Inclusion Criteria:

• * must meet criteria for surgical correction of scoliosis
• * must be able to swallow pills
• * must have English as a primary language
• * must possess mental capacity to understand purpose of the study
• * patient must carry diagnosis of adolescent idiopathic scoliosis
• * surgery must be performed via posterior approach
• * operation performed by either Dr. John T. Anderson, Dr. Richard M. Schwend, Dr. Aaron Shaw, Dr. Michael Benvenuti
• * post-surgical AIS patients from June 2019-June 2024
• * the patient must be between the ages of 12 and 17 years old
• * the patient and one of their biological parents or guardian(s) must give consent for patient to be included in this study
• * Negative Suicide screen

Exclusion Criteria:

• * obesity, as defined by a BMI at or above the 95th percentile
• * weight below 40 kg
• * any orthopedic diagnosis other than AIS
• * revision spine surgery
• * anterior or combined approach
• * admission to PICU post-op
• * use of Oxycodone post-op
• * allergies to ibuprofen, caffeine, codeine, or diazepam
• * history of renal disease
• * history of a coagulation disorder
• * history of cardiac dysrhythmia or open heart surgery
• * history of Chronic Pain Syndrome or Complex Regional Pain Syndrome
• * current use of oral central nervous system stimulant (e.g. methylphenidate)
• * Positive Suicide screen
• The following populations will be excluded:
• * Children over the age of 18, or turning 18 during time of surgical treatment
• * Children or parents unable to consent
• * Individuals with cognitive delays
• * Pregnant females
• * Prisoners
• * Wards of the state