Factors predicting postoperative complications following spinal fusions in children with cerebral palsy scoliosis

Nishnianidze, Tristan; Bayhan, Avni İlhan; Abousamra, Oussama; Sees, Julieanne P.; Rogers, Kenneth; Dabney, Kirk W.; Miller, Freeman

doi:10.1007/s00586-015-4243-0

Cited by 37 publications

(30 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Epilepsy remained a significant risk factor in the multivariate analysis (OR 13.12, p = 0.024). A higher GMFCS level was not found to be a risk factor for postoperative (14,15). The major differences between studies may be caused by different definitions of pneumonia.…”

Section: Resultsmentioning

confidence: 81%

See 1 more Smart Citation

Complication rate after scoliosis surgery in children with cerebral palsy

Vandendriessche¹,

Proesmans²,

Ortibus³

et al. 2021

Acta Orthop Belg

View full text Add to dashboard Cite

Scoliosis is an important problem in children with cerebral palsy (CP). However, the choice for a spinal fusion has to be weighed against the risks of major surgery in this vulnerable population. Paediatricians are frequently consulted preoperatively to assess the (respiratory) risk involved, but data on this question specific for CP are rare. Therefore, we investigated the complication rate after scoliosis surgery in children with CP, compared to idiopathic scoliosis (IS), and we searched for risk factors for the most common complications. In a retrospective monocenter study we analyzed the medical records from all children with CP and IS undergoing scoliosis surgery from 2010 until 2014. Duration of hospitalization and postoperative complications were compared within a 6-month follow-up. Univariate and multivariate logistic regression models were used to identify risk factors. The study included 44 patients with CP (mean age 15y0mo) and 78 patients with IS (mean age 14y6mo). Children with CP experience a higher rate of complications : respiratory and cardiovascular, as well as wound infections and decubitus ulcers (p<0.05). Postoperative pneumonia was the most frequent complication in both patient groups (43% and 18% in CP and IS respectively), with epilepsy being a significant risk factor (OR 3.85, p= 0.037) in children with CP. Intensive care unit and total hospital stay were longer in the CP group (p<0.001). These results may add information on perioperative care and surgical decision making.

show abstract

Section: Resultsmentioning

confidence: 81%

“…They could all, except for one patient, be extubated within 24 hours after surgery which makes the contribution of ventilator associated pneumonia less likely. Other studies report longer ventilation times (14)(15)(16). In a cohort of 303 patients with CP 154 were ventilated more than 48 hours (14).…”

Section: Resultsmentioning

confidence: 92%

Complication rate after scoliosis surgery in children with cerebral palsy

Vandendriessche¹,

Proesmans²,

Ortibus³

et al. 2021

Acta Orthop Belg

View full text Add to dashboard Cite

show abstract

“…According WHO Database on Child Growth and Malnutrition, Z-score lower than -2, or the lowest 2.3% weight-for-age in general population, is commonly used as the cut-off for malnutrition [16]. Malnourished children have increased risk for infection, fractures, surgical complications [17][18][19][20], or even early deaths [21]. In this study, the prevalence of malnutrition before growing-rod implantation was 28.9%, and was reduced to 7.7% at the nal follow-up.…”

Section: Discussionmentioning

confidence: 99%

Growing-Rod Implantation Improves Nutrition Status of Early-Onset Scoliosis Patients: A Case Series Study of Minimum 3-Year Follow-Up

Lin

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Early onset scoliosis (EOS) may cause malnutrition in affected patients. Growing-rod treatment has been an effective protocol for treating EOS. The objective of this study is to demonstrate whether growing-rod treatment improves nutritional status of EOS patients.Methods: 52 EOS patients who had dual growing-rod surgery was enrolled. The minimum follow-up was 3-years. Their body weights were normalized based on the data of two National Population Census of China. Z-scores were used to indicate the standard deviation from the median body weight-for-age.Results: The median follow-up time was 6 years. Preoperatively, the prevalence of malnutrition (Z<-2) was 21.2%, and reduced to 9.6% at the end of the follow-up. Preoperatively, the average Z-score was -0.94, and it increased to -0.65 at the latest follow-up (p<0.05). Patients with preoperative Z-score below -1 had more significant increase of Z-scores (-2.15 vs -1.26, p<0.001). A significant negative correlation between the change of Z-score and the preoperative Z-score (correlation coefficient -0.65, p<0.001).Conclusions: The growing rod surgery and lengthening procedures significantly improves the nutrition status of EOS patients. The body weight gains are more significant in patients with lower body weights.

show abstract

“…Promisingly, these studies have a greater focus on QoL, activity, and participation outcomes, as well as consideration of the importance of pelvic obliquity correction in this population . Systematic means of determining risk of complications are also re‐emerging with the use of a preoperative risk score and postoperative complications score in a recent study, first used in 1999 . The Clavien‐Dindo scale, an established tool for classifying surgical complications has also been used in another recent study examining complications after neuromuscular scoliosis surgery …”

Section: Discussionmentioning

confidence: 99%

Outcomes after scoliosis surgery for children with cerebral palsy: a systematic review

Toovey

Harvey

Johnson

et al. 2017

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

Factors predicting postoperative complications following spinal fusions in children with cerebral palsy scoliosis

Abstract: This study suggests that G-tube dependence is a predictive risk factor of complications after PSF in CP scoliosis. Children with G-tube need special perioperative care. No other specific preoperative risk factor predicted postoperative complications.

Cited by 37 publications

References 27 publications

Complication rate after scoliosis surgery in children with cerebral palsy

Complication rate after scoliosis surgery in children with cerebral palsy

Growing-Rod Implantation Improves Nutrition Status of Early-Onset Scoliosis Patients: A Case Series Study of Minimum 3-Year Follow-Up

Outcomes after scoliosis surgery for children with cerebral palsy: a systematic review

Contact Info

Product

Resources

About