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Paediatric Spinal Deformity Surgery: Complications and Their Management. | LitMetric

Paediatric Spinal Deformity Surgery: Complications and Their Management.

Healthcare (Basel)

Scottish National Spine Deformity Centre, University of Edinburgh, Royal Hospital for Children and Young People-Edinburgh, 50 Little France Crescent, Edinburgh EH16 4TJ, UK.

Published: December 2022

Surgical correction of paediatric spinal deformity is associated with risks, adverse events, and complications that must be preoperatively discussed with patients and their families to inform treatment decisions, expectations, and long-term outcomes. The incidence of complications varies in relation to the underlying aetiology of spinal deformity and surgical procedure. Intraoperative complications include bleeding, neurological injury, and those related to positioning. Postoperative complications include persistent pain, surgical site infection, venous thromboembolism, pulmonary complications, superior mesenteric artery syndrome, and also pseudarthrosis and implant failure, proximal junctional kyphosis, crankshaft phenomenon, and adding-on deformity, which may necessitate revision surgery. Interventions included in enhanced recovery after surgery protocols may reduce the incidence of complications. Complications must be diagnosed, investigated and managed expeditiously to prevent further deterioration and to ensure optimal outcomes. This review summarises the complications associated with paediatric spinal deformity surgery and their management.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778654PMC
http://dx.doi.org/10.3390/healthcare10122519DOI Listing

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