ArticleBMC musculoskeletal disorders2019
Risk factors for pulmonary complications after posterior spinal instrumentation and fusion in the treatment of congenital scoliosis: a case-control study.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Risk factors of early complications after thoracic and lumbar spinal deformity surgery: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Pooled it
- Post-operative Desaturation in Prone Spine Surgery; Diagnostic Dilemma in Pneumothorax Due to Barotrauma: A Case Report.Journal of orthopaedic case reports · 2026Article
- Following posterior spinal fusion for adolescent idiopathic scoliosis, patients with asthma are at increased odds of pulmonary adverse events.North American Spine Society journal · 2026Article
- Evaluation of improved lung and airway morphology using CT 3D reconstruction after severe scoliosis correction: a retrospective cohort study.Journal of orthopaedic surgery and research · 2026Article
- Incidence and Related Risk Factors of Pulmonary Complications After Spinal Fusion Surgery: A Retrospective Nationwide Inpatient Sample Database Study.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- FTO-mediated MMP1 m6A modification promotes osteogenic differentiation of bone marrow mesenchymal stem cells via the ERK pathway in congenital scoliosis.Scientific reports · 2025Article
- Epidural analgesia for a successful vaginal delivery in a parturient with Jarcho-Levin syndrome: case report.BMC anesthesiology · 2025Article
- Propensity score matching analysis of the relationship between allogeneic blood transfusion and postoperative pulmonary complications in scoliosis correction surgery: a retrospective study.Frontiers in medicine · 2025Article
- Risk factors of postoperative pulmonary complications after primary posterior fusion and hemivertebra resection in congenital scoliosis patients younger than 10 years old: a retrospective study.BMC musculoskeletal disorders · 2022Article
- Depth Vision-Based Assessment of Bone Marrow Mesenchymal Stem Cell Differentiation Capacity in Patients with Congenital Scoliosis.Journal of healthcare engineering · 2022Article
- Postoperative Pulmonary Complications in Complex Pediatric and Adult Spine Deformity: A Retrospective Review of Consecutive Patients Treated at a Single Site in West Africa.Global spine journal · 2021Article
- Older fusion-surgery age in congenital scoliosis patients is a risk factor for extended length of stay, more estimated blood loss, longer fused segments and higher medical costs: a retrospective study.BMC musculoskeletal disorders · 2021Article
- Article
- Recognizing Risks and Optimizing Perioperative Care to Reduce Respiratory Complications in the Pediatric Patient.Journal of clinical medicine · 2020Review
- Incidence of radiographic pulmonary abnormalities after posterior spinal fusion surgery for pediatric scoliosis.Journal of anaesthesiology, clinical pharmacologyArticle
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5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAlthough surgery prevents the progression of deformity and maintains the overall balance of the spine in congenital scoliosis (CS) patients, it is associated with a high risk of perioperative complications. Pulmonary complication is one of the most common complications. This retrospective study aimed to investigate the risk factors for pulmonary complications in CS patients after posterior spinal instrumentation and fusion.
methodsAnalysis of consecutive patients who underwent posterior spinal instrumentation and fusion for congenital scoliosis was performed. Preoperative clinical data, intraoperative variables, and perioperative radiographic parameters were collected to analyze the risk factors for pulmonary complications. Patients were separated into groups with and without postoperative pulmonary complications. Potential risk factors were identified by univariate testing. Multivariate logistic regression was used to evaluate independent predictors of pulmonary complications.
resultsThree hundred and twenty-three CS patients were included. Forty-five (13.9%) patients developed postoperative pulmonary complications, which included pleural effusion in 34 (75.6%) cases, pneumonia in 24 (53.3%) cases, pneumothorax in 3 (6.7%) cases, atelectasis in 4 (8.9%) cases, pulmonary edema in 2 (4.4%) cases, respiratory failure in 2 (4.4%) cases, and prolonged mechanical ventilation in 4 (8.9%) cases. The independent risk factors for development of pulmonary complications included age (Odds ratio (OR) = 1.088, P = 0.038), reoperation (OR = 5.150, P = 0.012), preoperative pulmonary disease (OR = 10.504, P = 0.004), correction rate (OR = 1.088, P = 0.001), middle thoracic screw-setting (OR = 12.690, P = 0.043), and thoracoplasty (OR = 5.802, P = 0.001). The area under the receiver operating characteristic (ROC) curve based on predicted probability of the logistic regression was 0.903.
conclusionsAge, reoperation, preoperative pulmonary disease, correction rate, middle thoracic screw-setting, and thoracoplasty were independent risk factors for pulmonary complications after posterior spinal instrumentation and fusion in CS patients.
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