About: Major complications following surgical correction of spine deformity in 257 patients with cerebral palsy

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About: Major complications following surgical correction of spine deformity in 257 patients with cerebral palsy Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Major complications following surgical correction of spine deformity in 257 patients with cerebral palsy
Creator	Shah, A Patrick, · Peter, · Mark, · Amer, · Bartley, Carrie Cahill, J Daquino, Carlie Firoz, · Newton, O Samdani, F Sponseller, Paul Suken, · Yaszay, Burt
Source	PMC
abstract	STUDY DESIGN: Observational. OBJECTIVES: To report on the rate of major complications following spinal fusion and instrumentation to treat spinal deformity in patients with cerebral palsy (CP). SUMMARY OF BACKGROUND DATA: Understanding the risk of major complications following the surgical treatment of spine deformities in patients with CP is critical. METHODS: A prospectively collected, multicenter database of patients with CP who had surgical correction of their spinal deformity (scoliosis or kyphosis) was reviewed for all major complications. Patients with ≥ 2 year follow-up or who died ≤ 2 years of surgery were included. A complication was defined as major if it resulted in reoperation, re-admission to the hospital, prolongation of the hospital stay, was considered life-threatening, or resulted in residual disability. Overall complication and revision rates were calculated for the perioperative (Peri-op; occurring ≤ 90 days postoperative) and delayed postoperative (Delayed; > 90 days) time periods. RESULTS: Two hundred and fifty-seven patients met inclusion. Seventy-eight (30%) patients had a major complication, 18 (7%) had > 1. There were 92 (36%) major complications; 64 (24.9%) occurred Peri-op. The most common Peri-op complications were wound (n = 16, 6.2%) and pulmonary issues (n = 28, 10.9%), specifically deep infections (n = 12, 4.7%) and prolonged ventilator support (n = 21, 8.2%). Delayed complications (n = 28, 10.9%) were primarily deep infections (n = 8, 3.1%) and instrumentation-related (n = 6, 2.3%). There were 42 additional surgeries for an overall unplanned return to the operating room rate of 16% (Peri-op: 8.6%, Delayed: 7.8%). Thirty-six (14.0%) reoperations were spine related surgeries (wound or instrumentation-related). Eleven (4.3%) patients died between 3 months to 5.6 years postoperatively; 4 occurred ≤ 1 year of surgery. Two deaths were directly related to the spinal deformity surgery. CONCLUSION: Spinal deformity surgery in CP patients with greater than 2 years of follow-up have a postoperative major complication rate of 36% with a spine-related reoperation rate of 14.0%. LEVEL OF EVIDENCE: Therapeutic-IV.
has issue date	2020-07-27(xsd:dateTime)
bibo:doi	10.1007/s43390-020-00165-7
has license	no-cc
sha1sum (hex)	5e9845261ba6d975979e83ca6310ee843998956f
schema:url	https://doi.org/10.1007/s43390-020-00165-7
resource representing a document's title	Major complications following surgical correction of spine deformity in 257 patients with cerebral palsy
has PubMed Central identifier	PMC7384279
schema:publication	Spine Deform
resource representing a document's body	covid:5e9845261ba6d975979e83ca6310ee843998956f#body_text
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