Clinic for Orthopedics and Trauma Surgery, University Hospital Bonn, 53127 Bonn, Germany.
Department of Pediatric Surgery, University Children's Hospital, 1004 Riga, Latvia.
Medicina (Kaunas). 2020 Apr 24;56(4):201. doi: 10.3390/medicina56040201.
There are currently no data available regarding pediatric scoliosis surgery in Latvia. The aim of this article is to present treatment specific variables, investigate their interrelation, and identify predictors for the length of stay after surgical pediatric scoliosis correction. This retrospective study included all surgical pediatric scoliosis corrections in Latvia for the years 2012 to 2016. Analyzed parameters were chosen to portray the patients' demographics, pathology, as well as treatment specific variables. Descriptive, inferential, and linear regression statistics were calculated. A total of 69 cases, 74% female and 26% male, were identified. The diagnostic subgroups consisted of 62% idiopathic (IDI) and 38% non-idiopathic (non-IDI) scoliosis cases. Non-IDI cases had significantly increased operation time, hospital stay, Cobb angle before surgery, and instrumented levels, while IDI cases showed significantly higher Cobb angle percentage correction. For all operated cases, the operation time and the hospital stay decreased significantly over the investigated time period. Early post-operative complications (PCs) occurred in 15.9% of the cases and were associated with increased hospital stay, instrumented levels, and Cobb angle before surgery. The linear regression analysis revealed that operation time and the presence of PCs were significant predictors for the length of the hospital stay. This is the first study to provide comprehensive insight into pediatric scoliosis surgery since its establishment in Latvia. Our regression model offers clinically applicable predictors and further underlines the significance of the operation length on the hospital stay. These results build the foundation for international comparison and facilitate improvement in the field.
目前，拉脱维亚尚无儿科脊柱侧弯手术的数据。本文旨在介绍特定治疗方法的变量，研究它们之间的相互关系，并确定手术治疗小儿脊柱侧弯矫正后住院时间的预测因素。本回顾性研究包括 2012 年至 2016 年拉脱维亚所有的小儿脊柱侧弯手术。分析的参数选择旨在描述患者的人口统计学、病理学以及特定治疗变量。计算了描述性、推理性和线性回归统计数据。共确定了 69 例，74%为女性，26%为男性。诊断亚组包括 62%的特发性（IDI）和 38%的非特发性（非 IDI）脊柱侧弯病例。非 IDI 病例的手术时间、住院时间、术前 Cobb 角和器械化水平明显增加，而 IDI 病例的 Cobb 角百分比矫正明显较高。对于所有接受手术的病例，手术时间和住院时间在研究期间均显著下降。术后早期并发症（PCs）发生在 15.9%的病例中，与住院时间延长、器械化水平增加和术前 Cobb 角增加有关。线性回归分析显示，手术时间和 PCs 的存在是住院时间长短的显著预测因素。这是在拉脱维亚开展小儿脊柱侧弯手术以来的第一项研究，提供了全面的见解。我们的回归模型提供了临床适用的预测因素，并进一步强调了手术时间对住院时间的重要性。这些结果为国际比较奠定了基础，并促进了该领域的改进。
