1. Research Data Collection Oheneba Boachie-Adjei, MD Professor Orthopedic Surgery Weill Medical College of Cornell University Chief Scoliosis Service Hospital For Special Surgery, New York

2. FOCOS DATABASE History Need for a comprehensive database for spine deformity data collection

3. FOCOS Database v1 (2001) Purpose: RESEARCH REGISTRY AND DATABASE FOR NATURAL HISTORY AND OUTCOME STUDIES

4. FOCOS Database v2 (2006) Sponsored by DePuy Spine

5. FOCOS Database v2. (2006) Purpose Clinical registry –Data collection –Data retrieval –Reporting –Publications

6. 2 Tabs: Main & Operative

7. Medical History Demographics (entered initially) appear on every field. No need to enter more than Once.

8. Neurologic Exam Drop down options Users must indicate an abnormal Sensation to enter data in this section

9. General Exam Main Sections: Anthropometric Vital Signs Pulmonary Function Tests General Exam Drop down options: Yes No Unk N/A

10. Oswestry Questionnaire Text Box SF-12 is Not captured in FOCOS Database v2 Automatic calculation

11. Spine Exam

12. SRS 22 Questionnaire Automatic Calculations

13. Radiographic Jacket Drop down options for vertebrae

14. Other Treatment

15. Family History

16. Diagnosis Deformity - Scoliosis

17. Diagnosis: Deformity Neuromuscular Scoliosis

18. Diagnosis: Sagittal Plane Deformity Age Group Options:

19. Diagnosis: Syndrome/Other - Complications

20. Syndrome/Other (Syndrome)

21. Diagnosis: Degenerative - Spondylolisthesis

22. Diagnosis: Degenerative

23. Diagnosis: Fracture/Trauma

24. Adding an Operative Report

25. Surgery: Posterior

26. Instrumentation

27. Instrumentation: Screw Fixation

28. Instrumentation: Hook Fixation

29. Instrumentation: Interbody Cage

30. Instrumentation: Connectors

31. Instrumentation: Other Implants

32. Surgery: Operative Details

33. Surgery: Bone Graft

34. Surgery: Spinal Cord Monitoring

35. Surgery: Intra Op Complications

36. Surgery: Post Op Complications

37. Surgery: Complications leading to death

38. Revision Surgery

39. Surgery: Anterior/ Posterior

40. Advantages of FOCOS Database v2 User Friendly Password Protected HIPAA Compliant Drop down fields are easier for reporting

41. A database with a purpose… Generating A Report

42. 2 Options For Database users on server –Accessing the data extraction tool via server login For Independent database users

43. FOCOS Database Data Extraction Tool Ability to choose data from Various sites who enter Data onto the database Server.

44. Types of Reports Generated Microsoft Access based Back end Tables for datapoints

45. Creating a Query

47. Advantages of Querying Tool

51. Research in Motion