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Paediatric Spinal Deformity Surgery: Complications and Their Management
Simon B Roberts1, Athanasios I Tsirikos2
1Leeds Teaching Hospitals NHS Trust, Great George Street, Leeds LS1 3EX, UK.
Healthcare (Basel, Switzerland)
|December 23, 2022
Summary
Paediatric spinal deformity surgery has risks and complications, including bleeding, infection, and implant failure. Early diagnosis and management, potentially aided by enhanced recovery protocols, are crucial for optimal outcomes.
Area of Science:
- Orthopaedic surgery
- Paediatric spine disorders
- Surgical complications
Background:
- Surgical correction of paediatric spinal deformity carries inherent risks.
- Understanding these complications is vital for informed patient and family decision-making.
- Complication rates vary based on deformity cause and surgical technique.
Purpose of the Study:
- To review and summarize complications associated with paediatric spinal deformity surgery.
- To discuss the management strategies for these complications.
- To highlight the importance of preoperative counseling regarding surgical risks.
Main Methods:
- Literature review of complications in paediatric spinal deformity surgery.
- Categorization of complications into intraoperative and postoperative.
- Discussion of management and prevention strategies, including enhanced recovery after surgery (ERAS) protocols.
Main Results:
- Intraoperative complications include bleeding and neurological injury.
- Postoperative complications encompass pain, infection, VTE, pulmonary issues, SMA syndrome, pseudarthrosis, implant failure, PJK, crankshaft, and adding-on.
- Revision surgery may be required for certain complications.
Conclusions:
- Comprehensive understanding and management of complications are essential for optimal outcomes in paediatric spinal deformity surgery.
- Enhanced recovery after surgery protocols may mitigate complication incidence.
- Timely diagnosis and intervention are critical to prevent deterioration.
