[Early postoperative complications of thoracoscopy versus thoracotomy in pediatric idiopathic scoliosis].
BACKGROUND
Thoracoscopic surgery has been used for anterior release, discectomy, and fusion in severe scoliosis or kyphosis. The indications of thoracoscopy for the treatment of pediatric spinal deformity are similar to those of thoracotomy-based spinal surgery.


OBJECTIVE
We designed a comparative study to observe the immediate complications in the postoperative period after thoracoscopy or thoracotomy for scoliosis in the pediatric population.


METHODS
The postsurgical complications of 63 interventions for idiopathic scoliosis over a 10-year period were analyzed. Conventional thoracotomy was used in 37 interventions (59 %) and thoracoscopy was used in 26 (41 %).


RESULTS
In patients treated with the thoracolumbar endoscopic procedure, oral nutrition was resumed earlier, the mean length of hospital stay was lower, and debit drainage or requirement of surgical drainage were lower.


CONCLUSIONS
Fewer immediate postsurgical complications were observed in scoliosis surgery when thoracoscopy was used.
Pérez-Caballero Macarrón
C
C
Unidad de Cuidados Intensivos Pediátricos, Hospital Ramón y Cajal, Madrid, España. cesarperezcaballero@yahoo.es
Burgos Flores
J
J
Martos Sánchez
I
I
Pérez Palomino
A
A
Vázquez Martínez
J L
JL
Alvarez Rojas
E
E
Fernández Pineda
L
L
Vellibre Vargas
D
D
D000293:Adolescent; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012600:Scoliosis / Q000601:surgery*; D013906:Thoracoscopy / Q000009:adverse effects*; D013908:Thoracotomy / Q000009:adverse effects*; D013997:Time Factors