Latalski Michał, Starobrat Grzegorz, Fatyga Marek, Sowa Ireneusz, Wójciak Magdalena, Wessely-Szponder Joanna, Dresler Sławomir, Danielewicz Anna
Childrens' Orthopedic Department, Medical University of Lublin, 20-093 Lublin, Poland.
Childrens' Orthopedic Department, Children University Hospital, 20-093 Lublin, Poland.
J Clin Med. 2022 May 9;11(9):2669. doi: 10.3390/jcm11092669.
The treatment for early-onset scoliosis (EOS) is one of the most challenging for pediatric orthopedics. Surgical treatment is often necessary, and wound problems and surgical site infections (SSIs) are common, with potentially severe complications in these patients. The aim of the study was to review current literature according to this complication.
PubMed, Cochrane Library, and Embase were systematically searched for relevant articles by two independent reviewers in January 2022. Every step of the review was done according to PRISMA guidelines.
A total of 3579 articles were found. Twenty four articles were included in this systematic review after applying our inclusion and exclusion criteria. EOS surgery has a varying but high rate of wound-related problems (on average, 15.5%).
The literature concerning the definitions, collection, and interpretation of data regarding EOS wound-related complications is often difficult to interpret. This causes problems in the comparison and analysis. Additionally, this observation indicates that data on the incidence of SSI may be underestimated. Awareness of the high rate of SSI of EOS surgery is crucial, and an optimal strategy for prevention should become a priority.
早发性脊柱侧弯（EOS）的治疗是小儿骨科最具挑战性的治疗之一。手术治疗通常是必要的，伤口问题和手术部位感染（SSI）很常见，这些患者可能会出现严重并发症。本研究的目的是根据这一并发症对当前文献进行综述。
2022年1月，两名独立审稿人在PubMed、Cochrane图书馆和Embase系统检索相关文章。综述的每一步均按照PRISMA指南进行。
共检索到3579篇文章。应用纳入和排除标准后，本系统综述纳入了24篇文章。EOS手术伤口相关问题的发生率各不相同，但较高（平均为15.5%）。
关于EOS伤口相关并发症的数据定义、收集和解释的文献往往难以解读。这在比较和分析中造成了问题。此外，这一观察结果表明，SSI的发生率数据可能被低估。认识到EOS手术SSI的高发生率至关重要，预防的最佳策略应成为优先事项。
