Factors predicting postoperative complications following spinal fusions in children with cerebral palsy scoliosis

TitleFactors predicting postoperative complications following spinal fusions in children with cerebral palsy scoliosis
Publication TypeJournal Article
Year of Publication2016
AuthorsNishnianidze, T., Bayhan I. A., Abousamra O., Sees J., Rogers K. J., Dabney K. W., & Miller F.
JournalEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Volume25
Issue2
Pagination627-34
Date Published2016 Feb
ISSN1432-0932
KeywordsAdolescent; Cerebral Palsy; Child; Child, Preschool; complications; Female; Humans; Male; Postoperative Complications; PSF; Retrospective Studies; Risk Factors; Scoliosis; Spinal Fusion; Spinal surgery
Abstract

PURPOSE: The purpose of this study was to review the postoperative complications after posterior spinal fusion (PSF) in cerebral palsy (CP) scoliosis and identify the predictive preoperative risk factors.
METHODS: All PSFs consecutively performed for CP scoliosis between 2004 and 2013 were reviewed. Preoperative risk score (ORS) and postoperative complications score (POCS) were used as measures of all recorded preoperative risk factors and postoperative complications, respectively.
RESULTS: The review included 303 children with a mean age of 14.6 ± 3.0 years. Mean hospitalization was 16 days. Dependence on G-tube feeding was associated with higher POCS (P = 0.027). Postoperative fever, seizures, and septicemia were associated with higher ORS (P < 0.01). Specifically, postoperative pancreatitis and deep wound infections were more common in children with G-tube.
CONCLUSION: This study suggests that G-tube dependence is a predictive risk factor of complications after PSF in CP scoliosis. Children with G-tube need special perioperative care. No other specific preoperative risk factor predicted postoperative complications.

DOI10.1007/s00586-015-4243-0
Alternate JournalEur Spine J
Refereed DesignationRefereed