Visual loss after corrective surgery for pediatric scoliosis: incidence and risk factors from a nationwide database

The Spine Journal : Official Journal of the North American Spine Society
Rafael De la Garza-RamosDaniel M Sciubba

Abstract

Perioperative visual loss (POVL) after spinal deformity surgery is an uncommon but severe complication. Data on the incidence and risk factors of this complication after corrective surgery in the pediatric population are limited. The present study aimed to investigate nationwide estimates of POVL after corrective surgery for pediatric scoliosis. This is a retrospective study that uses a nationwide database. The sample includes 42,339 patients under the age of 18 who underwent surgery for idiopathic scoliosis. The outcome measures were incidence of POVL and risk factors. Patients under the age of 18 who underwent elective surgery for idiopathic scoliosis between 2002 and 2011 were identified using the Nationwide Inpatient Sample database. The incidence of POVL (ischemic optic neuropathy, central retinal artery occlusion, or cortical blindness) was estimated after application of discharge weights. Demographics, comorbidities, and operative parameters were compared between patients with and without visual loss. A multivariate logistic regression was performed to identify significant risk factors for POVL development. No funds were received in support of this work. The incidence of POVL was 1.6 per 1,000 procedures (0.16%). Patient...Continue Reading

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Citations

Aug 14, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Joon-Ho LeeHee-Cheol Jin
Oct 22, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·N NardiE Wodey
Dec 17, 2016·Journal of Neurosurgery. Spine·Rafael De la Garza RamosDaniel M Sciubba
Oct 24, 2018·Spine Deformity·Etka KurucanAddisu Mesfin
Oct 31, 2019·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·Amy DuRichard D Urman
Jul 26, 2018·Frontiers in Neurology·Steven Roth, Heather E Moss
Feb 25, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Rohan Bir SinghAniruddha Agarwal
Nov 1, 2018·Spine Deformity·Etka KurucanAddisu Mesfin

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