Mohamad Fazir, Parent Stefan, Pawelek Jeff, Marks Michelle, Bastrom Tracey, Faro Frances, Newton Peter
Department of Orthopedics, Hospital Kuala Lumpur, Malaysia.
J Pediatr Orthop. 2007 Jun;27(4):392-7. doi: 10.1097/01.bpb.0000271321.10869.98.
To evaluate the perioperative complications associated with surgical correction in neuromuscular scoliosis and to identify the risk factors associated with these complications.
A retrospective review of the hospital charts of patients with neuromuscular scoliosis who underwent surgical correction at a medical center was performed.
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.
Patients with neuromuscular scoliosis are at high risk of developing perioperative complications after surgical correction of their deformity (overall rate, 33.1%).
评估神经肌肉型脊柱侧凸手术矫正相关的围手术期并发症，并确定与这些并发症相关的危险因素。
对在一家医疗中心接受手术矫正的神经肌肉型脊柱侧凸患者的医院病历进行回顾性研究。
共有175例患者的数据可用。围手术期总体并发症发生率为33.1%（58例患者出现96例并发症）。并发症分为肺部问题（19.4%）、伤口和植入物感染（9.7%）、心血管并发症（4.0%）、术中神经功能改变（4.6%）、其他并发症（5.7%）和器械问题（3.4%）。没有患者术后出现可识别的永久性神经功能改变。接受一期手术的患者并发症发生率（37.4%）低于接受分期手术的患者（57.1%）。围手术期无死亡病例。
神经肌肉型脊柱侧凸患者在手术矫正畸形后发生围手术期并发症的风险较高（总体发生率为33.1%）。
