Prevalence of Perioperative Complications After Anterior Spinal Fusion for Patients with Idiopathic Scoliosis

Complications and Risk Factors of Primary Adult Scoliosis Surgery

“…9 Despite its rare occurrence, consequences of deep infection can be substantial. Weis et al 10 and group 3/group 2 OR, 2.23 (95% CI, 1.2-4.4). The fusion to the sacrum showed a signifi cant difference between the complicated and noncomplicated groups.…”

Critical care challenges in orthopedic surgery patients

“…A retrospective study reviewed adult patients undergoing corrective spine surgery between 1986 and 1992 and found no correlation between the Cobb angle, approach (anterior vs. posterior), and the frequency of complications. They did find that smoking was a risk factor for minor pulmonary complications, which occurred in 46% of the patients in the study, without a significant difference in the morbidity or mortality (12). Nahtomi-Shick et al (11) also identified factors associated with ICU admission after orthopedic surgery.…”

“…Assessment of the pulmonary system must focus on evidence of preexisting lung injury or pulmonary disease, pneumonia, and severity of scoliosis. Factors associated with postoperative mechanical ventilation requirements include preexisting neuromuscular disease, severe restrictive pulmonary dysfunction with a vital capacity of Ͻ35% predicted, congenital heart defects, right ventricular failure, obesity, anterior thoracic spine surgery involvement, and blood loss of Ͼ30 mL/kg (12). It is not always a co-morbid condition that predisposes the patient to pulmonary dysfunction.…”

The Incidence and Risk Factors for Short-term Morbidity and Mortality in Pediatric Deformity Spinal Surgery

“…Historically, single-surgeon or single-institution case series dominated the literature. [4][5][6][7] More recently, large, multicenter case series of reported complications after spinal surgery have emerged from the Scoliosis Research Society (SRS) Morbidity and Mortality database. [8][9][10][11] In a series of pediatric patients with scoliosis, Reames et al 11 reported a complication rate of over 10%, highest among neuromuscular cases.…”