Hod-Feins R, Anekstein Y, Mirovsky Y, Barr J, Abu-Kishk I, Lahat E, Eshel G
Assaf Harofeh Medical Center, Zerifin, Israel.
Neuropediatrics. 2007 Oct;38(5):239-43. doi: 10.1055/s-2008-1062715.
Scoliosis repair surgery is a common procedure. Our study's first goal was to compare pre- and postoperative parameters between the cerebral palsy (CP) and idiopathic scoliosis (IS) children. The second goal was to establish possible associations between preoperative parameters that could predict the outcome of spinal surgery and the incidence of early postoperative complications. A retrospective record review of all children who underwent scoliosis operative surgery between 1998 and 2007 was conducted. Of the 141 children included, 21 were CP and 120 were IS. The CP children attended surgery with significantly lower weight and pulmonary reserves and had larger curves and fusions compared to the IS children. CP children had a significantly higher rate of major complications, especially pulmonary and neurological, and a higher rate of delayed extubations. In addition, young age at surgery and posterior spinal fusion correlated with a more favorable immediate postoperative prognosis among the IS population. CP children attended surgery in worse physical condition and in turn had a poorer immediate and short-term postoperative prognosis than IS children. Young age at surgery and posterior fusions revealed protective characteristics among the IS population.
脊柱侧弯修复手术是一种常见的手术。我们研究的首要目标是比较脑瘫（CP）患儿和特发性脊柱侧弯（IS）患儿术前和术后的参数。第二个目标是确定术前参数之间可能存在的关联，这些参数可以预测脊柱手术的结果以及术后早期并发症的发生率。我们对1998年至2007年间所有接受脊柱侧弯手术的儿童进行了回顾性记录审查。在纳入的141名儿童中，21名是CP患儿，120名是IS患儿。与IS患儿相比，CP患儿手术时体重和肺储备明显更低，侧弯弧度更大且融合节段更多。CP患儿主要并发症的发生率显著更高，尤其是肺部和神经方面的并发症，拔管延迟率也更高。此外，手术时年龄较小以及后路脊柱融合与IS患儿术后更良好的近期预后相关。CP患儿手术时身体状况较差，因此与IS患儿相比，其术后近期和短期预后更差。手术时年龄较小以及后路融合在IS患儿群体中显示出保护特性。
