TY - JOUR
T1 - Complications of anterior spinal surgery in children
AU - Grossfeld, Stacie
AU - Winter, Robert B.
AU - Lonstein, John E.
AU - Denis, Francis
AU - Leonard, Arnold
AU - Johnson, Linda
PY - 1997
Y1 - 1997
N2 - The purpose of this study was to document the medical and surgical complications of anterior spine surgery in children and to identify risk factors for complications. A retrospective chart review was conducted of 599 anterior procedures (24 anterior only, 300 staged anterior/posterior, 175 combined anterior/posterior procedures) performed between 1967 and 1991. Major complications occurred in 7.5% of procedures and minor complications in 33%. Risk factors for major complications were age >14 years, male gender, kyphotic curve type, curve sizes >100°, vital capacity <40% of predicted, and use of thoracotomy. Risk factors for minor complications were age >14 years, curves >100°, vital capacity <40% of predicted, and use of a staged procedure. Multivariate analyses of risk factors identified age >14 years and curves >100°as the most significant risk factors for major complications and age >14 years for minor complications. We concluded that anterior spinal surgery can be performed in children with an acceptable level of risk and that referral for surgery before 14 years of age and before the curve size progresses will significantly reduce the risk of complications.
AB - The purpose of this study was to document the medical and surgical complications of anterior spine surgery in children and to identify risk factors for complications. A retrospective chart review was conducted of 599 anterior procedures (24 anterior only, 300 staged anterior/posterior, 175 combined anterior/posterior procedures) performed between 1967 and 1991. Major complications occurred in 7.5% of procedures and minor complications in 33%. Risk factors for major complications were age >14 years, male gender, kyphotic curve type, curve sizes >100°, vital capacity <40% of predicted, and use of thoracotomy. Risk factors for minor complications were age >14 years, curves >100°, vital capacity <40% of predicted, and use of a staged procedure. Multivariate analyses of risk factors identified age >14 years and curves >100°as the most significant risk factors for major complications and age >14 years for minor complications. We concluded that anterior spinal surgery can be performed in children with an acceptable level of risk and that referral for surgery before 14 years of age and before the curve size progresses will significantly reduce the risk of complications.
KW - Anterior spinal surgery
KW - Children
KW - Medical complications
KW - Risk factors
KW - Surgical complications
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U2 - 10.1097/00004694-199701000-00019
DO - 10.1097/00004694-199701000-00019
M3 - Article
C2 - 8989708
AN - SCOPUS:0031030171
SN - 0271-6798
VL - 17
SP - 89
EP - 95
JO - Journal of Pediatric Orthopaedics
JF - Journal of Pediatric Orthopaedics
IS - 1
ER -