title: Perioperative complications after surgical correction in neuromuscular scoliosis.
abstract: 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%).
authors.affiliation: Department of Orthopedics, Hospital Kuala Lumpur, Malaysia.
authors.forename: Fazir
authors.initials: F
authors.lastname: Mohamad
authors.forename: Stefan
authors.initials: S
authors.lastname: Parent
authors.forename: Jeff
authors.initials: J
authors.lastname: Pawelek
authors.forename: Michelle
authors.initials: M
authors.lastname: Marks
authors.forename: Tracey
authors.initials: T
authors.lastname: Bastrom
authors.forename: Frances
authors.initials: F
authors.lastname: Faro
authors.forename: Peter
authors.initials: P
authors.lastname: Newton
mesh_terms: 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