PMID: 8989708Jan 1, 1997Paper

Complications of anterior spinal surgery in children

Journal of Pediatric Orthopedics
S GrossfeldL Johnson

Abstract

The purpose of this study was to document the medical and surgical complications of anterior spine surgery in children and to identify risk factors for complications. A retrospective chart review was conducted of 599 anterior procedures (24 anterior only, 300 staged anterior/posterior, 175 combined anterior/posterior procedures) performed between 1967 and 1991. Major complications occurred in 7.5% of procedures and minor complications in 33%. Risk factors for major complications were age > 14 years, male gender, kyphotic curve type, curve sizes > 100 degrees, vital capacity < 40% of predicted, and use of thoracotomy. Risk factors for minor complications were age > 14 years, curves > 100 degrees, vital capacity < 40% of predicted, and use of a staged procedure. Multivariate analyses of risk factors identified age > 14 years and curves > 100 degrees as the most significant risk factors for major complications and age > 14 years for minor complications. We concluded that anterior spinal surgery can be performed in children with an acceptable level of risk and that referral for surgery before 14 years of age and before the curve size progresses will significantly reduce the risk of complications.

References

Apr 1, 1977·Journal of Pediatric Surgery·I Silber, W McMaster
May 1, 1992·Spine·M T Hresko, J E Hall
Feb 1, 1985·Acta Anaesthesiologica Scandinavica·P R AndersonC R Swayze
Oct 1, 1983·Spine·S L Propst-ProctorE E Bleck

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Citations

Apr 22, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·François LavigneP Wicart
Sep 13, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Kiril MladenovRalf Stuecker
Oct 26, 2016·International Journal of Orthopaedic and Trauma Nursing·Unni OlsenIda Torunn Bjørk
Jan 3, 2013·Paediatric Anaesthesia·Ibrahim Abu-KishkGideon Eshel
Oct 3, 1998·The Orthopedic Clinics of North America·C A Brown, F J Eismont

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