Concomitant procedures with early-onset scoliosis rib-based surgeries

Area of Science:

• Pediatric Orthopedics
• Spinal Surgery
• Anesthesiology

Background:

• Early-onset scoliosis (EOS) patients with rib-based implants often need repeat surgeries, increasing anesthesia exposure risks.
• Comorbidities in EOS patients may necessitate additional procedures, raising concerns about adverse outcomes.

Purpose of the Study:

• To evaluate the safety of performing additional procedures concurrently with early-onset scoliosis (EOS) rib-based surgeries.
• To determine if concomitant procedures impact complication rates in EOS patients undergoing rib-based implant surgery.

Main Methods:

• Retrospective cohort study of 147 EOS patients with rib-based implants and at least 2-year follow-up.
• Patients were divided into two groups: those with and without concomitant procedures during rib-based implant surgery.
• Univariate analysis compared demographics, surgical parameters, and complication incidence; a subanalysis focused on surgical infections.

Main Results:

• 98 patients (Group A) had no concomitant procedures, while 49 (Group B) did. Total surgical and anesthesia times were longer in Group B.
• Infection requiring surgery was the most common complication in both groups.
• Although Group B had fewer patients with complications, the complication rate per procedure was similar (14% in Group A vs. 16% in Group B).

Conclusions:

• Performing additional procedures concurrently with EOS rib-based implant surgery does not increase the complication rate per procedure.
• This approach may be safe for managing comorbidities in EOS patients, potentially reducing overall anesthesia exposure.