Perioperative complications after surgical correction in neuromuscular scoliosis.
OBJECTIVE
To evaluate the perioperative complications associated with surgical correction in neuromuscular scoliosis and to identify the risk factors associated with these complications.


METHODS
A retrospective review of the hospital charts of patients with neuromuscular scoliosis who underwent surgical correction at a medical center was performed.


RESULTS
Data was available on a total of 175 patients. The overall perioperative complication rate was 33.1% (96 complications in 58 patients). Complications were subdivided into pulmonary issues (19.4%), wound and implant infections (9.7%), cardiovascular complications (4.0%), intraoperative neurological changes (4.6%), miscellaneous complications (5.7%), and problematic instrumentation (3.4%). No patient had an identifiable permanent postoperative change in neurological status. The complication rate in patients who underwent single-stage procedures (37.4%) was found lower than that in patients who underwent staged procedures (57.1%). There were no deaths during the perioperative period.


CONCLUSIONS
Patients with neuromuscular scoliosis are at high risk of developing perioperative complications after surgical correction of their deformity (overall rate, 33.1%).
Mohamad
Fazir
F
Department of Orthopedics, Hospital Kuala Lumpur, Malaysia.
Parent
Stefan
S
Pawelek
Jeff
J
Marks
Michelle
M
Bastrom
Tracey
T
Faro
Frances
F
Newton
Peter
P
D000293:Adolescent; D000328:Adult; D002574:Cervical Vertebrae; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D009468:Neuromuscular Diseases / Q000150:complications*; D019637:Orthopedic Procedures / Q000009:adverse effects*; D011183:Postoperative Complications; D011379:Prognosis; D011859:Radiography; D012189:Retrospective Studies; D012307:Risk Factors; D012447:Sacrum; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013904:Thoracic Vertebrae