Perioperative complications in posterior spinal fusion surgery for neuromuscular scoliosis

DOI
  • Miyagi Masayuki
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Matsumoto Mitsuyoshi
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Mimura Yusuke
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Saito Wataru
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Imura Takayuki
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Nakazawa Toshiyuki
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Shirasawa Eiki
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Ikeda Shinsuke
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Inoue Sho
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Kuroda Akiyoshi
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Kawakubo Ayumu
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Yokozeki Yuji
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Uchida Kentaro
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Takaso Masashi
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine
  • Inoue Gen
    Department of Orthopaedic Surgery, Kitasato University, School of Medicine

Bibliographic Information

Other Title
  • 神経筋性脊柱側弯症に対する後方固定手術における周術期合併症の検討

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Abstract

<p>Introduction: High perioperative complication rate in neuromuscular scoliosis (NMS) had been reported. The aim of the current study was to elucidate the perioperative complications in NMS surgery and the risk factors of the perioperative complications.</p><p>Methods: In the current study, 126 NMS patients who were underwent posterior fusion surgery for scoliosis were included. We reviewed perioperative complications, age at operation, body height, body weight, pre-operative %VC and FEV1.0 (%) for pulmonary function, and pre-operative ejection fraction (EF) for cardiac function, ambulation status, preoperative Cobb angle, operation time, blood loss, fusion to pelvis and correction rate of scoliosis.</p><p>Results: There were 39 (31.0%) complications including 7 complications due to surgical technique, 12 pulmonary complications, and 5 cardiovascular complications. When we divided into complication (+) group and complication (−) group, the pre-operative %VC and correction rate of scoliosis in complication (+) group were significantly lower than that in complication (−) group. (p<0.05) In addition, the blood loss at operation in complication (+) group were significantly higher than that in complication (−) group. (p<0.05) In the multiple logistic regression analysis, the pre-operative %VC was significant independent risk factor for perioperative complications.</p><p>Conclusions: Severe preoperative restrictive ventilatory impairment, higher blood loss, and worse correction rate of scoliosis might affect the incidence of perioperative complications in posterior spinal fusion surgery for NMS.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 12 (11), 1332-1337, 2021-11-20

    The Japanese Society for Spine Surgery and Related Research

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