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Risk-Adapted Use of Vancomycin in Secondary Scoliosis Surgery May Normalize SSI Risk in Surgical Correction of High-Risk Patients.
J Pers Med
September 2024
Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, 10117 Berlin, Germany.
Intrawound application of vancomycin is becoming increasingly controversial for the prevention of surgical site infection (SSI). As children undergoing spinal fusion for secondary scoliosis are at high risk for SSIs, evidence regarding the impact of intraoperative vancomycin installation on SSI rates in these patients is of utmost importance. A single surgeon cohort of patients under 18 years of age undergoing surgery for secondary scoliosis in 2017 was analyzed with regard to the development of SSIs requiring surgical revision and adverse events.
View Article and Find Full Text PDFLong-term mortality outcomes and mortality predictors in patients with myelomeningocele.
Clin Neurol Neurosurg
November 2024
Inonu University Faculty of Medicine, Department of Neurosurgery, Malatya, Turkey. Electronic address:
Objective: Despite advances, myelomeningocele remains a major cause of mortality and disability. This study aims to analyze factors influencing mortality and suggest ways to reduce it.
Methods: We reviewed 173 patients who underwent surgery for myelomeningocele from January 2010 to December 2021.
Surgical complications in neuromuscular scoliosis surgery: systematic review and meta-analysis of the last ten years.
Eur Spine J
July 2024
Centre for Spinal Studies & Surgery, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, NG7 2UH, England.
Article Synopsis
- The study focuses on assessing postoperative complications in neuromuscular scoliosis surgery, highlighting it's a complex procedure often leading to various complications.
- A systematic review was conducted of 22 studies with over 2,150 patients over the past ten years, analyzing factors that influence complication rates.
- The most common complications identified were wound (13.3%) and respiratory (11.8%), with cerebral palsy being the most prevalent diagnosis among patients.
Overcoming Airway Hurdles: A Case Report of Anesthetic Challenges in Meningomyelocele Complications.
Cureus
April 2024
Trauma and Emergency Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
This case report delves into the anesthesia management in a 23-year-old male with complications of meningomyelocele, a catastrophic congenital neural tube defect. The patient, paraplegic since birth with severe scoliosis, presented with a femoral fracture, prompting the need for careful consideration of anesthesia strategies. The challenges included counseling the family on the risks and benefits of surgery under general anesthesia, selecting an appropriate anesthetic plan for an anticipated difficult airway, and addressing ventilation strategies for restrictive lung disease.
View Article and Find Full Text PDFMyelomeningocele: Long-Term Neurosurgical Management.
Adv Tech Stand Neurosurg
May 2024
Department of Neurosurgery, ASST Niguarda Hospital, Milan, Italy.
Open spina bifida, also known as myelomeningocele (MMC), is the most challenging and severe birth defect of the central nervous system compatible with life and it is due to a failure in the dorsal fusion of the nascent neural tube during embryonic development. MMC is often accompanied by a constellation of collateral conditions, including hydrocephalus, Arnold - Chiari II malformation, brainstem disfunction, hydrosyringomyelia, tethered cord syndrome and scoliosis. Beyond early surgical repair of the dorsal defect, MMC requires lifelong cares.
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