症状性先天性脊柱后凸的围手术期并发症：一项回顾性队列研究。

Perioperative complications of symptomatic congenital kyphosis: a retrospective cohort study.

作者信息

Chehrassan Mohammadreza, Nikouei Farshad, Shakeri Mohammadreza, Jafari Behnam, Ameri Mahabadi Ebrahim, Ghandhari Hasan

机构信息

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

Depatment of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Spine Deform. 2024 Jan;12(1):181-187. doi: 10.1007/s43390-023-00751-5. Epub 2023 Aug 21.

DOI:10.1007/s43390-023-00751-5

PMID:37605093

Abstract

BACKGROUND

Despite the recent improvements in the surgical treatment of congenital kyphosis, this surgery may be associated with high rate of complications "particularly when patients are symptomatic preoperatively".

MATERIALS AND METHODS

Medical profiles of 40 patients with symptomatic congenital kyphosis were retrospectively reviewed. Perioperative complications were recorded and divided in two groups including catastrophic complications (neurologic deficit, pulmonary thromboembolic events, and death) and major complications (infection, deep vein thrombosis, device failure, and dural injury).

RESULTS

Catastrophic surgical complications occurred in nine (22.5%) patients including seven neurological deficits and two death. A significant association was observed between the incidence of major complications and type III of congenital kyphosis (P = 0.021). Major complications occurred in 14 (30%) patients.

CONCLUSION

Surgical treatment significantly improve symptomatic congenital kyphosis deformity; however, surgery of symptomatic patient may be associated with higher rate of complications and even death.

摘要