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In-hospital outcomes following fusion for spinal deformity in children with spinal cord injury: Analysis using the

Beatrice Ugiliweneza1,2, Goutam Singh2,3,4, Kathryn Lucas2,5

  • 1Department of Anatomical Sciences and Neurobiology, University of Louisville, Louisville, Kentucky, USA.

The Journal of Spinal Cord Medicine
|February 9, 2026
PubMed

Insights

Spinal fusion for spinal deformity in children with spinal cord injury (SCI) leads to significant complications, long hospital stays, and high costs. Optimized care and future research are crucial for improving outcomes in these vulnerable patients.

Area of Science:

  • Pediatric Orthopedics
  • Neurosurgery
  • Rehabilitation Medicine

Background:

  • Spinal deformity is a common complication in children with spinal cord injury (SCI).
  • Surgical correction aims to improve function and prevent further complications.
  • Limited data exists on the hospital outcomes of these complex procedures in pediatric SCI patients.

Purpose of the Study:

  • To evaluate the in-hospital outcomes of surgical spinal deformity correction in children with SCI.
  • To identify factors associated with complications, prolonged hospital stays, and discharge disposition.

Main Methods:

  • Cross-sectional study utilizing the National Inpatient Sample (1998-2021).
  • Identified 768 children (0-17 years) with SCI undergoing spinal fusion for deformity.
  • Analyzed outcomes including critical care intervention (CCI) complications, length of stay, charges, and discharge disposition.

Main Results:

  • A quarter of patients received CCI, and 43% experienced complications.
  • Median hospital stay was 8 days, with median charges exceeding $230,000.
  • Comorbidities, older age, and injury characteristics influenced outcomes and discharge needs.

Conclusions:

  • Spinal fusion for pediatric SCI-related deformity results in substantial morbidity, prolonged hospitalization, and significant healthcare costs.
  • Findings highlight the need for optimized perioperative management and long-term follow-up.
  • Further research into longitudinal outcomes is recommended to guide restorative care programs.
Abstract

Keywords:
KyphosisLordosisScoliosisSpinal cord injurySpinal deformitySpinal fusion

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