Complications of surgical treatment of idiopathic scoliosis in adolescents


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Introduction. In modern literature, there are still debates on causes of the most common complications after surgeries for idiopathic scoliosis in adolescents and their risk factors. Currently, there are growing potentials to reduce the length of patients’ postoperative stay in hospitals, but it arises the need for attending physicians to know better the main types of complications of juvenile idiopathic scoliosis after surgery, their risk factors so as to predict and avoid them, to develop an individual program for patient’s management in the postoperative period, especially for patients from the risk group.

Material and methods. Literature search was done in databases Pubmed, Medline, Google Scholar, using key words, on complications of surgical correction of juvenile idiopathic scoliosis.

Results. On analyzing the obtained literature data, two large groups of postoperative complications were described in details: somatic and neurological. In addition to most common complications, some rare ones are described too which include superior mesenteric artery syndrome and distant deep infections.

Conclusion. Over the past twenty years, the incidence of postoperative complications after surgical correction of scoliotic deformities has significantly decreased. When analyzing findings of various trials, it can be concluded that the overall complication rate decreased in 2004-2007 from 5.7% (2000-2003) to 4.95% and then to 0.98% (2013-2016). Despite the general decrease in the incidence of complications, the latter still remain a problem for clinicians. The basic risk factors for such complications are: concomitant renal pathology, large volume of surgical blood loss, significant increase of exposure to anesthesia and surgical intervention, application of stainless steel constructions, anterior or combined surgical access, refusal of intraoperative neuromonitoring.

作者简介

V. Koroteev

Filatov Municipal Children Hospital, Moscow

Email: fake@neicon.ru

123001, Russia

俄罗斯联邦

V. Кrestiashin

Filatov Municipal Children Hospital, Moscow;
Pirogov Russian National Research Medical University

Email: fake@neicon.ru

123001, Russia,

117997, Moscow

俄罗斯联邦

D. Vybornov

Filatov Municipal Children Hospital, Moscow;
Pirogov Russian National Research Medical University

Email: fake@neicon.ru

123001, Russia,

117997, Moscow

俄罗斯联邦

N. Tarasov

Filatov Municipal Children Hospital, Moscow

Email: fake@neicon.ru

123001, Russia

俄罗斯联邦

A. Semenov

Pirogov Russian National Research Medical University

编辑信件的主要联系方式.
Email: dru4elos@gmail.com

Andrey V. Semenov, MD, second -year post-graduate, chair of pediatric surgery

Moscow, 117997

俄罗斯联邦

P. Gorelova

Pirogov Russian National Research Medical University

Email: fake@neicon.ru

Moscow, 117997

N. Karlova

Pirogov Russian National Research Medical University

Email: fake@neicon.ru

Moscow, 117997

参考

  1. Kwan K.Y.H. et al. Complications following surgery for adolescent idiopathic scoliosis over a 13-year period. Bone Jt. J. 2020; 102 B(4): 519–23.
  2. Lykissas M.G. et al. Mid- to long-term outcomes in adolescent idiopathic scoliosis after instrumented posterior spinal fusion: A metaanalysis. Spine (Phila. Pa. 1976). 2013; 38: 2. 113–19.
  3. Vigneswaran H.T. et al. Surgical treatment of adolescent idiopathic scoliosis in the United States from 1997 to 2012: an analysis of 20, 346 patients. J. Neurosurg. Pediatr. 2015; 16( 3): 322–8.
  4. Sultan A.A. et al. Predictors of extended length of hospital stay in adolescent idiopathic scoliosis patients undergoing posterior segmental instrumented fusion: An analysis of 407 surgeries performed at a large academic center. Spine (Phila. Pa. 1976). Lippincott Williams and Wilkins, 2019; 44(10): 715–22.
  5. De la Garza Ramos R. et al. Patient and operative factors associated with complications following adolescent idiopathic scoliosis surgery: an analysis of 36,335 patients from the Nationwide Inpatient Sample. J. Neurosurg. Pediatr. 2016; 18(6): 730–6.
  6. Coe J.D. et al. Complications in Spinal Fusion for Adolescent Idiopathic Scoliosis in the New Millennium. A Report of the Scoliosis Research Society Morbidity and Mortality Committee. Spine (Phila. Pa. 1976). 2006; 31(3): 345–9.
  7. Carreon L.Y. et al. Non-neurologic complications following surgery for adolescent idiopathic scoliosis. J. Bone Joint Surg. Am. 2007; 89(11): 2427–32.
  8. Fu K.-M.G. et al. Morbidity and mortality associated with spinal surgery in children: a review of the Scoliosis Research Society morbidity and mortality database. J. Neurosurg. Pediatr. 2011; 7(1): 37–41.
  9. Виссарионов С.В., Мурашко В.В., Кокушин Д.Н., Белянчиков С.М., Ермолович М.С. Хирургическое лечение пациента с тяжелым идиопатическим кифосколиозом грудной локализации. Детская хирургия. 2014; 18(5): 37-42.
  10. Chan A. et al. Does image guidance decrease pedicle screw-related complications in surgical treatment of adolescent idiopathic scoliosis: a systematic review update and meta-analysis. Eur. Spine J. Springer Berlin Heidelberg. 2020; 29(4): 694–716.
  11. Виссарионов С.В., Дроздецкий А.П. Тактика хирургического лечения детей с идиопатическим сколиозом грудной локализации. Хирургия позвоночника. 2010; 4: 25-9.
  12. Murphy R.F., Mooney J.F., III. Complications following spine fusion for adolescent idiopathic scoliosis. Curr. Rev. Musculoskelet. Med. Springer. 2016; 9(4): 462–9.
  13. Hamilton D.K. et al. Rates of New Neurological Deficit Associated With Spine Surgery Based on 108,419 Procedures. Spine (Phila. Pa. 1976). 2011; 36 (15): 1218–28.
  14. Heggeness M.H. et al. Late infection of spinal instrumentation by hematogenous seeding. Spine (Phila. Pa. 1976). 1993; 18(4): 492–6.
  15. Richards B.S. Delayed infections following posterior spinal instrumentation for the treatment of idiopathic scoliosis. J. Bone Joint Surg. Am. 1995; 77(4): 524–9.
  16. Soultanis K. et al. Late infection in patients with scoliosis treated with spinal instrumentation. Clin. Orthop. Relat. Res. 2003; 411: 116–23.
  17. Di Silvestre M. et al. Late-developing infection following posterior fusion for adolescent idiopathic scoliosis. Eur. Spine J. Springer. 2011; 20 (1): 121-7.
  18. Richards B.R., Emara K.M. Delayed infections after posterior TSRH spinal instrumentation for idiopathic scoliosis: revisited. Spine (Phila. Pa. 1976). 2001; 26(18): 1990–6.
  19. Clark C.E., Shufflebarger H.L. Late-developing infection in instrumented idiopathic scoliosis. Spine (Phila. Pa. 1976). 1999; 24(18): 1909–12.
  20. Sheehan E. et al. Adhesion ofStaphylococcus to orthopaedic metals, an in vivo study. J. Orthop. Res. Wiley Subscription Services, Inc., A Wiley Company. 2004; 22(1): 39–43.
  21. Ho C. et al. Management of infection after instrumented posterior spine fusion in pediatric scoliosis. Spine (Phila. Pa. 1976). 2007; 32(24): 2739–44.
  22. Tsirikos A.I., Jeans L.A. Superior mesenteric artery syndrome in children and adolescents with spine deformities undergoing corrective surgery. J. Spinal Disord. Tech. 2005; 18(3): 263–71.
  23. Hod-Feins R. et al. Superior mesenteric artery syndrome after scoliosis repair surgery: a case study and reassessment of the syndromeʼs pathogenesis. J. Pediatr. Orthop. 2007; 16(5): 345–9.
  24. Zhu Z.-Z., Qiu Y. Superior mesenteric artery syndrome following scoliosis surgery: its risk indicators and treatment strategy. World J. Gastroenterol. 2005; 11(21): 3307–10.
  25. Braun S. V., Hedden D.M., Howard A.W. Superior Mesenteric Artery Syndrome Following Spinal Deformity Correction. J. Bone Jt. Surg. 2006; 88(10): 2252.
  26. Kim J.Y. et al. Incidence and Risk Factors Associated with Superior Mesenteric Artery Syndrome following Surgical Correction of Scoliosis. Asian Spine J. Korean Society of Spine Surgery. 2008; 2(1): 27–33.
  27. Boseker E.H. et al. Determination of "normal" thoracic kyphosis: a roentgenographic study of 121 "normal" children. J. Pediatr. Orthop. 2000; 20(6): 796–8.
  28. Derrick J.R., Fadhli H.A. Surgical anatomy of the superior mesenteric artery. Am. Surg. 1965; 31: 545–7.
  29. Gustafsson L. et al. Diagnosis and treatment of superior mesenteric artery syndrome. Br. J. Surg. 1984; 71(7): 499–501.
  30. Lam D.J.L. et al. Superior mesenteric artery syndrome following surgery for adolescent idiopathic scoliosis J. Pediatr. Orthop. 2014; 23(4): 312–8.
  31. Mac-Thiong J.M. et al. Long-term follow-up after surgical treatment of adolescent idiopathic scoliosis using high-density pedicle screw constructs: Is 5-year routine visit required? Eur. Spine J. Springer Berlin Heidelberg. 2019; 28(6): 1296–300.
  32. Надиров Н.Н., Белянчиков С.М., Кокушин Д.Н. Хирургическая коррекция деформации позвоночника у детей с идиопатическим сколиозом грудной локализации с применением современных технологий. Детская хирургия. 2016; 20(6): 287-91.

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