Complications After Surgical Treatment of Adolescent Idiopathic Scoliosis

被引:28
作者
Medea de Mendonca, Rodrigo Goes [1 ]
Sawyer, Jeffrey R. [2 ]
Kelly, Derek M. [2 ]
机构
[1] Santa Casa Sao Paulo Hosp Cent Sao Paulo, Rua Dr Cesario Motta Jr,112, Sao Paulo, Brazil
[2] Univ Tennessee, Dept Orthopaed Surg & Biomed Engn, Le Bonheur Childrens Hosp, Campbell Clin, 1400 S Germantown Rd, Germantown, TN 38138 USA
关键词
Complications; Surgical treatment; Adolescent idiopathic scoliosis; SPINAL DEFORMITY SURGERY; PROXIMAL JUNCTIONAL KYPHOSIS; LATE-DEVELOPING INFECTION; ADDING-ON PHENOMENON; PEDICLE SCREW; RETROSPECTIVE ANALYSIS; PEDIATRIC SCOLIOSIS; DEEP INFECTIONS; IMPLANT REMOVAL; TERM OUTCOMES;
D O I
10.1016/j.ocl.2015.09.012
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Even with current techniques and instrumentation, complications can occur after operative treatment of adolescent idiopathic scoliosis. The most dreaded complications neurologic deficits are relatively infrequent, occurring in 1% or less of patients. Nonneurologic deficits, such as infection, pseudarthrosis, curve progression, and proximal junctional kyphosis, are more frequent, but are much less likely to require reoperation or to cause poor functional outcomes. Understanding the potential complications of surgical treatment of pediatric spinal deformity is essential for surgical decision-making.
引用
收藏
页码:395 / +
页数:11
相关论文
共 52 条
  • [21] The progression of lumbar curves in adolescent Lenke 1 scoliosis and the distal adding-on phenomenon
    Lakhal, W.
    Loret, J. -E.
    de Bodman, C.
    Fournier, J.
    Bergerault, F.
    de Courtivron, B.
    Bonnard, C.
    [J]. ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2014, 100 (04) : S249 - S254
  • [22] Operative treatment of adolescent idiopathic scoliosis with posterior pedicle screw-only constructs - Minimum three-year follow-up of one hundred fourteen cases
    Lehman, Ronald A., Jr.
    Lenke, Lawrence G.
    Keeler, Kathryn A.
    Kim, Yongjung J.
    Buchowski, Jacob M.
    Cheh, Gene
    Kuhns, Craig A.
    Bridwell, Keith H.
    [J]. SPINE, 2008, 33 (14) : 1598 - 1604
  • [23] Unplanned Reoperation within 30 Days of Fusion Surgery for Spinal Deformity
    Li, Zheng
    Shen, Jianxiong
    Qiu, Guixing
    Yu, Haiquan
    Wang, Yipeng
    Zhang, Jianguo
    Zhao, Hong
    Zhao, Yu
    Li, Shugang
    Weng, Xisheng
    Liang, Jinqian
    Zhao, Lijuan
    [J]. PLOS ONE, 2014, 9 (03):
  • [24] Revision Surgery After Primary Spine Fusion for Idiopathic Scoliosis
    Luhmann, Scott J.
    Lenke, Lawrence G.
    Bridwell, Keith H.
    Schootman, Mario
    [J]. SPINE, 2009, 34 (20) : 2191 - 2197
  • [25] Complications of Surgical Treatment of Pediatric Spinal Deformities
    Lykissas, Marios G.
    Crawford, Alvin H.
    Jain, Viral V.
    [J]. ORTHOPEDIC CLINICS OF NORTH AMERICA, 2013, 44 (03) : 357 - +
  • [26] Mid- to Long-Term Outcomes in Adolescent Idiopathic Scoliosis After Instrumented Posterior Spinal Fusion A Meta-Analysis
    Lykissas, Marios G.
    Jain, Viral V.
    Nathan, Senthil T.
    Pawar, Varun
    Eismann, Emily A.
    Sturm, Peter F.
    Crawford, Alvin H.
    [J]. SPINE, 2013, 38 (02) : E113 - E119
  • [27] Experience With Intrawound Vancomycin Powder for Spinal Deformity Surgery
    Martin, Joel R.
    Adogwa, Owoicho
    Brown, Christopher R.
    Bagley, Carlos A.
    Richardson, William J.
    Lad, Shivanand P.
    Kuchibhatla, Maragatha
    Gottfried, Oren N.
    [J]. SPINE, 2014, 39 (02) : 177 - 184
  • [28] Implant removal for late-developing infection after instrumented posterior spinal fusion for scoliosis:: reinstrumentation reduces loss of correction.: A retrospective analysis of 45 cases
    Muschik, M
    Lück, W
    Schlenzka, D
    [J]. EUROPEAN SPINE JOURNAL, 2004, 13 (07) : 645 - 651
  • [29] Simple Steps to Minimize Spine Infections in Adolescent Idiopathic Scoliosis
    Myung, Karen S.
    Glassman, David M.
    Tolo, Vernon T.
    Skaggs, David L.
    [J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2014, 34 (01) : 29 - 33
  • [30] Neurologic Injury in the Surgical Treatment of Idiopathic Scoliosis: Guidelines for Assessment and Management
    Pahys, Joshua M.
    Guille, James T.
    D'Andrea, Linda P.
    Samdani, Amer E.
    Beck, Joshua
    Betz, Randal R.
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2009, 17 (07) : 426 - 434