Risk Factors Affecting the Immediate Postoperative Course in Pediatric Scoliosis Surgery

Hod-Feins, Roei; Abu-Kishk, Ibrahim; Eshel, Gideon; Barr, Yosi; Anekstein, Yoram; Mirovsky, Yigal

doi:10.1097/brs.0b013e3181558393

Cited by 60 publications

(37 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The complications detailed in the review adhered to the criteria classified by Hod-Feins et al [17].…”

Section: Data Extraction and Managementmentioning

confidence: 99%

“…Lung infiltrations and pneumothorax following a transthoracic approach contribute to these high complication rates [17,39,46]. All included studies report complications in a well-defined NMS population treated with a diverse surgical procedures (anterior, posterior spinal fusion, anterior and posterior combined approach).…”

Section: Pulmonary Complicationsmentioning

confidence: 99%

“…A majority of these studies do not stratify the complication rates based on the surgical procedure performed. Only HodFeins et al [17] performed a surgical procedure subgroup analysis for complication rates and found that combined fusions correlated with higher pulmonary complications and longer ICU hospitalization in comparison to posterior spinal fusion (5.54, 4.05 days, respectively) and that longer fusion correlated with shorter ICU hospitalization.…”

Section: Pulmonary Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of complications in neuromuscular scoliosis surgery: a literature meta-analysis from the past 15 years

et al. 2012

View full text Add to dashboard Cite

Purpose Our objectives were primarily to review the published literature on complications in neuromuscular scoliosis (NMS) surgery and secondarily, by means of a meta-analysis, to determine the overall pooled rates (PR) of various complications associated with NMS surgery. Methods PubMed and Embase databases were searched for studies reporting the outcomes and complications of NMS surgery, published from 1997 to May 2011. We focused on NMS as defined by the Scoliosis Research Society's classification. We measured the pooled estimate of the overall complication rates (PR) using a random effects meta-analytic model. This model considers both intra-and inter-study variation in calculating PR. Results Systematic review and meta-analysis were performed for 68 cohort and case-control studies with a total of 15,218 NMS patients. Pulmonary complications were the most reported (PR = 22.71 %) followed by implant complications (PR = 12.51 %), infections (PR = 10.91 %), neurological complications (PR = 3.01 %) and pseudoarthrosis (PR = 1.88 %). Revision, removal and extension of implant had highest PR (7.87 %) followed by malplacement of the pedicle screws (4.81 %). Rates of individual studies have moderate to high variability. The studies were heterogeneous in methodology and outcome types, which are plausible explanations for the variability; sensitivity analysis with respect to age at surgery, sample size, publication year and diagnosis could also partly explain this variability. In regard to surgical complications affiliated with various surgical techniques in NMS, the level of evidence of published literature ranges between 2? to 2-; the subsequent recommendations are level C. Conclusion NMS patients have diverse and high complication rates after scoliosis surgery. High PRs of complications warrant more attention from the surgical community. Although the PR of all complications are affected by heterogeneity, they nevertheless provide valuable insights into the impact of methodological settings (sample size), patient characteristics (age at surgery), and continual advances in patient care on complication rates.

show abstract

“…The complications detailed in the review adhered to the criteria classified by Hod-Feins et al [17].…”

Section: Data Extraction and Managementmentioning

confidence: 99%

Section: Pulmonary Complicationsmentioning

confidence: 99%

Section: Pulmonary Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of complications in neuromuscular scoliosis surgery: a literature meta-analysis from the past 15 years

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Perioperative complications including delayed extubation and length of hospital stay are significantly higher in neuromuscular scoliosis compared with idiopathic scoliosis. 22 This difference is likely directly related to longer surgeries, higher blood loss, and other medical comorbidities such as seizure disorders. 20,22 Major complications in the postoperative period have also been described.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…22 This difference is likely directly related to longer surgeries, higher blood loss, and other medical comorbidities such as seizure disorders. 20,22 Major complications in the postoperative period have also been described. Death is reported in 0% to 7% of patients.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Scoliosis, Spinal Fusion, and Intrathecal Baclofen Pump Implantation

Scannell

Yaszay

2015

Physical Medicine and Rehabilitation Clinics of North America

View full text Add to dashboard Cite

Scoliosis Surgery in Children With Neuromuscular Disease

Barsdorf¹,

Sproule²,

Kaufmann³

2010

Arch Neurol

View full text Add to dashboard Cite

Background: Scoliosis is a frequent complication of pediatric neuromuscular disease (NMD). Scoliosis surgery in children with NMD is thought to carry greater morbidity and mortality. Objectives: To study demographics, comorbidities, outcomes, and hospitalization expenditures among children with NMD undergoing scoliosis surgery. Design: Using the Kids Inpatient Database, a large allpayer US database of hospital discharges among children and adults younger than 20 years, we studied children undergoing scoliosis surgery between January 1, 1997, and December 31, 2003. Continuous variables were compared by t test, and categorical variables were compared by Pearson product moment correlation 2 test. Setting: National database of pediatric hospital discharges. Patients: Children with and without NMD. Main Outcome Measures: Demographics, hospital length of stay, and in-hospital mortality associated with scoliosis surgery. Results: Of 17 780 reported hospitalizations owing to scoliosis surgery, 437 children (2.5%) had NMD. Compared with children undergoing scoliosis surgery for other indications, children with NMD were more likely to be younger (12.4 vs 14.2 years), male (73.5% vs 38.3%), and insured by Medicaid (35.6% vs 20.3%). Comorbidities that were more common among children with NMD included pulmonary complications (lung disease not classified, pulmonary collapse, pulmonary insufficiency, chronic respiratory failure, and ventilator requirement) and cardiovascular complications (cardiomyopathy, hypotension, and tachycardia). Scoliosis surgery in children with NMD was associated with increased hospital length of stay (10.3 vs 7.7 days) and hospitalization expenditures ($80 251 vs $62 154), and higher in-hospital mortality (1.6% vs 0.2%). Conclusion: Children with NMD have increased hospital length of stay and higher in-hospital mortality associated with scoliosis surgery, highlighting the need for further study of measures that could reduce complications and improve outcomes in this population.

show abstract

Risk Factors Affecting the Immediate Postoperative Course in Pediatric Scoliosis Surgery

Cited by 60 publications

References 13 publications

Prevalence of complications in neuromuscular scoliosis surgery: a literature meta-analysis from the past 15 years

Prevalence of complications in neuromuscular scoliosis surgery: a literature meta-analysis from the past 15 years

Scoliosis, Spinal Fusion, and Intrathecal Baclofen Pump Implantation

Scoliosis Surgery in Children With Neuromuscular Disease

Contact Info

Product

Resources

About