking NSAID medications (ibuprofen, aspirin, naproxen, ketorolac)

Five days before surgery

I will: 

  • Use mupirocin ointment if prescribed.
  • Take miralax medication if indicated by surgery team.

Three days before surgery

I will: 

  • Wash my back with antibacterial Hibiclens soap

One day before surgery

I will:

  • Receive a phone call from nurse at SLCH about when to arrive for surgery and when to stop eating and drinking.
  • Stop eating and drinking as instructed (midnight if not instructed).
  • Take a shower with antibacterial Hibiclens soap and wear freshly washed clothes to sleep.
  • Wash sheets on bed so they are clean for my arrival home at discharge.

Day of surgery

I will:

  • Take a shower with antibacterial soap.
  • Take medications (if medications) as prescribed.
  • Have nothing to eat or drink after midnight or as instructed.

At the hospital, I will meet with a nurse who will:

  • Help me get ready for surgery (change into a hospital gown, wipe back with antibacterial soap, start IV and antibiotics.. etc).
  • Have my surgery; be transferred to recovery room and then my room on the 10th floor).

After surgery, I will:

  • Tell my nurse If I have pain greater than 4/10 on the pain scale.
  • Eat ice chips and take sips of clears.

One day after surgery

I will:

  • Use my Incentive Spirometer every hour while awake and respiratory treatments.
  • Do arm and leg exercises with physical therapy, sit on the side of the bed with physical therapy in the morning, and sit in a chair in the afternoon with physical therapy.
  • Maintain spine precautions.
  • Take oral pain medications after pain PCA is removed; tell my nurse if my pain is greater than 4/10.
  • Drink more clear liquids advancing to regular as my stomach tolerates
  • Take prescribed stool softeners.

Two days after surgery

I will:

  • Use my Incentive Spirometer every hour while awake and respiratory treatments.
  • Have the urine tube in my bladder removed.
  • Get up and walk to the bathroom or use a urinal.
  • Eat a regular diet and drink plenty of liquids.
  • Sit up in a chair for all meals.
  • Participate in exercises with physical therapy.
  • Walk to the door of my room in the morning with physical therapy.
  • Walk to the hallway in the afternoon with physical therapy.
  • Tell my nurse if my pain is greater than 4/10.
  • Tell nurse or doctor if I start to pass flatus.
  • Plan to go home tomorrow.

Three days after surgery

I will:

  • Continue the same as yesterday (get up and walk, do breathing exercises, eat and drink, etc.).
  • Tell my nurse if my pain reaches 4/10 on the pain scale.
  • Have drains removed (if present).
  • Have standing x-rays taken.
  • Have a suppository if I have not had a bowel movement.
  • Review written discharge instructions with my nurse.
  • Pick up discharge prescriptions (pain medication and stool softeners) in pharmacy at St. Louis Children's Hospital.
  • Leave hospital with filled prescriptions and follow up appointment time.
  • Go home around lunch time.











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