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01-02-2016 | Original Article

Factors predicting postoperative complications following spinal fusions in children with cerebral palsy scoliosis

Authors: Tristan Nishnianidze, Ilhan A. Bayhan, Oussama Abousamra, Julieanne Sees, Kenneth J. Rogers, Kirk W. Dabney, Freeman Miller

Published in: European Spine Journal | Issue 2/2016

Abstract

Purpose

The purpose of this study was to review the postoperative complications after posterior spinal fusion (PSF) in cerebral palsy (CP) scoliosis and identify the predictive preoperative risk factors.

Methods

All PSFs consecutively performed for CP scoliosis between 2004 and 2013 were reviewed. Preoperative risk score (ORS) and postoperative complications score (POCS) were used as measures of all recorded preoperative risk factors and postoperative complications, respectively.

Results

The review included 303 children with a mean age of 14.6 ± 3.0 years. Mean hospitalization was 16 days. Dependence on G-tube feeding was associated with higher POCS (P = 0.027). Postoperative fever, seizures, and septicemia were associated with higher ORS (P < 0.01). Specifically, postoperative pancreatitis and deep wound infections were more common in children with G-tube.

Conclusion

This study suggests that G-tube dependence is a predictive risk factor of complications after PSF in CP scoliosis. Children with G-tube need special perioperative care. No other specific preoperative risk factor predicted postoperative complications.

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Title: Factors predicting postoperative complications following spinal fusions in children with cerebral palsy scoliosis
Authors: Tristan Nishnianidze
Ilhan A. Bayhan
Oussama Abousamra
Julieanne Sees
Kenneth J. Rogers
Kirk W. Dabney
Freeman Miller
Publication date: 01-02-2016
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 2/2016
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-015-4243-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Factors predicting postoperative complications following spinal fusions in children with cerebral palsy scoliosis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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