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Wound-Related Complication in Growth-Friendly Spinal Surgeries for Early-Onset Scoliosis-Literature Review
Michał Latalski1, Grzegorz Starobrat2, Marek Fatyga2
1Childrens' Orthopedic Department, Medical University of Lublin, 20-093 Lublin, Poland.
Insights
Early-onset scoliosis (EOS) surgery presents high risks of wound complications and surgical site infections (SSIs). Improved data collection and prevention strategies are crucial for managing these challenging pediatric orthopedic cases.
Area of Science:
- Pediatric Orthopedics
- Spinal Surgery
- Surgical Complications
Background:
- Early-onset scoliosis (EOS) treatment is a significant challenge in pediatric orthopedics.
- Surgical interventions for EOS frequently lead to wound problems and surgical site infections (SSIs).
- These complications can have severe consequences for young patients.
Purpose of the Study:
- To systematically review the current literature on wound-related complications following EOS surgery.
- To assess the incidence and nature of these complications.
Main Methods:
- A systematic literature search was conducted in PubMed, Cochrane Library, and Embase in January 2022.
- Two independent reviewers applied PRISMA guidelines for article selection.
- Twenty-four articles were included from an initial search of 3579 articles.
Main Results:
- The review identified a high and variable rate of wound-related problems in EOS surgery, averaging 15.5%.
- Significant challenges exist in defining, collecting, and interpreting data on EOS wound complications.
- The incidence of surgical site infections (SSIs) may be underestimated in existing literature.
Conclusions:
- Inconsistent data reporting complicates the analysis and comparison of EOS wound complications.
- There is a critical need for increased awareness of the high SSI rates associated with EOS surgery.
- Developing and prioritizing optimal prevention strategies for SSIs in EOS patients is essential.
Background:
The treatment for early-onset scoliosis (EOS) is one of the most challenging for pediatric orthopedics. Surgical treatment is often necessary, and wound problems and surgical site infections (SSIs) are common, with potentially severe complications in these patients. The aim of the study was to review current literature according to this complication.
Methods:
PubMed, Cochrane Library, and Embase were systematically searched for relevant articles by two independent reviewers in January 2022. Every step of the review was done according to PRISMA guidelines.
Results:
A total of 3579 articles were found. Twenty four articles were included in this systematic review after applying our inclusion and exclusion criteria. EOS surgery has a varying but high rate of wound-related problems (on average, 15.5%).
Conclusion:
The literature concerning the definitions, collection, and interpretation of data regarding EOS wound-related complications is often difficult to interpret. This causes problems in the comparison and analysis. Additionally, this observation indicates that data on the incidence of SSI may be underestimated. Awareness of the high rate of SSI of EOS surgery is crucial, and an optimal strategy for prevention should become a priority.
