Pérez-Caballero Macarrón C, Burgos Flores J, Martos Sánchez I, Pérez Palomino A, Vázquez Martínez J L, Alvarez Rojas E, Fernández Pineda L, Vellibre Vargas D
Unidad de Cuidados Intensivos Pediátricos, Hospital Ramón y Cajal, Madrid, Spain.
An Pediatr (Barc). 2006 Mar;64(3):248-51. doi: 10.1157/13085512.
Several medical complications can occur after scoliosis surgery in children and adolescents. New surgical techniques have allowed greater degrees of scoliosis correction but have also increased the possibility of postsurgical deficit due to their greater aggressivity. We analyzed the early postsurgical complications of scoliosis surgery in a pediatric intensive care unit over a 10-year period. Seventy-six surgical procedures were performed. Of these, no complications occurred in 55 (73%). Chest X-ray revealed pulmonary atelectasia in 8 patients (10%) and pleural effusion in 7 patients (9%). Symptoms and signs of infection related to surgery were observed in only 6 children (8%). The absence of severe medical complications may be related to new surgical techniques and an experienced team.
儿童和青少年脊柱侧弯手术后可能会出现几种医学并发症。新的手术技术能够实现更大程度的脊柱侧弯矫正，但由于其侵袭性更强，术后出现功能缺损的可能性也增加了。我们分析了在儿科重症监护病房10年间脊柱侧弯手术的早期术后并发症。共进行了76例手术。其中，55例（73%）未出现并发症。胸部X光显示8例患者（10%）出现肺不张，7例患者（9%）出现胸腔积液。仅6名儿童（8%）出现与手术相关的感染症状和体征。未出现严重医学并发症可能与新的手术技术和经验丰富的团队有关。
