title: Factors predicting postoperative complications following spinal fusions in children with cerebral palsy scoliosis.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE, 19899, USA.
authors.forename: Tristan
authors.initials: T
authors.lastname: Nishnianidze
authors.affiliation: Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE, 19899, USA.
authors.forename: Ilhan A
authors.initials: IA
authors.lastname: Bayhan
authors.affiliation: Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE, 19899, USA.
authors.forename: Oussama
authors.initials: O
authors.lastname: Abousamra
authors.affiliation: Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE, 19899, USA.
authors.forename: Julieanne
authors.initials: J
authors.lastname: Sees
authors.affiliation: Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE, 19899, USA.
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Rogers
authors.affiliation: Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE, 19899, USA.
authors.forename: Kirk W
authors.initials: KW
authors.lastname: Dabney
authors.affiliation: Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE, 19899, USA. fmiller@nemours.org.
authors.forename: Freeman
authors.initials: F
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D012600:Scoliosis / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects* / Q000379:methods
keywords: Cerebral palsy; Complications; PSF; Scoliosis; Spinal surgery