Rate of complications due to neuromuscular scoliosis spine surgery in a 30-years consecutive series

Turturro, Francesco; Montanaro, Antonello; Calderaro, Cosma; Labianca, Luca; Sanzo, Vincenzo Di; Ferretti, Andrea

doi:10.1007/s00586-017-5034-6

Cited by 19 publications

(12 citation statements)

References 60 publications

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“…Several large series of patients with NMS and rates of complications have been published recently. Rumalla et al [34] reviewed 2154 NMS fusion cases from 2002 to 2011 from a national inpatient database, and reported an overall complication rate of 40.1%.Turturro et al [35] reviewed a single center consecutive series of 185 NMS patients over a 30-year time period. These authors reported a rate of adverse events that approached 30%, but specified that the rate of complications that affected the final care of the patient was approximately 9%.…”

Section: Complicationsmentioning

confidence: 99%

Current concepts in neuromuscular scoliosis

Murphy

Mooney

2019

Curr Rev Musculoskelet Med

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Purpose of Review Spinal deformity is a common issue in pediatric patients with an underlying neurological diagnosis or syndrome. Management of neuromuscular scoliosis (NMS) is a major part of the orthopedic care of such patients, as the deformity is often progressive, and may affect gait, seating and positioning. In addition, untreated large spinal deformities may be associated with pain and/or cardiopulmonary issues over time. Recent Findings Recent changes in medical management of the underlying disease process appears to alter the natural history of certain neuromuscular conditions, and in the case of patients with Duchenne's muscular dystrophy significantly diminish the incidence of spinal deformity. In the most common diagnosis associated with NMS, cerebral palsy, there is evidence that despite a high complication rate, surgical management of spinal deformity is associated with measurable improvements in validated health-related quality-of-life measures. Summary Spinal deformity is a common finding in patients with neurological diagnoses. It is important for those involved in the care of these patients to understand the natural history of NMS, as well as the potential risks and benefits to the patient and caregivers, of surgical and non-surgical interventions.

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Section: Complicationsmentioning

confidence: 99%

Current concepts in neuromuscular scoliosis

Murphy

Mooney

2019

Curr Rev Musculoskelet Med

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“…Rumalla et al reviewed 2154 spinal surgeries, which were performed for patients with neuromuscular scoliosis, and reported an overall complication rate of 40.1% [10]. Turturro et al reviewed the outcome of surgery in a consecutive series of 185 patients with neuromuscular scoliosis over 30 years and reported a 30% rate of adverse events [11]. Considering the high rate of complications following the surgical treatment of neuromuscular spinal deformities, brace-wearing treatment contains a critical value in these patients.…”

Section: Discussionmentioning

confidence: 99%

Hyperlordosis Secondary to Myasthenia Gravis Successfully Treated With Brace-wearing and Lordosis Exercises: A Case Report

Mahdavi¹,

Amiri²,

Safdari

2021

J. Res. Orthop. Sci.

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Spinal deformities secondary to Myasthenia Gravis (MG) are rarely reported and mainly include scoliosis. In this study, we report a case of hyperlordosis with MG origin, which has not been reported earlier. The patient was a 12-year-old boy who underwent thymectomy at the age of three, and the disease was well-controlled afterward. One year ago, the patient presented with fatigue and severe low back pain associated with walking, while his parents noticed his buttocks jut out more than normal. The radiologic evaluation revealed a hyperlordosis of 100º. The patient was treated with a Milwaukee brace and lordosis exercises. One year after the treatment, an improvement of 27º was observed in the hyperlordosis of the patient. While bracing does not typically treat a neuromuscular deformity, the present case reveals the value of bracing in the treatment of hyperlordosis with MG origin.‎

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“…One of these classifications divides complications into intraoperative and early and late postoperative. 11 Respiratory disorders are the most frequent postoperative complications in most studies and most observed in individuals with forced vital capacity below 50% in the preoperative period. In these cases, noninvasive ventilation before surgery can decrease postoperative risks, especially when vital capacity is below 40% of predicted values.…”

Section: Postoperative Complications In Neuromuscular Scoliosismentioning

confidence: 99%

Neuromuscular Scoliosis: A Neurological Point of View

Vilaça¹,

Nascimento²,

Nunes³

et al. 2021

IJAERS

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Objective: make a review of the main neurological diseases associated with neuromuscular scoliosis and perioperative care during scoliosis correction surgeries. Method: Non-systematic review using a Google Scholar platform for articles with the descriptor "neuromuscular scoliosis" in the journal title. Results and Discussion: 46 articles in English and 3 articles in Portuguese were used for this review. Conclusion: Neuromuscular scoliosis has the fastest course of evolution, higher rates of disability and higher rates of complications in corrective surgery when compared to idiopathic scoliosis. The knowledge of neurological diseases more associated with neuromuscular scoliosis helps in its early detection and its long-term monitoring.I.

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Rate of complications due to neuromuscular scoliosis spine surgery in a 30-years consecutive series

Cited by 19 publications

References 60 publications

Current concepts in neuromuscular scoliosis

Current concepts in neuromuscular scoliosis

Hyperlordosis Secondary to Myasthenia Gravis Successfully Treated With Brace-wearing and Lordosis Exercises: A Case Report

Neuromuscular Scoliosis: A Neurological Point of View

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