PURPOSE: To evaluate the perioperative complications associated with surgical correction in neuromuscular scoliosis and to identify the risk factors associated with these complications. METHODS: A retrospective review of the hospital charts of patients with neuromuscular scoliosis who underwent surgical correction at a medical center was performed. RESULTS: Data was available on a total of 175 patients. The overall perioperative complication rate was 33.1% (96 complications in 58 patients). Complications were subdivided into pulmonary issues (19.4%), wound and implant infections (9.7%), cardiovascular complications (4.0%), intraoperative neurological changes (4.6%), miscellaneous complications (5.7%), and problematic instrumentation (3.4%). No patient had an identifiable permanent postoperative change in neurological status. The complication rate in patients who underwent single-stage procedures (37.4%) was found lower than that in patients who underwent staged procedures (57.1%). There were no deaths during the perioperative period. CONCLUSIONS: Patients with neuromuscular scoliosis are at high risk of developing perioperative complications after surgical correction of their deformity (overall rate, 33.1%).
PURPOSE: To evaluate the perioperative complications associated with surgical correction in neuromuscular scoliosis and to identify the risk factors associated with these complications. METHODS: A retrospective review of the hospital charts of patients with neuromuscular scoliosis who underwent surgical correction at a medical center was performed. RESULTS: Data was available on a total of 175 patients. The overall perioperative complication rate was 33.1% (96 complications in 58 patients). Complications were subdivided into pulmonary issues (19.4%), wound and implant infections (9.7%), cardiovascular complications (4.0%), intraoperative neurological changes (4.6%), miscellaneous complications (5.7%), and problematic instrumentation (3.4%). No patient had an identifiable permanent postoperative change in neurological status. The complication rate in patients who underwent single-stage procedures (37.4%) was found lower than that in patients who underwent staged procedures (57.1%). There were no deaths during the perioperative period. CONCLUSIONS:Patients with neuromuscular scoliosis are at high risk of developing perioperative complications after surgical correction of their deformity (overall rate, 33.1%).
Authors: Amer F Samdani; Eric J Belin; James T Bennett; Firoz Miyanji; Joshua M Pahys; Suken A Shah; Peter O Newton; Randal R Betz; Patrick J Cahill; Paul D Sponseller Journal: Eur Spine J Date: 2015-07-07 Impact factor: 3.134
Authors: Lorena V Floccari; Alvin W Su; Amy L McIntosh; Karl Rathjen; William J Shaughnessy; A Noelle Larson Journal: J Pediatr Orthop Date: 2019-04 Impact factor: 2.324
Authors: Hyon Su Chong; Eun Su Moon; Hak Sun Kim; Nanda Ankur; Jin Oh Park; Jin Young Kim; Phillip Anthony B Kho; Seong Hwan Moon; Hwan Mo Lee; Nam Hun Seul Journal: Asian Spine J Date: 2010-11-24